Humanized childbirth awareness-raising program among Tanzanian midwives and nurses: A mixed-methods study

Horiuchi, Shigeko; Shimpuku, Yoko; Iida, Masaki; Nagamatsu, Yasuko; Eto, Hiromi; Leshabari, Sebalda

doi:10.1016/j.ijans.2016.09.001

Cited by 5 publications

(2 citation statements)

References 26 publications

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“…The original questionnaire aimed to measure women's perceptions of the care that they received during pregnancy. In the study by Horiuchi et al [23], the questionnaire was used to measure the understanding of this concept among midwives. There are four factors associated with WCC: 1) being supported in making decisions, 2) having effective interaction, 3) being respected, and 4) trusting the caregiver.…”

Section: Measurementsmentioning

confidence: 99%

Development and pilot test of a smartphone app for midwifery care in Tanzania: A comparative cross-sectional study

et al. 2023

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To address Tanzania’s high maternal mortality ratio, it is crucial to increase women’s access to healthcare. To improve access, the quality of antenatal care needs to be improved. Therefore, we conducted a pilot study of a smartphone app for midwives and examined its potential effects on the learning outcomes of midwives and birth preparedness of pregnant women in Tanzania. This mixed-methods, pilot study provided an educational app for midwives in the intervention group, obtained data about the continuous use of the app, measured midwives’ learning outcomes, directed focus group discussions on the usability of the app, and conducted surveys among pregnant women about birth preparedness in the intervention and control groups to evaluate if midwives provided proper information to them. The control group received regular antenatal care and answered the same survey. Participants were 23 midwives who participated in the testing and provided learning outcome data. Twenty-one participated in focus group discussions. Results showed that 87.5% of midwives continued to study with the app two months post-intervention. A mini-quiz conducted after using the app showed a significant increase in mean scores (6.9 and 8.4 points, respectively) and a non-significant increase on the questionnaire on women-centered care (98.6 and 102.2 points, respectively). In the focus group discussions, all midwives expressed satisfaction with the app for several reasons, including comprehensive content, feelings of confidence, and reciprocal communication. There were 207 pregnant women included in the analysis. The intervention group had significantly higher knowledge scores and home-based value scores than did controls. The total scores and other subscales did not show statistical significance for group differences. The results indicate the potential impact of the midwifery education app when it is implemented on a larger scale, especially considering that the results show a potential effect on midwives’ learning outcomes.

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Section: Measurementsmentioning

confidence: 99%

Development and pilot test of a smartphone app for midwifery care in Tanzania: A comparative cross-sectional study

et al. 2023

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“…The solutions concerning the non-drug management of pain that emerged were related to humanized childbirth methods (breathing, mobilization, but also psychological support, empathy, gentleness). Several experiences, notably in Tanzania and Senegal, confirm that humanized childbirth methods have a positive impact on teams, offering them a new field of action that can be achieved with limited financial resources and without taking up their care time [17].…”

Section: Discussionmentioning

confidence: 99%

Training of Health Care personnel on Obstetric Violence: An Experience in Togo using the Forum Theatre Technique

Mathonnet,

Arvis

2023

Epidemiol Public Health

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Obstetrical Violence (OV) refers to all the disrespectful treatments and mistreatments inflicted on women during pregnancy and childbirth by health professionals. It can be physical, psychological or discriminatory, related to a lack of consent or respect, an abandonment of care or detention in the health structure in case of unpaid fees [1]. In Togo, OV is multifactorial and contributes to maintaining high maternal mortality by reducing attendance at health facilities [2]. We set up a training program for OV using a participatory technique called forum theater [3], with the nursing staff of maternity hospitals in the Maritime and Plateaux regions. Our study evaluated the potential of forum theater to raise awareness of OV among health care personnel and promote sustainable behavior change. We conducted 15 workshops with 391 professionals (55% of midwives and 25% of birth attendants). Participants completed a questionnaire before and after the intervention, assessing theoretical knowledge about OV and the frequency of violence that could be seen in the services. Participants reported a 33% increase of OV observed in their daily lives (p<0.05), including twice as physical violence and discrimination. This before-and-after difference was even more pronounced for the midwives, with an 80% increase (p<0.05). All concluded that they would change their behavior towards patients. Forum theater thus shows promise for improving providers’ ability to recognize and respond to VO. It is an effective tool to improve the attendance figures at health facilities and reduce maternal mortality in Togo.

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Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis

Munabi‐Babigumira

Glenton

Lewin

et al. 2017

Cochrane Database of Systematic Reviews

159

163

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BackgroundIn many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided. If any of these factors are missing, mothers and babies are likely to receive suboptimal care.ObjectivesTo explore the views, experiences, and behaviours of skilled birth attendants and those who support them; to identify factors that influence the delivery of intrapartum and postnatal care in low- and middle-income countries; and to explore the extent to which these factors were reflected in intervention studies.Search methodsOur search strategies specified key and free text terms related to the perinatal period, and the health provider, and included methodological filters for qualitative evidence syntheses and for low- and middle-income countries. We searched MEDLINE, OvidSP (searched 21 November 2016), Embase, OvidSP (searched 28 November 2016), PsycINFO, OvidSP (searched 30 November 2016), POPLINE, K4Health (searched 30 November 2016), CINAHL, EBSCOhost (searched 30 November 2016), ProQuest Dissertations and Theses (searched 15 August 2013), Web of Science (searched 1 December 2016), World Health Organization Reproductive Health Library (searched 16 August 2013), and World Health Organization Global Health Library for WHO databases (searched 1 December 2016).Selection criteriaWe included qualitative studies that focused on the views, experiences, and behaviours of SBAs and those who work with them as part of the team. We included studies from all levels of health care in low- and middle-income countries.Data collection and analysisOne review author extracted data and assessed study quality, and another review author checked the data. We synthesised data using the best fit framework synthesis approach and assessed confidence in the evidence using the GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach. We used a matrix approach to explore whether the factors identified by health workers in our synthesis as important for providing maternity care were reflected in the interventions evaluated in the studies in a related intervention review.Main resultsWe included 31 studies that explored the views and experiences of different types of SBAs, including doctors, midwives, nurses, auxiliary nurses and their managers. The included studies took place in Africa, Asia, and Latin America.Our synthesis pointed to a number of factors affecting SBAs’ provision of quality care. The following factors were based on evidence assessed as of moderate to high confidence. Skilled birth attendants reported that they were not always...

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Humanized childbirth awareness-raising program among Tanzanian midwives and nurses: A mixed-methods study

Cited by 5 publications

References 26 publications

Development and pilot test of a smartphone app for midwifery care in Tanzania: A comparative cross-sectional study

Development and pilot test of a smartphone app for midwifery care in Tanzania: A comparative cross-sectional study

Training of Health Care personnel on Obstetric Violence: An Experience in Togo using the Forum Theatre Technique

Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis

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