Community-based maternal and newborn care: A concept analysis

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.

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Measuring coverage of essential maternal and newborn care interventions: An unfinished agenda to define the data matrix for action in maternal and newborn health

Journal of Global Health ◽

10.7189/jogh.07.020307 ◽

2017 ◽

Vol 7 (2) ◽

Cited By ~ 2

Author(s):

Allisyn Moran ◽

Tanya Marchant

Keyword(s):

Newborn Care ◽

Newborn Health ◽

Data Matrix ◽

Maternal And Newborn Health ◽

Maternal And Newborn Care ◽

Maternal And Newborn

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

Healthcare ◽

10.3390/healthcare9101314 ◽

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.

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Improved accessibility of emergency obstetrics and newborn care(EmONC) services for maternal and newborn health: a community based project

BMC Pregnancy and Childbirth ◽

10.1186/1471-2393-13-136 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 4

Author(s):

Ali Turab ◽

Shabina Ariff ◽

Muhammad A Habib ◽

Imran Ahmed ◽

Masawar Hussain ◽

...

Keyword(s):

Newborn Care ◽

Newborn Health ◽

Maternal And Newborn Health ◽

Community Based ◽

Maternal And Newborn

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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

Journal of Midwifery & Women s Health ◽

10.1111/jmwh.12171 ◽

2014 ◽

Vol 59 (s1) ◽

pp. S44-S54 ◽

Cited By ~ 19

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

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Assessment of Critical Knowledge on Maternal and Newborn care Services among Primary Level Nurse Mid-wives in Kapilvastu District of Nepal

Kathmandu University Medical Journal ◽

10.3126/kumj.v13i4.16836 ◽

2017 ◽

Vol 13 (4) ◽

pp. 351-356 ◽

Cited By ~ 1

Author(s):

D. Acharya ◽

R. Paudel

Keyword(s):

Newborn Care ◽

Neonatal Health ◽

Poor Knowledge ◽

Primary Level ◽

Critical Knowledge ◽

Care Services ◽

Maternal And Neonatal Health ◽

Nurse Midwives ◽

Maternal And Newborn Care ◽

Maternal And Newborn

Background Despite greater emphasis on maternal and neonatal health through policy and programming in Nepal, maternal and neonatal health is still not impressive. Health care providers’ knowledge assessment on maternal and neonatal care has been well documented elsewhere, but it is very little understood in Nepal.Objective The primary objective of this study was to assess the critical knowledge of primary level nurse- midwives on maternal and newborn care in Kapilvastu District of Nepal.Method This was an Institution based cross-sectional study, conducted in Kapilvastu district, Nepal among sixty eight nurse-midwives. The participants were selected using simple random sampling technique. For collecting the data, health institutions were visited by enumerators for a month from 1st October to 1st November 2012. Data were entered into Microsoft Excel, cleaned and analyzed using SPSS version 17.0.Result More than 3/4th of the nurse-midwives had 10-20 years of experience. Majority of them (89.7%) had poor knowledge in taking action to prevent mother to child transmission for HIV positive women. More than half of them (54.4%) had some knowledge in performing the active management of third stage of labor whereas almost half (51.5%) had poor knowledge to actions needed on post-partum haemorrhage (PPH). Similarly, more than two third (69.1%) had poor knowledge in newborn care.Conclusion Majority of the nurse-midwives were found to have either poor or some level of knowledge in most of the components of maternal and newborn care services. So, greater emphasis should be given to upgrade the knowledge of nurse mid-wives.

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