scholarly journals Determinants of Disparity between Antenatal Bookings and Institutional Deliveries in Port Harcourt, Southern Nigeria

2020 ◽  
pp. 21-30
Author(s):  
Terhemen Kasso ◽  
Ojimah Chibianotu ◽  
Rosemary Ogu
Keyword(s):  
Qualitative Study ◽  
Antenatal Care ◽  
Health Workers ◽  
Structured Interview ◽  
Cost Of Care ◽  
Skilled Birth Attendants ◽  
Mortality And Morbidity ◽  
Birth Attendants ◽  
Port Harcourt ◽  
Depth Interviews

Aim: To determine the reasons why women deliver outside institutions where they register for antenatal care. Study Design: Qualitative study. Place and Duration of Study: Antenatal clinic of the University of Port Harcourt Teaching Hospital in February 2018. Methodology: A qualitative study using in-depth interviews (IDIs) was conducted in Port Harcourt, Nigeria to collect information on various reasons why women do not deliver where they received antenatal care (ANC) or with skilled birth attendants (SBAs). This was done using structured interview guides. Specifically, we asked 30 pregnant women to elucidate the circumstances that lead women to deliver in places other than where they had received antenatal care, and recommendations to enhance the number of women delivering with skilled birth attendants. All in-depth interviews were audio-taped, transcribed and content-analyzed. Results: Thirty IDIs were carried out. The women were all pregnant; aged 20 to 43 years old with mean age of 32.9 ± 5.5 years. The broad themes that emerged from their responses: Cost/financial reasons relating to inability to afford the cost of care in the hospitals, personal reasons such as fear of Caesarean section, and hospital-related reasons such as health workers’ strike action. Conclusion:  Evidence from our study indicates that pregnant women’s non-use of skilled birth attendants during childbirth even when they received antenatal care in the hospital is mainly due to financial, personal and hospital-related reasons. These factors are modifiable and should be targeted to increase delivery with skilled attendants, a key strategy for the reduction of maternal and neonatal mortality and morbidity.

scholarly journals Mothers’ Experiences and Perceptions of Facility-based Delivery Care in Rural Ethiopia

2021 ◽  
Vol 14 ◽  
pp. 117863292110176
Author(s):  
Elin Mordal ◽  
Ingrid Hanssen ◽  
Andargachew Kassa ◽  
Solfrid Vatne
Keyword(s):  
Family Involvement ◽  
Healthcare Facility ◽  
Healthcare Services ◽  
Skilled Birth Attendants ◽  
Adequate Treatment ◽  
Rural Ethiopia ◽  
Birth Attendants ◽  
Southern District ◽  
Depth Interviews ◽  
Respectful Care

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.

scholarly journals Mobile Money Use and Healthcare Utilization: Evidence from Rural Uganda

2020 ◽  
Vol 12 (9) ◽  
pp. 3741
Author(s):  
Hiroyuki Egami ◽  
Tomoya Matsumoto
Keyword(s):  
Antenatal Care ◽  
Fixed Effects ◽  
Developed Countries ◽  
Health Facilities ◽  
Care Utilization ◽  
Skilled Birth Attendants ◽  
Mobile Money ◽  
Birth Attendants ◽  
Heterogeneity Analysis ◽  
The Impact

Lack of cash on hand is a significant obstacle in accessing healthcare services in developing countries. Many expectant mothers in the least developed countries do not receive sufficient care during pregnancy due to financial constraints. If such hurdles in accessing healthcare can be overcome, it will contribute to reduction in maternal and newborn mortality, which is a key target of Sustainable Development Goal 3. This study reports the first assessment of the impact of mobile money services on maternal care utilization. We hypothesize that mobile money adoption would motivate rural Ugandan women to receive antenatal care and to deliver their children at health facilities or with skilled birth attendants. By receiving remittances utilizing mobile money, poor rural households may obtain more cash in hand, which might change women’s health-seeking behavior. We apply community- and mother-fixed effects models with heterogeneity analysis to longitudinal panel data (the RePEAT [Research on Poverty, Environment, and Agricultural Technology] survey) of three waves (2009, 2012, and 2015). The analysis uses pregnancy reports of 2007–2015 from 586 rural Ugandan households. We find suggestive evidence that mobile money adoption positively affects the take-up of antenatal care. Heterogeneity analysis indicates that mobile money brings a larger benefit to geographically challenged households by easing their liquidity constraint as they face higher cost of traveling to distant health facilities. The models failed to reject the null hypothesis of no mobile money effect on the delivery-related outcome variables. This study suggests that promoting financial inclusion by means of mobile money motivates women in rural and remote areas to make antenatal care visits while the evidence of such effect is not found for take-up of facility delivery or delivery with skilled birth attendants.

Exploring the Use of Indigenous Languages in Antenatal Care Sessions Among Mothers in Lagos State

2020 ◽  
pp. 19-44
Author(s):  
Oludare Ebenezer Ogunyombo ◽  
Semiu Bello
Keyword(s):  
Second Language ◽  
Antenatal Care ◽  
Health Workers ◽  
Self Esteem ◽  
Indigenous Languages ◽  
Safe Motherhood ◽  
Indigenous Language ◽  
Lagos State ◽  
Depth Interviews ◽  
Yoruba Language

This chapter examines the use of indigenous languages during antenatal care (ANC) sessions among mothers in Lagos state. Authors investigate factors that influence the use of indigenous languages, the most preferred mode of presentation, and how the languages affect reception, participation, and knowledge of mothers on safe motherhood practices. Using in-depth interviews with nurses and observations during the ANC sessions, the study found that indigenous languages engender participation and are effective in building self-esteem, trust, and confidence of mothers. Songs in the indigenous language, particularly Yoruba language, help mothers retain and recall safe motherhood messages easily. Mothers generally demonstrate their understanding during the question and answer sessions, while also serving as agents of information reinforcement among themselves using indigenous languages. In view of the occasional need for interpreters, the study recommends that health workers should be encouraged to take courses in indigenous languages within their region as a second language.

scholarly journals Communication between mothers and health workers is important for quality of newborn care: a qualitative study in neonatal units in district hospitals in South Africa

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Silondile Luthuli ◽  
Neil McKerrow
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Health Workers ◽  
Newborn Care ◽  
Well Being ◽  
Structured Interview ◽  
Observation Data ◽  
Good Communication ◽  
District Hospitals

Abstract Background There is a high global burden of neonatal mortality, with many newborn babies dying of preventable and treatable conditions, particularly in low and middle-income countries. Improving quality of newborn care could save the lives of many thousands of babies. Quality of care (QoC) is a complex and multifaceted construct that is difficult to measure, but patients’ experiences of care are an important component in any measurement of QoC. We report the findings of a qualitative study exploring observations and experiences of health workers (HWs) and mothers of babies in neonatal units in South Africa. Methods A qualitative case study approach was adopted to explore care of newborn babies admitted to neonatal units in district hospitals. Observation data were collected by a registered nurse during working hours over a continuous five-day period. Doctors and nurses working in the neonatal unit and mothers of babies admitted during the observation period were interviewed using a semi-structured interview guide. All interviews were audio recorded. Observation data were transcribed from hand written notes. Audiotapes of interviews were transcribed verbatim and, where necessary, translated into English. A thematic content analysis was used to analyse the data. Results Observations and interviews were conducted in seven participating hospitals between November 2015 and May 2016. Our findings highlight the importance of information sharing between HWs and mothers of babies, contrasting the positive communication reported by many mothers which led to them feeling empowered and participating actively in the care of their babies, with incidents of poor communication. Poor communication, rudeness and disrespectful behaviour of HWs was frequently described by mothers, and led to mothers feeling anxious, unwilling to ask questions and excluded from their baby’s care. In some cases poor communication and misunderstandings led to serious mismanagement of babies with HWs delaying or withholding care, or to mothers putting their babies at risk by not following instructions. Conclusion Good communication between mothers and HWs is critical for building mothers’ confidence, promoting bonding and participation of mothers in the care of their baby and may have long term benefits for the health and well-being of the mother and her baby.

scholarly journals the Phenomenology Study: Post-Flood and Landslide Farmers Resilience Experiences in Klungkung Village, Sukorambi District, Jember Regency

2020 ◽  
Vol 9 (2) ◽  
pp. 50-59
Author(s):  
FITRIO DEVIANTONY
Keyword(s):  
Research Design ◽  
Health Workers ◽  
Structured Interview ◽  
Unusual Event ◽  
Qualitative Research Design ◽  
Family Economy ◽  
Interview Guide ◽  
The Impact ◽  
Depth Interviews

Floods and landslides are disasters that can cause a lot of damage related to the material and of course fatalities, as well as the amount of damage from the environment that occurs, and other impacts will undoubtedly affect the psychology of the communities that changed by the disaster. The psychological effect of this unusual event will undoubtedly lead to trauma or it called posttraumatic stress disorder (PTSD). This study aims to explore the experiences of farmers who experience floods and landslides directly, the research design used is a qualitative research design using an interpretative phenomenology approach. The technique of collecting data used in-depth interviews with a semi-structured interview guide involving five participants and analyzed using interpretative analysis of phenomenology. This study produced six themes including disasters that occur due to humans, accepting the existing reality, getting closer to God, having the desire to farm again, recovering the family economy, keeping the environment around and improving themselves. The role of health workers is important because the impact caused by this condition can be worse so that health workers need to provide services so that farmers can understand, live and be able to accept and adapt to the conditions that occur

scholarly journals Challenges for Healthcare Workers Caring for COVID-19 Patients in Indonesia: A Qualitative Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110602
Author(s):  
Herley Windo Setiawan ◽  
Ika Nur Pratiwi ◽  
Lailatun Nimah ◽  
Zulfayandi Pawanis ◽  
Arief Bakhtiar ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Health Workers ◽  
Limited Resources ◽  
Protective Equipment ◽  
Sampled Data ◽  
Hospital Managers ◽  
The Government ◽  
Depth Interviews

COVID-19 pandemic raises various challenges faced by health workers in hospitals. This study explored strategies for overcoming challenges in caring for COVID-19 patients at hospitals in Indonesia based on healthcare workers’ experience. In-depth interviews were employed with 28 healthcare workers (physicians and nurses) who were purposively sampled. Data were collected via phone and analysed using the Colaizzi method. Five following challenges were found: difficulties in working with personal protective equipment (PPE), offline training for handling Covid and using PPE not being implemented evenly for all health workers, physical and psychological fatigue, difficulties in carrying out health education and assessment towards patients and families, and limited resources to cope with the COVID-19 pandemic. Meanwhile, some barriers require support from the government, public and hospital managers. The information gained from research on the strategies for caring for COVID-19 patients can contribute to better preparedness for hospitals and health workers facing the COVID-19 pandemic.

scholarly journals Iterative Adaptation of a Maternal Nutrition Videos mHealth Intervention Across Countries Using Human-Centered Design: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Jasmin Isler ◽  
N Hélène Sawadogo ◽  
Guy Harling ◽  
Till Bärnighausen ◽  
Maya Adam ◽  
...  
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
South African ◽  
Maternal Nutrition ◽  
Health Workers ◽  
Video Adaptation ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Human Centered Design ◽  
Depth Interviews

BACKGROUND Mobile health (mHealth) video interventions are often transferred across settings. Although the outcomes of these transferred interventions are frequently published, the process of adapting such videos is less described, particularly within and across lower-income contexts. This study fills a gap in the literature by outlining experiences and priorities adapting a suite of South African maternal nutrition videos to the context of rural Burkina Faso. OBJECTIVE The objective of this study was to determine the key components in adapting a suite of maternal nutrition mHealth videos across settings. METHODS Guided by the principles of human-centered design, this qualitative study included 10 focus group discussions, 30 in-depth interviews, and 30 observations. We first used focus group discussions to capture insights on local nutrition and impressions of the original (South African) videos. After making rapid adjustments based on these focus group discussions, we used additional methods (focus group discussions, in-depth interviews, and observations) to identify challenges, essential video refinements, and preferences in terms of content delivery. All data were collected in French or Dioula, recorded, transcribed, and translated as necessary into French before being thematically coded by two authors. RESULTS We propose a 3-pronged Video Adaptation Framework that places the aim of video adaptation at the center of a triangle framed by end recipients, health workers, and the environment. End recipients (here, pregnant or lactating mothers) directed us to (1) align the appearance, priorities, and practices of the video’s protagonist to those of Burkinabe women; (2) be mindful of local realities whether economic, health-related, or educational; and (3) identify and routinely reiterate key points throughout videos and via reminder cards. Health workers (here, Community Health Workers and Mentor Mothers delivering the videos) guided us to (1) improve technology training, (2) simplify language and images, and (3) increase the frequency of their engagements with end recipients. In terms of the environment, respondents guided us to localize climate, vegetation, diction, and how foods are depicted. CONCLUSIONS Design research provided valuable insights in terms of developing a framework for video adaptation across settings, which other interventionists and scholars can use to guide adaptations of similar interventions.

scholarly journals Nurses’ Feelings and Perspectives of the COVID-19 Pandemic: A Qualitative Study in a Developing Country

2021 ◽  
Vol 9 (G) ◽  
pp. 71-80
Author(s):  
Restuning Widiasih ◽  
Ermiati Ermiati ◽  
Etika Emaliyawati ◽  
Sri Hendrawati ◽  
Raini Diah Susanti ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Workers ◽  
Social Stigma ◽  
Structured Interview ◽  
Health Awareness ◽  
Referral Hospitals ◽  
Qualitative Descriptive ◽  
The Government ◽  
Perceptions And Expectations ◽  
And Behavior

BACKGROUND: Nurses’ duties and responsibilities related to the risk of transmitting COVID-19. Studies that explore nurses’ feelings and perspectives in providing health services at COVID-19 referral hospitals, especially in developing countries like Indonesia, are limited. AIM: This study aims to explore nurses’ feelings, perceptions, and expectations of the COVID-19 pandemic. METHODS: This qualitative study applied the qualitative descriptive design that involved 17 nurses from different hospitals in Indonesia. The semi-structured interview gathered their views of COVID-19, and the comparative analysis for interviews technique was chosen to analyze the data. RESULTS: Three themes emerged from the data analysis. The themes were nurses’ express psychological responses in facing the COVID-19 pandemic such as fear, surrender, panic, and calmness. Other two themes included the COVID 19 pandemic enhances nurses’ health awareness and behavior, and the government protect nurses from the COVID-19 transmission and social stigma. CONCLUSION: The feelings reported dominantly by the nurse, in addition to information about health awareness, behavior, the government’s actions, and their expectations. Mental health assistance would be useful to prevent depression in nurses, and the government’s comprehensive approaches in dealing with the COVID-19 pandemic would increase the protection and productivity of health workers, including nurses.

scholarly journals Midwife's Experience Working During The Outbreak of COVID-19 in Seluma Regency, Bengkulu Province: A Qualitative Study Protocol

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Poppy Siska Putri
Keyword(s):  
Data Analysis ◽  
Qualitative Study ◽  
Coping Strategies ◽  
Health Workers ◽  
Social Conditions ◽  
Professional Experiences ◽  
Increased Risk ◽  
Risk Of Exposure ◽  
And Coping ◽  
Depth Interviews

AbstractThe Coronavirus Disease (Covid-19) pandemic has been declared a global problem. The increased risk of exposure to infection and death is faced by health workers, including midwives, who often have a dual role in providing services. This study aims to understand and discuss the experiences of midwives working during the Covid-19 pandemic, focusing on midwife professional experiences, physical, psychological, and social conditions, challenges encountered, and coping strategies while working. The data will be obtained by interviewing midwives using in-depth interviews. The interview will be conducted online, recorded, and transcribed verbatim. Data analysis will be performed using the Colaizzi method and the findings are discussed with the expert to form a category or theme.Keyword : Working experience, Midwife, Healthcare

Sign in / Sign up

Export Citation Format

Share Document