关键词: barriers enablers maternal and child health maternity waiting home pregnant women utilisation

Mesh : Humans Female Namibia Pregnancy Adult Maternal Health Services / statistics & numerical data Health Services Accessibility Qualitative Research Pregnant Women / psychology Young Adult

来  源:   DOI:10.4102/safp.v66i1.5943   PDF(Pubmed)

Abstract:
BACKGROUND:  Despite the efforts of Namibia\'s Ministry of Health and Social Services to build maternity waiting homes (MWHs), few pregnant women make use of them. Long distances among the general population in Namibia limit the utilisation of MWHs. Little research has investigated what factors are limiting the use of these facilities despite the urgent need for them. The aim of this study thus was to explore and describe the perspectives of pregnant women on the utilisation of the MWHs near Onandjokwe Lutheran Hospital in Oshikoto Region.
METHODS:  A qualitative, exploratory, descriptive and contextual design was employed. The accessible population in this study comprised 18 participants who were selected for the study using a purposive sampling technique.
RESULTS:  Participants reported numerous barriers to visiting MWHs in Namibia, including an inadequate number of rooms, theft, food scarcity and the effects of poverty on the living conditions of the MWH users. Enablers visiting MWHs included the safe delivery of babies by skilled staff, reduced transport costs, access to timely management of labour complications and affordable accommodation.
CONCLUSIONS:  The study revealed that a number of barriers must be overcome before the desired number of women take advantage of MWHs. Multiple factors act as constraints to their use, including inadequate number of rooms, theft, food scarcity and the long distance between patients\' homes and MWH services.Contribution: The study\'s findings can be used to develop targeted interventions and strategies that can be used by MWH providers to address the identified barriers.
摘要:
背景:尽管纳米比亚卫生和社会服务部努力建造待产院(MWHs),很少有孕妇使用它们。纳米比亚普通人群之间的长距离限制了MWH的利用。尽管迫切需要这些设施,但很少有研究调查哪些因素限制了这些设施的使用。因此,这项研究的目的是探索和描述孕妇对Oshikoto地区Onandjokwe路德教会医院附近MWH利用的观点。
方法:定性,探索性,采用描述性和上下文设计。这项研究中的可访问人群包括18名参与者,他们被选择使用目的抽样技术进行研究。
结果:参与者报告了在纳米比亚访问MWH的许多障碍,包括房间数量不足,盗窃,粮食短缺和贫困对MWH使用者生活条件的影响。参观MWH的参与者包括由熟练的工作人员安全分娩婴儿,降低运输成本,及时管理分娩并发症和负担得起的住宿。
结论:研究表明,在达到预期数量的女性利用MWH之前,必须克服许多障碍。多种因素限制了它们的使用,包括房间数量不足,盗窃,食物短缺和病人家庭和MWH服务之间的长距离。贡献:该研究的发现可用于制定有针对性的干预措施和策略,可用于MWH提供者解决已确定的障碍。
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