에티오피아 티그라이지역 출산 여성의 모자보건에 대한 경험
Maternal-Child Health Related Experience of Childbearing Women Within 2years in Tigray, Ethiopia
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본 연구는 에티오피아 티그라이 지역 주민 중 2년 이내 출산을 경험한 여성 주민의 모자보건 관련경험과 인식을 알아보기 위해 수행되었으며, 472명의 설문조사로 얻어진 통계적 자료를 분석한 후 23명의면담을 통해 질적자료를 확보하는 설명적 순차설계 혼합연구방법을 사용하였다. 양적연구의 결과 보건시설을 통한 산전, 출산, 산후관리의 이행도가 높지 않았으며, 많은 경우 산전/산후관리를 의료인이 아닌HEW(Health extension worker)로부터 받고 있었다. 자녀에게 필요한 예방접종이나 약물복용 이행율은높은 편이나 가족계획을 위한 피임은 하지 않는 경우가 많았다. 이러한 상황에 대한 이해도를 높이기위해 수행한 질적연구의 결과, 임신과 출산을 대하는 문화적 차이, 접근이 어려운 보건의료시설이 모자보건서비스 이용의 가장 큰 장애요인으로 드러났다. 그러나 장애요인에도 불구하고 건강한 임신과 출산을위한 노력을 하고 있으며, 자녀의 필수 약물 복용과 예방접종의 중요성을 잘 인지하고 있음이 밝혀졌다. 문화에 대한 이해를 바탕으로 모자보건 서비스 이용에 대한 적극적인 교육과 홍보를 통해 모자보건수준의 향상을 도모해야 할 것이다.
Abstract
This study was conducted using an explanatory sequential design mixed method to find out the awareness through maternal and child health (MCH)-related experiences of women who gave birth within 2 years among residents of Tigray, Ethiopia. Quantitative data and qualitative were obtained through survey (472 participants) and interviews (23 participants) respectively. As a result of the quantitative study, the performance of appropriate MCH care was not high, and Health extension workers were the most common MCH care giver. Although the compliance for required vaccinations and medications for child was higher, contraception for family planning was not high. Through the qualitative study, cultural differences towards pregnancy and childbirth and short of accessibility were revealed as the biggest obstacles. Despite these obstacles, efforts and awareness were made for healthy pregnancy, childbirth. Based on an understanding of cultural influence, it is necessary to promote the improvement of MCH standards through education and publicity.
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