Exploring the focus of prenatal information offered to pregnant mothers regarding newborn care in rural Uganda.
Exploring the focus of prenatal information offered to pregnant mothers regarding newborn care in rural Uganda.
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DOI：
10.1186/1471-2393-13-176
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发表时间：
2013-09-16
影响因子：
3.1
通讯作者：
Kolsteren P
中科院分区：
文献类型：
--
作者：
Ayiasi MR;Van Royen K;Verstraeten R;Atuyambe L;Criel B;Garimoi CO;Kolsteren P
新生儿死亡占乌干达五岁以下儿童死亡率的五分之一。由于体温过低、卫生条件差和延迟开始母乳喂养而导致的新生儿护理措施欠佳是主要诱发因素。有证据表明，集中教育性产前护理信息可以缓解这些问题。然而，关于服务提供者和产前服务使用者之间互动的数据却很少。本研究旨在从产前母亲和卫生工作者的角度了解新生儿护理的教育信息范围和当前实践。使用定性描述方法。对乌干达西部马辛迪五个月以下婴儿的哺乳期母亲（n = 31）进行了深入访谈。为了加强我们的研究结果，我们还对卫生工作者 (n = 17) 及其雇主或培训师 (n = 5) 进行了额外采访。数据被录音并逐字转录。使用 NVivo 8 进行了主题内容分析。在产前会议期间，垂直项目比新生儿护理教育更受关注。此外，卫生工作者之间存在态度和沟通问题，从而在很大程度上忽视了患者自主和以患者为中心的护理的基本原则。当前的新生儿护理实践在很大程度上受到亲属文化信仰的影响，而不是产前检查期间提供的信息的影响。为在不同级别的卫生保健中提供建议的产前和立即新生儿护理而部署的卫生工作者的培训课程有所不同。调查结果显示马辛迪产前护理机构存在严重缺陷。尽管孕妇主动参加产前检查，但她们对分娩和新生儿护理的准备仍然不足。这些发现呼吁重新调整产前护理，将新生儿护理实践教育纳入常规产前护理服务，并基于以患者为中心的护理原则。
Neonatal death accounts for one fifth of all under-five mortality in Uganda. Suboptimal newborn care practices resulting from hypothermia, poor hygiene and delayed initiation of breastfeeding are leading predisposing factors. Evidence suggests focused educational prenatal care messages to mitigate these problems. However, there is a paucity of data on the interaction between the service provider and the prenatal service user. This study aims to understand the scope of educational information and current practices on newborn care from the perspectives of prenatal mothers and health workers. A qualitative descriptive methodology was used. In-depth interviews were conducted with lactating mothers (n = 31) of babies younger than five months old across Masindi in western Uganda. Additional interviews with health workers (n = 17) and their employers or trainers (n = 5) were conducted to strengthen our findings. Data were audio-taped and transcribed verbatim. A thematic content analysis was performed using NVivo 8. Vertical programmes received more attention than education for newborn care during prenatal sessions. In addition, attitudinal and communication problems existed among health workers thereby largely ignoring the fundamental principles of patient autonomy and patient-centred care. The current newborn care practices were largely influenced by relatives’ cultural beliefs rather than by information provided during prenatal sessions. There is a variation in the training curriculum for health workers deployed to offer recommended prenatal and immediate newborn care in the different tiers of health care. Findings revealed serious deficiencies in prenatal care organisations in Masindi. Pregnant mothers remain inadequately prepared for childbirth and newborn care, despite their initiative to follow prenatal sessions. These findings call for realignment of prenatal care by integrating education on newborn care practices into routine antenatal care services and be based on principles of patient-centred care.
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影响因子：
3.3
作者：
Conrad, Paul;Schmid, Gerhrd;Sarker, Malabika
通讯作者：
Sarker, Malabika
影响因子：
2.9
作者：
Iyengar, S. D.;Iyengar, K.;Deora, K. K.
通讯作者：
Deora, K. K.
影响因子：
15.8
作者：
Oestergaard MZ;Inoue M;Yoshida S;Mahanani WR;Gore FM;Cousens S;Lawn JE;Mathers CD;United Nations Inter-Agency Group for Child Mortality Estimation and the Child Health Epidemiology Reference Group
通讯作者：
United Nations Inter-Agency Group for Child Mortality Estimation and the Child Health Epidemiology Reference Group
影响因子：
2.5
作者：
Kirkwood, Betty R.;Manu, Alexander;Hill, Zelee
通讯作者：
Hill, Zelee
影响因子：
3.2
作者：
Conrad, Paul;De Allegri, Manuela;Sarker, Malabika
通讯作者：
Sarker, Malabika