Hindistan’ın Kerala kentinde gerçekleşen kurumsal doğumlardaki uygunsuzluklar: Bir izleme mekanizması ihtiyacı

Yıl 2018, Cilt: 5 Sayı: 1, 40 - 46, 31.03.2018

Lekha D Bhat Kesavan Rajasekharan Nayar

Öz

Bu makalede , hamile kadınların hastanelerdeki doğumhanelerde ve emzirme odalarında mahremiyetini sağlamaya  yönelik uygulanan müdahaleler tartışılmıştır.  Kaliteli sağlık hizmetlerinin sağlanması çabalarında, hasta mahremiyetinin dikkate alınmaması önemli bir sorundur, hatta  insan haklarına ilişkin sorunlardandır. Aslında hasta mahremiyeti sağlık hizmetlerinde kalitenin sağlanmasında en önemli boyutlardan biridir. Bu nedenle, kurumlarda gerçekleştirilen doğumlarda hasta mahremiyetine verilen önemi ortaya çıkarmak amacıyla Kerela, Hindistan'da niteliksel bir araştırma gerçekleştirilmiştir.  Kullanılan veri toplama yöntemleri,  uzman kişilerle mülakatlar, doğum yapan kadın ve yakınları ile görüşmeler ve altı ay süresince doğumhanelerin gözlemlenmesidir. Bu süreç sonunda sağlık çalışanlarının ve kurumların doğum yapan kadının mahremiyetini önemsemediği ve  kadınların onurlarına yönelik hak ihlallerinin olduğu gözlemlenmiştir. Araştırmanın gerçekleştirildiği hastanelerde onur ihlalinin yaygın olduğu öğrenilmiştir.  Halbuki doğum sürecinde hamile kadının özgünlüğünü ve mahremiyetini koruma kabiliyeti söz konusu değildir. Sonraki süreçte de bu durum entelektüel ve manevi olarak kadının fiziksel iyileşmesini dahi etkileyebilir. Dolayısıyla bu hassas dönemde hekimler , hemşireler ve diğer sağlık çalışanları  doğum yapan kadının mahremiyetine yönelik gerekli hassasiyeti göstermeli ve kurumlar bu durumun iyileştirilmesine yönelik müdahale programları geliştirmelidirler.

Anahtar Kelimeler

İnsan onuru, kurumsal doğum, sınıf, çocuk sağlığında halk sağlığı

Indignities in Institutional deliveries in Kerala, India: Need for a monitoring mechanism

Öz

In this paper, we present situations in the hospitals and labour rooms where women give birth and analyse how women’s dignity is lost/ decreased and it cannot be restored without a professional intervention. In the endeavour to ensuring quality health care services, various issues arise that are linked to human dignity and human rights. Human dignity in health care is recognized as the most important non-clinical and intangible dimension.  In a qualitative research that is based on grounded theory, we have explored the dignity violations in institutional childbirths in Kerala, India.  Key informants interviews, interviews with birthing women and participant observation of six months in labour rooms / wards are the data collection methods employed. It is found out that dignity violation is rampant in these institutions.  A woman with dignity related issues has no abilities to emphasize her own uniqueness and authenticity; she stops to progress physically, intellectually and spiritually. A public health intervention should be based on continuous monitoring of the labour process by a team which should include doctors, social workers and nurses. This intervention in maternity wards/ labour rooms can only help the woman-in-birth to go through an engendering, empowering experience of child birth.

Anahtar Kelimeler

Human dignity, institutional childbirth, class, public health in child birth

Kaynakça

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