Experiences of mothers and health workers with MomCare and SafeCare bundles in Kenya and Tanzania: A qualitative evaluation.

Autor: Izudi J; Data Science and Evaluation Unit, African Population and Health Research Center (APHRC), Nairobi, Kenya.; Department of Community Health, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda., Owoko HO; Data Science and Evaluation Unit, African Population and Health Research Center (APHRC), Nairobi, Kenya., Bagayoko M; Data Science and Evaluation Unit, African Population and Health Research Center (APHRC), Nairobi, Kenya., Kadengye D; Data Science and Evaluation Unit, African Population and Health Research Center (APHRC), Nairobi, Kenya.; Department of Economics and Statistics, Kabale University, Kabale, Uganda.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Nov 16; Vol. 18 (11), pp. e0294536. Date of Electronic Publication: 2023 Nov 16 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0294536
Abstrakt: Between 2019 and 2022, the digital dividend project (DDP), a technology-based intervention that combined care (MomCare) and quality improvement (SafeCare) bundles to empower mothers to access quality care during pregnancy, labor, and delivery, and postnatally, was implemented in Kenya and Tanzania aiming to improve maternal and newborn health outcomes. We describe the experiences of the mothers in accessing and utilizing health services under the bundles, and the experiences of the health workers in providing the services. Between November and December 2022, we conducted a qualitative evaluation across health facilities in Kenya and Tanzania. We held Interviews with mothers (pregnant and postpartum women who had benefited from the care bundles) and health workers (physicians, nurses, and midwives who provided the care bundles, including health facility In-Charges) at the antenatal care (ANC), skilled birth attendance (SBA), and postnatal care (PNC) service delivery points. We performed content analysis. Findings are reported using themes and quotes from the participants. We included 127 mothers (Kenya = 76, Tanzania = 51) and 119 health workers. Findings revealed that among mothers, the care bundles eased access to health services, ensured easy access and optimal ANC use, provision of respectful care, removed financial constraints, and led to the receipt of sufficient health education. Health workers reported that the care bundles offered them a new opportunity to provide quality maternal and newborn care and to adhere to the standard of care besides experiencing a positive and fulfilling practice. Health systems improvements included prompt emergency response and continual care, infrastructural developments, medical supplies and logistics, staffing, and increased documentation. Overall, the care bundles led to the strengthening of the healthcare system (staffing, service delivery, financing, supplies/logistics, and information management) in order to deliver quality maternal and child health services. The bundles should be replicated in settings with similar maternal and child health challenges.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Izudi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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