Promoting respectful maternity care in rural Tanzania: nurses' experiences of the "Health Workers for Change" program.
Promoting respectful maternity care in rural Tanzania: nurses' experiences of the "Health Workers for Change" program.
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DOI：
10.1186/s12913-018-3463-5
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发表时间：
2018-08-22
影响因子：
2.8
通讯作者：
Magatti N
中科院分区：
文献类型：
--
作者：
Webber G;Chirangi B;Magatti N
妇女在怀孕期间受到的不尊重和虐待性护理已被证明是妇女获得产前护理和分娩保健服务的障碍。作为在坦桑尼亚马拉的罗里亚区改善妇女获得保健服务的执行情况研究的一部分，我们进行了一项试点研究，根据“保健工作者促进变革”课程培训生殖保健护士，使其对妇女的需要更加敏感。为在该地区医院、保健中心和诊所工作的60名生殖保健护士举办了六个系列的讲习班。参加者对一项调查发表了意见，并在系列讲习班结束时参加了重点小组。这些定性数据进行了分析，共同的主题。参加者对培训表示赞赏，并对他们提供的保健服务质量差进行了反思，认识到他们对女病人的态度存在问题。他们强调，今后的培训必须包括更多的工作人员，并保持积极的变化。最后，他们提出了一些建议，以改善妇女在未来的经验。定性结果表明，讲习班在帮助保健提供者认识到他们对妇女的消极态度方面取得了成功。今后的研究应审查讲习班对维持提供者态度的改变和对孕妇接受保健服务的经验的影响。
Disrespectful and abusive care of women during their pregnancies has been shown to be a barrier for women accessing health care services for antenatal care and delivery. As part of an implementation research study to improve women’s access to health care services in Rorya District, Mara, Tanzania, we conducted a pilot study training reproductive health care nurses to be more sensitive to women’s needs based on the “Health Workers for Change” curriculum. Six series of workshops were held with a total of 60 reproductive health care nurses working at the hospitals, health centres and dispensaries in the district. The participants provided comments on a survey and participated in focus groups at the conclusion of the workshop series. These qualitative data were analyzed for common themes. The participants appreciated the training and reflected on the poor quality of health care services they were providing, recognizing their attitudes towards their women patients were problematic. They emphasized the need for future training to include more staff and to sustain positive changes. Finally, they made several suggestions for improving women’s experiences in the future. The qualitative findings demonstrate the success of the workshops in assisting the health care providers to become aware of their negative attitudes towards women. Future research should examine the impact of the workshops both on sustaining attitudinal changes of the providers and on the experiences of pregnant women receiving health care services.
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