scholarly journals The Effect of Community Maternal and Newborn Health Family Meetings on Type of Birth Attendant and Completeness of Maternal and Newborn Care Received During Birth and the Early Postnatal Period in Rural Ethiopia

2014 ◽  
Vol 59 (s1) ◽  
pp. S44-S54 ◽  
Author(s):  
Danika Barry ◽  
Aynalem Hailemichael Frew ◽  
Hajira Mohammed ◽  
Binyam Fekadu Desta ◽  
Lelisse Tadesse ◽  
...  
Keyword(s):  
Newborn Care ◽  
Newborn Health ◽  
Postnatal Period ◽  
Early Postnatal Period ◽  
Maternal And Newborn Health ◽  
Rural Ethiopia ◽  
Family Meetings ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

scholarly journals Community-based maternal and newborn care: A concept analysis

Curationis ◽  
2018 ◽  
Vol 41 (1) ◽  
Author(s):  
Yonas R. Guta ◽  
Patrone R. Risenga ◽  
Mary M. Moleki ◽  
Merertu T. Alemu
Keyword(s):  
Low Income ◽  
Newborn Care ◽  
Newborn Health ◽  
Concept Analysis ◽  
Low Income Countries ◽  
Maternal And Newborn Health ◽  
Community Based ◽  
Care Services ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

Background: Community-based care can serve as a valuable programme in the provision of essential maternal and newborn care, specifically in communities in low-income countries. However, its application in maternal and newborn care is not clearly documented in relation to the rendering of services by skilled birth attendants.Objectives: The purpose of the analysis was to clarify the meaning of the concept ‘community-based maternal and newborn care and its relationship to maternal and newborn health’.Method: Walker and Avant’s and Rodgers and Knafl’s as well as Chin and Kramer’s approaches to concept analysis were followed to analyse community-based maternal and newborn care.Results: The attributes of community-based care in maternal and newborn health include (1) the provision of home- and/or community-level skilled care, (2) linkages of health services and (3) community participation and mobilisation. These attributes are influenced by antecedents as well as consequences.Conclusion: The provision of good maternal and newborn care to all clients is a crucial aspect in provision of maternal and newborn services. In order for low-income countries to promote maternal and newborn health, community-based care services are the best option to follow.

scholarly journals We Won’t Go There: Barriers to Accessing Maternal and Newborn Care in District Thatta, Pakistan

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1314
Author(s):  
Muhammad Asim ◽  
Sarah Saleem ◽  
Zarak Husain Ahmed ◽  
Imran Naeem ◽  
Farina Abrejo ◽  
...  
Keyword(s):  
Health Workers ◽  
Newborn Care ◽  
Newborn Health ◽  
Structured Interview ◽  
Maternal And Newborn Health ◽  
Structural Level ◽  
Care Seeking ◽  
Structural Barriers ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

Accessibility and utilization of healthcare plays a significant role in preventing complications during pregnancy, labor, and the early postnatal period. However, multiple barriers can prevent women from accessing services. The aim of this study was to explore the multifaceted barriers that inhibit women from seeking maternal and newborn health care in Thatta, Sindh, Pakistan. This study employed an interpretive research design using a purposive sampling approach. Pre-tested, semi-structured interview guides were used for data collection. The data were collected through eight focus group discussions with men and women, and six in-depth interviews with lady health workers and analyzed through thematic analysis. The study identified individual, sociocultural, and structural-level barriers that inhibit women from seeking maternal and newborn care. Individual barriers included mistrust towards public health facilities and inadequate symptom recognition. The three identified sociocultural barriers were aversion to biomedical interventions, gendered imbalances in decision making, and women’s restricted mobility. The structural barriers included ineffective referral systems and prohibitively expensive transportation services. Increasing the coverage of healthcare service without addressing the multifaceted barriers that influence service utilization will not reduce the burden of maternal and neonatal mortality. As this study reveals, care seeking is influenced by a diverse array of barriers that are individual, sociocultural, and structural in nature. A combination of capacity development, health awareness, and structural interventions can address many if not all of these barriers.

scholarly journals Use of Mobile Video Show for Community Behavior Change on Maternal and Newborn Health in Rural Ethiopia

2014 ◽  
Vol 59 (s1) ◽  
pp. S65-S72 ◽  
Author(s):  
Binyam Fekadu Desta ◽  
Hajira Mohammed ◽  
Danika Barry ◽  
Aynalem Hailemichael Frew ◽  
Kenneth Hepburn ◽  
...  
Keyword(s):  
Behavior Change ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Mobile Video ◽  
Rural Ethiopia ◽  
Community Behavior ◽  
Maternal And Newborn

scholarly journals Can the Timed and Targeted Counseling Model Improve the Quality of Maternal and Newborn Health Care? A Process Analysis in the Rural Hoima District in Uganda

2021 ◽  
Vol 18 (9) ◽  
pp. 4410
Author(s):  
Geoffrey Babughirana ◽  
Sanne Gerards ◽  
Alex Mokori ◽  
Isaac Charles Baigereza ◽  
Alex Mukembo ◽  
...  
Keyword(s):  
Health Care ◽  
Newborn Care ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Pregnancy And Childbirth ◽  
Care Practices ◽  
Village Health ◽  
Maternal And Newborn ◽  
Village Health Teams

Each year, more than half a million women die worldwide from causes related to pregnancy and childbirth, and nearly 4 million newborns die within 28 days of birth. In Uganda, 15 women die every single day from pregnancy and childbirth-related causes, 94 babies are stillborn, and 81 newborn babies die. Cost-effective solutions for the continuum of care can be achieved through Village Health Teams to improve home care practices and health care-seeking behavior. This study aims at examining the implementation of the timed and targeted counseling (ttC) model, as well as improving maternal and newborn health care practices. We conducted a quantitative longitudinal study on pregnant mothers who were recruited on suspicion of the pregnancy and followed-up until six weeks post-delivery. The household register was the primary data source, which was collected through a secondary review of the ttC registers. All outcome and process variables were analyzed using descriptive statistics. The study enrolled 616 households from 64 villages across seven sub-counties in Hoima district with a 98.5% successful follow-up rate. Over the course of the implementation period of ttC, there was an increase of 29.6% in timely 1st antenatal care, 28.7% in essential newborn care, 25.5% in exclusive breastfeeding, and 17.5% in quality of antenatal care. All these improvements were statistically significant. The findings from this study show that the application of the ttC model through Village Health Teams has great potential to improve the quality of antenatal and newborn care and the health-seeking practices of pregnant and breastfeeding mothers in rural communities.

scholarly journals Women’s experiences of maternal and newborn health care services and support systems in Buikwe District, Uganda: A qualitative study

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261414
Author(s):  
Marte Bodil Roed ◽  
Ingunn Marie Stadskleiv Engebretsen ◽  
Robert Mangeni ◽  
Irene Namata
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Services ◽  
Health Workers ◽  
Newborn Health ◽  
Postnatal Period ◽  
Maternal And Newborn Health ◽  
Care Services ◽  
Professional Health ◽  
Maternal And Newborn

Background Uganda continues to have a high neonatal mortality rate, with 20 deaths per 1000 live births reported in 2018. A measure to reverse this trend is to fully implement the Uganda Clinical Guidelines on care for mothers and newborns during pregnancy, delivery and the postnatal period. This study aimed to describe women’s experiences of maternal and newborn health care services and support systems, focusing on antenatal care, delivery and the postnatal period. Methods We used triangulation of qualitative methods including participant observations, semi-structured interviews with key informants and focus group discussions with mothers. Audio-recorded data were transcribed word by word in the local language and translated into English. All collected data material were stored using two-level password protection or stored in a locked cabinet. Malterud’s Systematic text condensation was used for analysis, and NVivo software was used to structure the data. Findings Antenatal care was valued by mothers although not always accessible due to transport cost and distance. Mothers relied on professional health workers and traditional birth attendants for basic maternal services but expressed general discontentment with spousal support in maternal issues. Financial dependency, gender disparities, and lack of autonomy in decision making on maternal issues, prohibited women from receiving optimal help and support. Postnatal follow-ups were found unsatisfactory, with no scheduled follow-ups from professional health workers during the first six weeks. Conclusions Further focus on gender equity, involving women’s right to own decision making in maternity issues, higher recognition of male involvement in maternity care and improved postnatal follow-ups are suggestions to policy makers for improved maternal care and newborn health in Buikwe District, Uganda.

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