scholarly journals Why Women Utilize Traditional rather than Skilled Birth Attendants for Maternity Care in Rural Nigeria: Implications for Policies and Programs

Midwifery ◽  
2021 ◽  
pp. 103158
Author(s):  
Favour Chizomam Lorretta ◽  
Ntoimo ◽  
Friday Ehbodaghe Okonofua ◽  
Chioma Ekwo ◽  
Tosin Ojuolape ◽  
...  
2019 ◽  
Author(s):  
Adenike Olaniyi ◽  
Busisiwe Ncama

Abstract Background: Helping Babies Breathe (HBB) is a stimulated-based educational model developed to training birth attendants in low-income counties in basic neonatal stabilization. The scientific basis of HBB stemmed from neonatal evidence evaluation. Evaluation of this model gives an exhaustive understanding of the effectiveness of the training process and potential needs for improvement. Methods: This was a mixed method study conducted to test an existing, and develop an acceptable model suitable for the training of semi-skilled birth attendants in rural Nigeria. Data intake was both quantitative and qualitative using sequential approach. Questionnaire was used for quantitative data collection, while focus group discussions and individual in-depth interviews were adopted for qualitative. Qualitative data was entered into SPSS version 21, qualitative data were digitally recorded and transcribed. Both sets of data was coded and analyzed. Result: Findings from this study revealed very poor knowledge and skills of neonatal resuscitation among semi-skilled birth attendants before training was instituted. Their knowledge and resuscitative skills improved immediately after the training. The adapted model was evaluated and refined to suit the training of semi-skilled birth attendants in rural Nigeria. The outcomes were impressive, almost all respondents had improved skills in both newborn care and resuscitation of asphyxiated newborns. Conclusion: This refined model of training of semi-skilled birth attendants will improve neonatal care through advancement of educational efficacy. This model of training should be implemented by relevant stakeholders in the care of children to reduce newborn mortality and improve survival. Keywords: Neonatal, Testing, Refining, Community Health Worker, Hypoxia


2021 ◽  
Vol 9 (3) ◽  
pp. e000845
Author(s):  
Linda Bartlett ◽  
Lisa Avery ◽  
Priya Ponnappan ◽  
Judith Chelangat ◽  
Jackline Cheruiyot ◽  
...  

1970 ◽  
Vol 7 (1) ◽  
pp. 48-53
Author(s):  
Sheh Mureed ◽  
Muhammad Hassan Gandro ◽  
Walid Hassan

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.


Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 526
Author(s):  
James Ditai ◽  
Aisling Barry ◽  
Kathy Burgoine ◽  
Anthony K. Mbonye ◽  
Julius N. Wandabwa ◽  
...  

The initial bedside care of premature babies with an intact cord has been shown to reduce mortality; there is evidence that resuscitation of term babies with an intact cord may also improve outcomes. This process has been facilitated by the development of bedside resuscitation surfaces. These new devices are unaffordable, however, in most of sub-Saharan Africa, where 42% of the world’s 2.4 million annual newborn deaths occur. This paper describes the rationale and design of BabySaver, an innovative low-cost mobile resuscitation unit, which was developed iteratively over five years in a collaboration between the Sanyu Africa Research Institute (SAfRI) in Uganda and the University of Liverpool in the UK. The final BabySaver design comprises two compartments; a tray to provide a firm resuscitation surface, and a base to store resuscitation equipment. The design was formed while considering contextual factors, using the views of individual women from the community served by the local hospitals, medical staff, and skilled birth attendants in both Uganda and the UK.


2021 ◽  
Vol 14 ◽  
pp. 117863292110176
Author(s):  
Elin Mordal ◽  
Ingrid Hanssen ◽  
Andargachew Kassa ◽  
Solfrid Vatne

In Ethiopia, delivery wards are a part of primary healthcare services. However, although the maternal mortality rate is very high, approximately 50% of mothers use skilled birth attendants. This study focused on how women in a rural southern district of Ethiopia experience maternity care offered at the local delivery wards. In this qualitative, exploratory study, 19 women who had given birth in a healthcare facility were interviewed in 2019. Individual in-depth interviews were supplemented with observations conducted at 2 different delivery wards in the same district in 2020. Two main themes emerged from the thematic content analysis: increased awareness and safety were the primary reasons for giving birth at a healthcare facility, and traditions and norms affected women’s birth experiences in public maternity wards. The main shortcomings were a shortage of medicine, ambulance not arriving in time, and lack of care at night. For some women, being assisted by a male midwife could be challenging, and the inability to afford necessary medicine made adequate treatment inaccessible. Providing continuous information gave the women a certain feeling of control. Strong family involvement indicated that collectivistic expectations were key to rural delivery wards. The healthcare system must be structured to meet women’s needs. Moreover, managers and midwives should ensure that birthing women receive high-quality, safe, timely, and respectful care.


Midwifery ◽  
2015 ◽  
Vol 31 (5) ◽  
pp. 540-546 ◽  
Author(s):  
Rosemary King ◽  
Ruth Jackson ◽  
Elaine Dietsch ◽  
Asseffa Hailemariam

2021 ◽  
Vol 6 (3) ◽  

Since the beginning of the current pandemic both academic and public commentators have described the expansion of Covid-19, and its effects, as exceptional and indeed unprecedented. None could therefore be blamed for the overcrowded hospitals, lack of planning and preparation that have resulted. But there is in fact little new in this pandemic, neither its expansive effects or the struggle for containment while developing vaccines. It’s a history seen time and again. We just forget, each time, what we experience and the lessons should have resulted.


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