背景:产前护理对于识别和管理导致母婴死亡的并发症仍然至关重要,然而,南非妇女的出席仍然是一个挑战。
目的:本研究旨在了解在索韦托进行产前保健的妇女所面临的挑战,约翰内斯堡,使用三延迟模型。
方法:本研究在索韦托进行,约翰内斯堡。
方法:探索性,采用描述性和定性研究设计,并对10名孕妇和4名最近分娩的妇女进行了深入访谈。
结果:研究结果表明,由于怀孕不知情等因素,寻求护理的延误,等待可见的迹象,以及对人类免疫缺陷病毒(HIV)检测的恐惧。交通困难等挑战,距离诊所,和设施条件进一步阻碍了产前护理的开始。通常发生延迟启动以避免长时间等待,设施不足,语言障碍和护士虐待。
结论:从这项研究来看,我们了解到诸如怀孕意识不足等挑战,保守怀孕秘密的文化观念,对艾滋病毒检测的恐惧,漫长的等待线,高昂的交通费,诊所划界,基本药物短缺,厕所破裂和护士的辱骂推迟了妇女在索韦托早期开始产前护理,约翰内斯堡。贡献:必须通过实施基于社区的健康教育干预措施来应对南非妇女接受产前护理的挑战,将艾滋病毒心理社会支持服务制度化,并提高公共卫生设施的产前护理服务质量。
BACKGROUND: Antenatal care remains critical for identifying and managing complications contributing to maternal and infant mortality, yet attendance among
women in South Africa persists as a challenge.
OBJECTIVE: This study aimed to understand the challenges faced by
women attending antenatal care in Soweto, Johannesburg, using the three-delay model.
METHODS: This study was conducted in Soweto, Johannesburg.
METHODS: An exploratory, descriptive and qualitative research design was used, and in-depth interviews were conducted with 10 pregnant women and four
women who had recently given birth.
RESULTS: Findings indicate delays in seeking care due to factors such as pregnancy unawareness, waiting for visible signs, and fear of human immunodeficiency virus (HIV) testing. Challenges such as transportation difficulties, distance to clinics, and facility conditions further impeded the initiation of antenatal care. Late initiation often occurred to avoid long waits, inadequate facilities, language barriers and nurse mistreatment.
CONCLUSIONS: From this study, we learn that challenges such as unawareness of pregnancy, cultural notions of keeping pregnancy a secret, fear of HIV testing, long waiting lines, high cost of transportation fees, clinic demarcation, shortage of essential medicines, broken toilets and verbal abuse from nurses have delayed
women from initiating antenatal care early in Soweto, Johannesburg.Contribution: Challenges of
women with antenatal care attendance in South Africa must be addressed by implementing community-based health education interventions, institutionalising HIV psycho-social support services and improving quality of antenatal care services in public health facilities.