| Autor: |
Mohammed Mahdi, Rachel Shongwe, Charlotte E. Warren, Indira Narayanan, Goldy Mazia, Allen Waligo |
| Rok vydání: |
2008 |
| Předmět: |
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| Popis: |
Recognizing the need to improve the care and follow up of mothers and infants in the postnatal period the Swaziland Ministry of Health and Social Welfare (MOHSW) with support from the Horizons Program of Population Council the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) Basics Support for Institutionalising Child Survival (BASICS) and the Central Statistics Office (CSO) carried out an operations research project to reposition postnatal care (PNC) within the context of a high HIV environment. The objectives of the study were to determine if changes to the sexual and reproductive health guidelines on postnatal care would result in the timely and quality provision of key components of essential maternal and newborn care in the postnatal period increase utilization of postnatal care services among all postpartum (PP) women and improve the care and follow up of HIV-positive postpartum women and their infants. The study confirms that the introduction of an improved postnatal package with revised timing and content provides key components of maternal newborn and HIV care and increases the utilization of services among postpartum women and their infants. Postpartum women were three times more likely to attend PNC within one week of delivery post-intervention. An assessment of the quality of care during client-provider interactions for all postpartum women demonstrated a fourfold increase in the proportion that included all aspects of care: maternal and newborn health counseling for HIV family planning and improved provider-client relationships. Facilities are prepared to provide new postnatal care package. Health provider knowledge increased in several areas. More information was given to pregnant women during late pregnancy about the postnatal period. Women and their babies received better postnatal care. A higher proportion of postpartum women were breastfeeding post-intervention. The strong PMTCT program maintained a high proportion of women testing for HIV and receiving ART. More women?s partners were testing for HIV and sharing their results. There was an increased use of care and support services by HIV-positive postpartum women and their infants. More women were asked about family planning by health care providers. The new postnatal package was well received by clients. Providers were receptive to new postnatal package. Sustaining new PNC package requires addressing barriers. (Excerpts) |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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