| 1. |
- Faysal Badal, Naciima, et al.
(författare)
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With knowledge and support women can attend antenatal care : the views of women in IDP camps in Somaliland
- 2018
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Ingår i: African Journal of Midwifery and Womens' Health. - : Mark Allen Group. - 1759-7374 .- 2052-4293. ; 12:3
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Tidskriftsartikel (refereegranskat)abstract
- In Somaliland, women’s perceptions of barriers to accessing antenatal care is sparsely described, particularly with regard to marginalized women. The aim was to investigate perceptions of barriers to accessing antenatal care from the perspective of pregnant women living in Internal Displaced Persons camps. Individual semi-structured interviews with fifteen women were conducted and analysed using content analysis. The overriding theme was “With knowledge and support, women can attend antenatal care”. The findings highlighted that to obtain antenatal care, it is crucial for women to have knowledge and trust regarding antenatal services, a supporting environment, and ways to overcome practical barriers, such as patient fees and long waiting hours. If women and families received relevant information about the structure and benefits of ANC, they would probably prioritize ANC, given that the care is tailored to each woman’s needs. For this, community awareness and trust between women, families and ANC providers are central.
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| 2. |
- Laisser, Rose, 1956-, et al.
(författare)
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Health-care workers’ attitudes and perceptions of intimate partner violence against women in Tanzania
- 2014
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Ingår i: African journal of midwifery and women's health. - : Mark Allen group. - 1759-7374 .- 2052-4293. ; 8:1, s. 28-35
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Tidskriftsartikel (refereegranskat)abstract
- A cross-sectional survey of 345 health-care workers and 312 students was conducted to explore attitudes and perceptions of intimate partner violence against women, and their views on care and prevention. All health-care workers and final-year students were included in the study. Students’ t-test was followed in the analysis using SPPSS computer program. Forty-three percent of female health-care workers recognised acts of controlling behaviour, while 68% of female students agreed to less than one statement justifying physical violence and 32% of men failed to recognise a woman's right to refuse sex. Ninety percent of both students and health-care workers had observed clients having unexplained feelings of sadness or loss of confidence. Between 45 and 70% of students and health-care workers believed that women exposed to violence were difficult to support. The study clearly indicates a need for adequate health-care resources, guidelines and training to influence a change of existing rigid gender norms.
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| 3. |
- Lindgren, Helena, et al.
(författare)
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The three pathways to becoming a midwife : self-assessed confidence in selected competencies in intrapartum care from seven African countries
- 2021
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Ingår i: African Journal of Midwifery and Women's Health. - : Mark Allen Group. - 2052-4293. ; 15:1, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- Background/AimsGlobally, there are three pathways to become a midwife: midwifery post nursing, direct entry midwifery and integrated nursing and midwifery. There is limited knowledge on the effectiveness of pre-service midwifery education. The aim of this study was to describe and compare midwifery students' confidence in intrapartum skills and associated factors such as type and level of education.MethodsA multi-country cross-sectional study was conducted, where midwifery students were approached in the final months of their education programme. Data were collected using a questionnaire, based on the basic skills by the International Confederation of Midwives. Intrapartum care comprised 40 skills.ResultsIn total, 1407 midwifery students from seven sub-Saharan countries responded. The 40 skills were grouped into six domains; three related to care during the first and second stage of labour and three related to care during the third stage of labour. Sex and age were significantly associated with confidence, with female students and those 26–35 years old having higher levels of confidence. Students enrolled in a direct entry programme were more confident than other students in all three domains of care related to the first and second stage of labour.ConclusionsDirect entry was found to result in higher confidence for midwifery students than post nursing programmes or integrated programmes. Further research is needed for evaluation of competence.
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| 4. |
- Pallangyo, Eunice N., et al.
(författare)
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A baseline mixed methods study on postpartum care among health professionals in Tanzania
- 2017
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Ingår i: African Journal of Midwifery and Women's Health. - 1759-7374 .- 2052-4293. ; 11:3, s. 115-122
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Tidskriftsartikel (refereegranskat)abstract
- Background: Globally, postpartum care (PPC) is a neglected part of maternal and neonatal health, despite 50% of maternal deaths occuring in the first weeks after childbirth.Aim: The study aimed to assess knowledge, attitudes and practices among providers of PPC in government institutions in two low-resource suburbs of Dar es Salaam: Ilala and Temeke.Methods: Health professionals ( n =149) at all levels of care completed a knowledge and attitudes questionnaire. A checklist was used to observe 25 health professionals at reproductive and child health units, and 38 mothers were interviewed on exit. χ 2 - and logistic regression tests were used to analyse the outcomes. Field notes were analysed qualitatively.Findings: Overall, 64% of health professionals had high knowledge and most had positive attitudes towards PPC. Level of education was found to be positively associated with positive attitudes towards PPC (OR=2.5 CI 95% 1.03–6.13). PPC consultations with mothers and newborns during the first week after childbirth were found to be few or nonexistent. Mothers who came with newborns for BCG immunisation were mostly satisfied with the services.Conclusion: Quality improvement is required at the structure and process levels of the health system in order to provide holistic PPC consultations.
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| 5. |
- Sall, Moussa, et al.
(författare)
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Breastfeeding and weaning in a village in the Niger Inland Delta, Mali
- 2011
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Ingår i: African Journal of Midwifery. - London : MA Healthcare Ltd. - 2052-4293. ; 5:1, s. 141-146
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to investigate the breastfeeding and weaning customs and their influence on the survival of infants in the village of Niafunké, Mali. A questionnaire with 22 questions was put to 30 mothers, 15 traditional birth attendants, and 5 midwives. All the mothers used colostrum. However, before breastfeeding was initiated the children were given date juice, which constitutes a considerable infection risk. Weaning was started at the age of 6 to 9 months. The breastfeeding and weaning customs are largely satisfying; nevertheless, the child mortality before the age of 5 years was extremely high, at 56 children out of 131 born. The majority of these, 40, died during their first year of life. The infant mortality showed two periods of greatly elevated death rate: right after birth and during the period of weaning. The mortality after birth may depend on the lack of educated midwives as well as infections caused by water being given with the breast milk. The mortality at weaning obviously depends on poor hygienic conditions, possibly combined with a documented insufficient zinc intake weakening the immune system. Abrupt weaning practised when a new pregnancy is experienced is also a contributing factor. The breastfeeding may be interrupted over a single day, causing both physical and mental stress for the child. The mothers' information about breastfeeding and weaning comes from a number of sources: the parents, the traditional birth attendants, religious authorities, and the radio, which seems to have a good reach into the society.
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| 6. |
- Söderbäck, Maja, et al.
(författare)
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Kangaroo Mother Care in a Mozambican Perinatal ward : A Clinical Case study
- 2012
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Ingår i: African Journal of Midwifery and Women's Health. - : Mark Allen Group. - 1759-7374 .- 2052-4293. ; 6:1, s. 21-27
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Tidskriftsartikel (refereegranskat)abstract
- Kangaroo mother care (KMC) was first introduced in Mozambiquein 1984. The aim of this study was to describe Mozambicanmothers’ experiences of going through admission, passing froman intensive care ward to a nursery ward with their prematurebaby, undergoing KMC training before early discharge. A clinicalcase study was conducted, involving naturalistic observationsand a face-to-face interview with 41 mothers participating tocomplete a questionnaire. Descriptive statistics and manifestcontent analysis were used in this study. The results show thatthe mothers were of low socio-economic standing and felt thatthey did not have enough information on KMC. The hierarchicalorganization within the hospital setting as well as communalisticbehaviours influenced the mothers’ support of KMC, includinginformation, communication, relationships and actions. Theconclusion is that there is an important challenge for trainedneonatal nurses to improve the guidelines for KMC and toempower mothers and their families to adopt KMC.
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