Evaluation of implementation outcomes of an integrated group postpartum and well-child care model at clinics in Malawi.
Evaluation of implementation outcomes of an integrated group postpartum and well-child care model at clinics in Malawi.
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评估马拉维诊所的综合团体产后和健康孩子护理模型的实施结果。
DOI：
10.1186/s12884-023-05545-1
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发表时间：
2023-04-12
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
马拉维孕产妇和婴儿死亡率和发病率持续上升，表明需要提高孕产妇和儿童保健服务的质量。产后第一年为生育父母和婴儿的长期健康奠定了基础。综合群体产后和良好的儿童护理可以改善孕产妇和婴儿的健康结果。本研究的目的是检查这种护理模式的实施结果。我们使用混合方法来检查综合组产后和良好的儿童护理的实施结果。我们在马拉维布兰太尔区的三个诊所进行了试点。在每次会议期间，我们使用结构化的观察清单评估保真度。在每次会议结束时，我们管理的三个调查，卫生保健工作者和妇女参与者，干预措施的可接受性，干预适当的措施，和干预措施的可行性。进行了焦点小组讨论，以更好地了解人们对该模式的经验和评价。41名妇女和她们的婴儿参加了小组会议。三个诊所的19名保健工作者、9名助产士和10名健康监测助理共同主持了小组会议。6个阶段中的每一个在每个诊所测试一次，总共18个试点阶段。妇女和卫生保健工作者都报告说，在各诊所，产后和儿童保健小组是高度可接受的、适当的和可行的。对集体护理模式的忠诚度很高。在每次会议期间，作为结构化观察的一部分，研究小组注意到常见的健康问题，妇女中最常见的是高血压，婴儿中最常见的是流感样症状。在群体空间内获得的最常见服务是计划生育和婴儿接种疫苗。妇女报告说，她们从健康促进小组讨论和活动中获得了知识。小组会议的实施存在一些挑战。我们发现，在布兰太尔区，马拉维的诊所能够实施小组产后和良好的儿童保健与忠诚，这是高度可接受的，适当的，可行的妇女和卫生保健工作者。由于这些有希望的结果，我们建议未来的研究检查模型对孕产妇和儿童健康结果的有效性。
Persistently elevated rates of maternal and infant mortality and morbidities in Malawi indicate the need for increased quality of maternal and well-child care services. The first-year postpartum sets the stage for long-term health for the childbearing parent and infant. Integrated group postpartum and well-child care may improve maternal and infant health outcomes. The purpose of this study was to examine implementation outcomes for this model of care. We used mixed methods to examine implementation outcomes of integrated group postpartum and well-child care. We piloted sessions at three clinics in Blantyre District, Malawi. During each session we evaluated fidelity using a structured observation checklist. At the end of each session, we administered three surveys to health care workers and women participants, the Acceptability of Intervention Measure, the Intervention Appropriateness Measure, and the Feasibility of Intervention Measure. Focus groups were conducted to gain greater understanding of people’s experience with and evaluation of the model. Forty-one women with their infants participated in group sessions. Nineteen health care workers across the three clinics co-facilitated group sessions, 9 midwives and 10 health surveillance assistants. Each of the 6 sessions was tested once at each clinic for a total of 18 pilot sessions. Both women and health care workers reported group postpartum and well-child care was highly acceptable, appropriate, and feasible across clinics. Fidelity to the group care model was high. During each session as part of structured observation the research team noted common health issues, the most common one among women was high blood pressure and among infants was flu-like symptoms. The most common services received within the group space was family planning and infant vaccinations. Women reported gaining knowledge from health promotion group discussions and activities. There were some challenges implementing group sessions. We found that clinics in Blantyre District, Malawi were able to implement group postpartum and well-child care with fidelity and that it was highly acceptable, appropriate, and feasible to women and health care workers. Due to these promising results, we recommend future research examine the effectiveness of the model on maternal and child health outcomes.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
3.7
作者：
Ishaku SM;Jamilu T;Innocent AP;Gbenga KA;Lamaran D;Lawal O;Warren CE;Olorunfemi OO;Abubakar HD;Karima T;Patience OO;Musa A;Azubuike OK;Baffah AM;Franx A;Grobbee DE;Browne JL
通讯作者：
Browne JL
影响因子：
3.1
作者：
Duysburgh E;Kerstens B;Kouanda S;Kaboré CP;Belemsaga Yugbare D;Gichangi P;Masache G;Crahay B;Gondola Sitefane G;Bique Osman N;Foia S;Barros H;Castro Lopes S;Mann S;Nambiar B;Colbourn T;Temmerman M
通讯作者：
Temmerman M
影响因子：
3.4
作者：
Yugbaré Belemsaga D;Goujon A;Bado A;Kouanda S;Duysburgh E;Temmerman M;Degomme O
通讯作者：
Degomme O
影响因子：
2.3
作者：
Friedman, Suzanne;Calderon, Bianca;Meyer, Dodi
通讯作者：
Meyer, Dodi