potential to impact almost every aspect of the health sector. Shortages of staff, equipment and supplies, difficulty accessing health facilities, and lack of clear guidelines on PNC need to be addressed in order for ANC and PNC to achieve their full potential for maternal and newborn health. Recent studies document that behaviour change communications during ANC can work to promote evidence-based neonatal care practices, care-seeking and demand for skilled intrapartum and postnatal care, particularly in developing countries ([55, 56]). Each FGD was conducted in groups of 6 to 8 women with babies aged less than one year of age as well as pregnant women with similar backgrounds and experiences [34]. Reproductive Health. Moreover, much less is known about the utilisation of postnatal care, by which we mean the care of mother and baby that begins one hour after the delivery until six weeks after childbirth. Most women said that they had not heard of anyone whose baby had not been taken for PNC. If you get symptoms of coronavirus, or you’re unwell with something other than coronavirus, speak to your midwife or maternity team. "We request that health care providers behave more kindly so as to respond positively and politely to their clients" (FGD, woman, in 9th-month of pregnancy, Village T). There is nothing for the mother. Soc Sci Med.
Participants in FGDs and in-depth interviews who understood the importance of early ANC often cited recommendations that care start early: "I started going to the clinic when I was three months pregnant. CAS The majority of the women interviewed attended ANC. 0000000016 00000 n Urassa DP, Carlstedt A, Nystrom L, Massawe SN, Lindmark G: Quality assessment of the antenatal program for anaemia in rural Tanzania. 2006, New York. "Although I usually advise women who come here [to the clinic] to give birth at the nearest health facility they still give birth at home because we have not moved to our new building. Different suggestions were mentioned in the FGDs and in-depth interviews to improve ANC and PNC.
"A newborn gets BCG and polio zero soon after birth (majority after day 7) and also gets DPT one and polio one (at day 28) and weight measurement every month. Reflections from South African obstetric services. Most women are not happy because some of them have to work and maintain their household; who will do their work [while they recover]? Our results support the findings of others ([10, 20, 42]) which point out that the majority of the interviewed women attend ANC to get antenatal attendance cards to facilitate prompt care in case of complications later in the pregnancy.
Thirty-eight percent of a representative sample of 19,007 women aged 15–49 years interviewed in July and August 2004 had experienced the loss of at least one child [29].
2006, 368: 1377-1386. Although there were a few reports of women not taking their children to the health facility for PNC, most women trust that health care providers understand the purpose and benefits of the services, they are providing, a finding supported by other studies [52]. 0000097022 00000 n However, a few women do not understand the importance of care provided. Klisch SA, Mamary E, Olavarrieta CD, Garcia SG: Patient-led partner notification for syphilis: Strategies used by women accessing antenatal care in urban Bolivia. Campbell OMR, Graham WJ, The Lancet Maternal Survival Series steering group: Maternal survival 2: Strategies for reducing maternal mortality: getting on with what works. I went earlier (2 months) but they [health workers] said that they saw no pregnancy" (FGD, mother with 9 month-old baby girl, Village N). Respondents in the communities did not make a distinction between the care in the first six weeks and the Expanded Programme on Immunisation (EPI) which is one component of PNC. 0000004883 00000 n
Conteh L, Stevens W, Wiseman V: The role of communication between clients and health care providers: implications for adherence to malaria treatment in rural Gambia. Coria-Soto IL, Bobadilla JL, Notzon F: The effectiveness of antenatal care in preventing intrauterine growth retardation and low birth weight due to preterm delivery.
Koblinsky M, Matthews Z, Hussein J, Mavalankar D, Mritha MK, Anwar I, Achad E, Adjei S, Padmanabhan P, van Lerberghe W, The Lancet Maternal Survival Series steering group: Maternal Survival 3: Going to scale with professional skilled care. (In-depth interview, HCP, Village H). Mrisho, M., Obrist, B., Schellenberg, J.A. 2006, Cunningham F, Garry , Eds, et al: Williums Obstetric. Population Reference Bureau. Ifakara Health Institute [IHI] (formerly Ifakara Health Research and Development Centre), PO Box 78373, Dar es Salaam, Tanzania, Mwifadhi Mrisho, Joanna Armstrong Schellenberg, Hassan Mshinda & David Schellenberg, National Institute for Medical Research, Amani Centre, PO Box 81, Muheza, Tanzania, London School of Hygiene and Tropical Medicine, London, UK, Joanna Armstrong Schellenberg, Adiel K Mushi & David Schellenberg, Swiss Tropical Institute, Basel, Switzerland, Mwifadhi Mrisho, Brigit Obrist & Marcel Tanner, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA, You can also search for this author in 2007, 101: 823-830.
The authors would like to thank the following IPTi staff working with IHI for their input at different points during the study period: Albert Majura, Adeline Herman, Shekha Nasser, Kizito Shirima, Stella Magambo, Yuna Hamis, Fatuma Manzi, Mwajuma Chemba, Peter Madokola, Werner Maokola and Evarist Nyanda (Baba Paroko). QSR International Property Ltd, Doncaster, Australia. AbouZahr C, Wardlaw T: Maternal mortality at the end of a decade: signs of progress?.
The 2004–5 Tanzania Demographic and Heath Survey (TDHS) data reports that only 13% of women have the recommended one or more postpartum care visit within two days of delivery, with rates as low as 2% in some regions[22]. Ministry of health-Tanzania: Focused antenatal care malaria and syphilis during pregnancy: Orientation package for service providers. Participants in FGDs included 58 women of whom, 39 had young child less than one year old and 19 were pregnant. Franco LM, Bennett S, Kanfer R, Stubblebine P: Determinants and consequences of health worker motivation in hospitals in Jordan and Georgia. Adekanle DA, Isawumi AI: Late Antenatal Care Booking And Its Predictors Among Pregnant Women In South Western Nigeria. However, unless there is a serious issue related to maternal complications, these services target the child, and little attention is paid to the mother. They [health workers] do not allow you to start ANC when you are 6 or 7 months pregnant. Africa's Newborns, ed. 0000005986 00000 n We appreciate the support from IHI during data collection and processing. Google Scholar, WHO: World Health Organisation Antenatal care: report of a Technical Working Group. Google Scholar. Lawn JE, Cousens S, Zupan J: 4 million neonatal deaths: When? 10.1093/intqhc/14.6.441. CAS 2002, 10: 492-502. 0000015003 00000 n Ndyomugyenyi R, Neema S, Magnussen P: The use of formal and informal services for antenatal care and malaria treatment in rural Uganda. Efforts should be made at a programmatic and policy level within the formal health care system to provide this care to women and their newborns. 10.1016/S0140-6736(05)71048-5.
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