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Adverse pregnancy o...
Adverse pregnancy outcome disclosure and women's social networks : a qualitative multi-country study with implications for improved reporting in surveys
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- Kwesiga, Doris (author)
- Uppsala universitet,Global hälsa - implementering och hållbarhet,Makerere Univ, Sch Publ Hlth, Dept Hlth Policy Planning & Management, Kampala, Uganda.
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- Eriksson, Leif, 1971- (author)
- Uppsala universitet,Global hälsa - implementering och hållbarhet
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- Orach, Christopher Garimoi (author)
- Makerere Univ, Sch Publ Hlth, Dept Community Hlth & Behav Sci, Kampala, Uganda.
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- Tawiah, Charlotte (author)
- Kintampo Hlth Res Ctr, Kintampo, Ghana.
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- Imam, Md Ali (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div, Dhaka, Bangladesh.
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- Fisker, Ane B. (author)
- Bandim Hlth Project, Bissau, Guinea Bissau.;State Serum Inst, Res Ctr Vitamins & Vaccines, Copenhagen, Denmark.;Univ Southern Denmark, Open Patient Data Explorat Network OPEN, Odense, Denmark.
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- Enuameh, Yeetey (author)
- Kintampo Hlth Res Ctr, Kintampo, Ghana.;Kwame Nkrumah Univ Sci & Technol, Dept Epidemiol & Biostat, Kumasi, Ghana.
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- Lawn, Joy E. (author)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth Ctr MARCH, London, England.
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- Blencowe, Hannah (author)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth Ctr MARCH, London, England.
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- Waiswa, Peter (author)
- Karolinska Institutet,Makerere Univ, Sch Publ Hlth, Dept Hlth Policy Planning & Management, Kampala, Uganda.;Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
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- Bradby, Hannah, 1966- (author)
- Uppsala universitet,Sociologiska institutionen
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- Målqvist, Mats, 1971- (author)
- Uppsala universitet,Global hälsa - implementering och hållbarhet
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(creator_code:org_t)
- 2022-04-06
- 2022
- English.
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In: BMC Pregnancy and Childbirth. - : BioMed Central (BMC). - 1471-2393 .- 1471-2393. ; 22:1
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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Abstract
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- BackgroundGlobally, approximately 6,700 newborn deaths and 5,400 stillbirths occur daily. The true figure is likely higher, with under reporting of adverse pregnancy outcomes (APOs) noted. Decision-making in health is influenced by various factors, including one's social networks. We sought to understand APOs disclosure within social networks in Uganda, Ghana, Guinea-Bissau and Bangladesh and how this could improve formal reporting of APOs in surveys.MethodsA qualitative, exploratory multi-country study was conducted within four health and demographic surveillance system sites. 16 focus group discussions were held with 147 women aged 15-49 years, who had participated in a recent household survey. Thematic analysis, with both deductive and inductive elements, using three pre-defined themes of Sender, Message and Receiver was done using NVivo software.ResultsDisclosure of APOs was a community concern, with news often shared with people around the bereaved for different reasons, including making sense of what happened and decision-making roles of receivers. Social networks responded with comfort, providing emotional, in-kind and financial support. Key decision makers included men, spiritual and traditional leaders. Non-disclosure was usually to avoid rumors in cases of induced abortions, or after a previous bad experience with health workers, who were frequently excluded from disclosure, except for instances where a woman sought advice on APOs.ConclusionsCommunities must understand why they should report APOs and to whom. Efforts to improve APOs reporting could be guided by diffusion of innovation theory, for instance for community entry and sensitization before the survey, since it highlights how information can be disseminated through community role models. In this case, these gatekeepers we identified could promote reporting of APOs. The stage at which a person is in decision-making, what kind of adopter they are and their take on the benefits and other attributes of reporting are important. In moving beyond survey reporting to getting better routine data, the theory would be applicable too. Health workers should demonstrate a more comforting and supportive response to APOs as the social networks do, which could encourage more bereaved women to inform them and seek care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Social networks
- Disclosure
- Adverse pregnancy outcomes
- Diffusion of innovation
Publication and Content Type
- ref (subject category)
- art (subject category)
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Kwesiga, Doris
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Eriksson, Leif, ...
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Orach, Christoph ...
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Tawiah, Charlott ...
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Imam, Md Ali
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Fisker, Ane B.
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Enuameh, Yeetey
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Lawn, Joy E.
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Blencowe, Hannah
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Waiswa, Peter
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Bradby, Hannah, ...
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Målqvist, Mats, ...
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- MEDICAL AND HEALTH SCIENCES
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BMC Pregnancy an ...
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Uppsala University
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Karolinska Institutet