Supporting Safe Motherhood Services In Diyarbakir: A Community-Based Distribution Project
Tóm tắt
To provide pregnant and puerperal women experiencing problems with receiving health care in Diyarbakir, Turkey, with an education program and counseling to help them attain appropriate health behaviors and to support receiving health care through a community based distribution model. This article is a descriptive report of a qualitative community based distribution project conducted in cooperation with the Women’s Research and Implementation Centre (WRIC) of Diyarbakir Metropolitan Municipality (DMM) and Turkish Family Health and Planning Foundation. The study was carried out between March 2007 and April 2008 in six districts of Diyarbakir, a region with a population of 37,000 people of low socio-economic status and who immigrated from the surrounding villages. A total of 6,029 families were visited and 1,119 pregnant and puerperal women were contacted, provided with education and counseling and referred to primary health care clinics at home visits. Seven women living in the region were selected and educated so that they could offer peer education and educational material was prepared for the target group. The pregnant and puerperal women living in the study area were recorded and referred to primary health care clinics. They were visited four times during pregnancy and three times during puerperium and were provided an education program and counseling. Data were collected from the records made during monitoring the women and focus group discussions with women, peer trainers and health care staff. They were found to acquire appropriate health behaviors, 36.2 % women started to receive health care from primary health care clinics for the first time and 86.9 % of the deliveries were performed at health centers. The pregnant and puerperal women were satisfied with home visits, felt special and put the information about self-care into practice. The number of the women receiving iron supplements and vaccine against tetanus and receiving regular care increased.
Tài liệu tham khảo
Hacettepe University Institute of Population Studies. (2009). Turkey Demographic and Health Survey-TDHS, 2008. Hacettepe University Institute of Population Studies, Ministry of Health General Directorate of Mother and Child Health and Family Planning. T.R. Prime Ministry Undersecretary of State Planning Organization and TUBITAK, Ankara, Turkey.
Ergenekon Ozelci, P., Elmaci, N., Ertem, M., & Saka, G. (2006). Breastfeeding beliefs and practices among migrant mothers in slums of Diyarbakır, Turkey. European Journal of Public Health, 16(2), 143–148.
Geçkil, E., Şahin, T., & Ege, E. (2009). Traditional postpartum practices of women and infants and the factors ınfluencing such practices in South Eastern Turkey. Midwifery, 25, 62–71.
Turkish Statistical Institute (TurkStat), Education Statistics, http://www.tuik.gov.tr/AltKategori. Accessed January 2010.
Sarmaşık Center for Sustainable Development and the Struggle against Poverty & Local Agenda 21-Diyarbakır. (2007). A Map of Urban Poverty in Diyarbakır. Available at http://www.sarmasik.org/dosya/file/sarmasik_eng.pdf.
Diyarbakır Sağlık Müdürlüğü Bilgi İşlem ve İstatistik Şube Müdürlüğü Verileri, [Data Processing and Statistics Department of Diyarbakir Directorate of Health] http://www.dsm.gov.tr. Accessed December 2008.
Conseil Santé, EDUSER, SOFRECO. (2008). Health Seeking Behaviour Study, 2007. Ministry of Health General Directorate of Mother-Child Health and Family Planning and the Delegation of the European Commission to Turkey, Ankara.
Hacettepe University Institute of Population Studies, ICON-INSTITUT Public Sector GmbH and BNB Consulting. (2006). Turkey National Maternal Mortality Study, 2005. Ministry of Health, General Directorate of Mother and Child Health and Family Planning and Delegation of European Commission to Turkey. Ankara.
Willlows Foundation, Work Reports. (2008). http://www.willowsfound.org/toplum.asp.
Boyacıoğlu, A. Ö., & Türkmen, A. (2008). Social and cultural dimensions of pregnancy and childbirth in Eastern Turkey. Culture, Health & Sexuality, 10(3), 277–285.
Hacettepe University Institute of Population Studies. (2010). Fertility, Reproductive Health and Ageing in Turkey, 2008. Further analysis of Turkey Demographic and Health Survey-TDHS, 2008. Hacettepe University Institute of Population Studies, Ministry of Health General Directorate of Mother and Child Health and Family Planning. T.R. Prime Ministry Undersecretary of State Planning Organization and TUBITAK, Ankara, Turkey.
Republic of Turkey Ministry of Health. Circular 2007/6, Iron support for the pregnant program. Available at http://www.saglik.gov.tr/TR/belge/1-5940/gebelerde-demir-destek-programi-uygulumasi-genelgesi-20-.html.
Sönmez, Y., & Aksakoğlu, G. (2005). Gebelikte Tetanoz Aşılanma Durumu ve Etkileyen Etmenler [Status of tetanus vaccination in pregnancy and ınfluencing factors]. Sürekli Tıp Eğitim Dergisi, 14(9), 212–216.
Kaya, F., & Serin, Ö. (2008). Doğum Öncesi Bakımın Niteliği [The quality of the antenatal care]. Journal of Turkish Society of Obstetric and Gynecology, 5, 28–35.
Sönmez, Y. (2007). Doğum öncesi bakım hizmetleri [Antenatal care services]. Sürekli Tıp Eğitim Dergisi, 16(1), 9–12.
Ayaz, S., & Yaman Efe, S. (2008). Potentially harmful traditional practices during pregnancy and postpartum. The European Journal of Contraception and Reproductive Health Care, 13(3), 282–288.
Aliefendioğlu, D., Hızel, S., Dibek Mısırlıoğlu, E., Şanlı, C., Albayrak, M., & Oktay, A. (2009). Anadolu’nun Bir İlinde Bebek Bakımında Başvurulan Geleneksel Uygulamalar. [Traditional child care procedures in an Anatolian City]. Gazi Medical Journal 20(1), 17–20.
Bölükbaş, N., Erbil, N., Altunbaş, H., & Arslan, Z. (2009). 0-12 Aylık Bebeği Olan Annelerin Çocuk Bakımında Başvurdukları Geleneksel Uygulamalar. [Traditional practices about child care of the mothers who owner 0–12 month baby]. Uluslararası İnsan Bilimleri Dergisi 6(1), 164–176.
Eğri, G., & Gölbaşı, Z. (2007). 15–49 Yaş Grubu Evli Kadınların Doğum Sonu Dönemde Bebek Bakımına Yönelik Geleneksel Uygulamaları. [Traditional postnatal ınfant-care practices of 15–49 years old married women]. TSK Koruyucu Hekimlik Bülteni 6(5), 313–320.
Turan, J. M., Say, L., Güngör, A. K., Demarco, R., & Yazgan, S. (2003). Community participation for perinatal health in İstanbul. Health Promotion International, 18(1), 25–32.