优质护理服务是孕产妇保健和降低可预防生殖疾病死亡率的重要救生干预措施。在尼日利亚等非洲国家，惠阳保姆13825404095众多观念和不利因素对优化孕产妇和生殖保健服务的利用提出了独特的挑战。随着女性不断远离医疗保健服务，实现全民健康覆盖成为一个令人担忧的问题。使用了现象学和描述性研究设计。研究参与者共有 38 名来自初级和三级医疗机构的女性。他们是特意从尼日利亚埃努古州恩苏卡的四家医疗机构中挑选出来的。调查结果显示，大多数农村妇女在产前阶段会利用孕产妇保健服务，但在产后阶段，她们会因某些观念而拒绝接受生殖保健服务。在促成因素、倾向因素和需求因素下发现了对孕产妇和生殖保健服务未得到最佳利用的担忧。循证干预措施包括制定健康保险政策、改善医疗保健部门、人员、利益相关者之间的合作以及基层社区教育。参与者对社会工作者参与医疗机构的情况知之甚少。私人和公共医疗保健系统之间的功能性护理网络是优化孕产妇和生殖保健利用的关键。该研究建议利益相关者和社区参与实现功能性护理网络，加强一线卫生工作者之间的关系，并使农村妇女获得更好的知识。所有这些都是为了在尼日利亚资源匮乏地区的妇女中实现孕产妇和生殖保健服务的最佳利用。
Optimizing the utilization of maternal and reproductive healthcare services among women in low-resourced Nigerian settings
Quality care delivery is an essential lifesaving interventions for maternal healthcare and reduction in mortality from preventable reproductive conditions. In African countries like Nigeria, numerous perceptions and militating factors present unique challenges in optimizing the utilization of maternal and reproductive healthcare services. As women continuously evolve away from the utilization of healthcare services, achieving universal health coverage for all emerges as a matter of concern. A phenomenological and descriptive research design was used. The study participants comprised a total of 38 women selected from primary and tertiary healthcare institutions. They were purposively selected from four healthcare institutions in Nsukka, Enugu State, Nigeria. Findings revealed that most rural women at the prenatal stage, utilize maternal healthcare services, but at the postnatal stage, they reject reproductive healthcare services owing to certain perceptions. Concerns about sub-optimal utilization of maternal and reproductive healthcare services were found under enabling, predisposing and need factors. Evidence-based interventions included instituting health insurance policies, improving the healthcare sector, personnel, collaboration among stakeholders, and grass-roots community education. Participants showed little knowledge of social workers’ engagement in healthcare institutions. Functional network of care between private and public healthcare system is the key to optimizing maternal and reproductive healthcare utilization. The study recommends stakeholder and community engagement in achieving functional networks of care, strengthening relational linkages between frontline health workers and equip rural women with better knowledge. All these are geared toward achieving optimal utilization of maternal and reproductive healthcare services among women in low-resourced Nigerian settings.
