2018 Fiscal Year Final Research Report
Utilization of healthcare services in postpartum women in the Philippines who delivered at home and the effects on their health
| Project/Area Number |
15K20811
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Multi-year Fund |
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| Research Field |
Community health nursing
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| Research Institution | Kobe City College of Nursing |
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Principal Investigator |
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| Project Period (FY) |
2015-04-01 – 2019-03-31
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| Keywords | フィリピン / 産後 / 自宅出産 / 地域ヘルスボランティア / 保健サービス / 保健システム |
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| Outline of Final Research Achievements |
We found that financial and environmental barriers might hinder the utilization of healthcare services in women who deliver at home in the Philippines. A lower utilization of healthcare services in these women might result in higher abnormal postpartum symptoms. These symptoms may contribute to the MMR in the Philippines. In the Philippines, the provision of health education on abnormal symptoms can enhance knowledge and attitudes in postpartum women, which can ultimately enrich their health.And, our results also indicated that BHWs play a potentially important role in evaluating postpartum women’s physical and mental conditions through home-visiting services. However, several difficulties adversely affected their activities, and these must be addressed to maximize the contributions of BHWs to the postpartum healthcare system.
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| Free Research Field |
公衆衛生学、疫学、地域看護学、公衆衛生看護学
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| Academic Significance and Societal Importance of the Research Achievements |
本研究から、フィリピンの自宅出産者の産後の健康状況と保健サービスの利用状況を把握することができた。また、フィリピンの地域ヘルスボランティアであるBHWは産後の家庭を訪問し、女性の健康を把握し、予防的に関わっている状況を明らかにすることができた。今回の結果から、BHWが健康的な女性だけではなく、自宅出産者に焦点をあてて訪問するようなハイリスクアプローチに特化した活動が重要になることが考えられた。そのハイリスクアプローチ活動を現在の産褥期訪問システムに含めていくことが、フィリピンの地域産後ケアシステムの改善につながると考えられる。
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