Parent-targeted postnatal educational interventions in low and middle-income countries: A scoping review and critical analysis

Dol, Justine; Campbell-Yeo, Marsha; Murphy, Gail Tomblin; Aston, Megan; McMillan, Douglas; Gahagan, Jacqueline; Richardson, Brianna

doi:10.1016/j.ijnurstu.2019.03.011

Cited by 17 publications

(37 citation statements)

References 79 publications

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“…This is consistent with existing evidence that the majority of postnatal education in LMICs focuses on breast feeding. 15 The education rate for breast feeding (26%) is comparable to another study from India, although that study found higher education rates on hygiene and identifying danger signs of illness. 21 Our survey data show that mothers' use of evidence-based newborn care practices at 4 weeks post delivery is relatively low, with the exception of exclusive breast feeding.…”

Section: Implications For Postnatal Education Programmingsupporting

confidence: 59%

“…There is also room for improvement in study size: half of the studies in the scoping review noted above had small sample sizes (fewer than 135 participants), 15 and a Cochrane review of postnatal education interventions indicated that more large well-designed studies are needed to detect clearer effects on newborn outcomes. 10 Population-based surveys like the Multiple Indicator Cluster Surveys 19 and the Demographic and Health Surveys 20 could potentially offer good measurement opportunities, but these surveys only collect data about receipt of postnatal care services broadly (not postnatal education specifically) and newborn feeding practices (not other newborn care practices).…”

Section: Rates Of Postnatal Education and Newborn Care Practices In Lmentioning

confidence: 99%

“…These opportunities may be relevant in similar LMIC settings, given that many parents in LMICs do not receive sufficient education about how to care for their newborns at home or when/how to seek additional care if needed. 15 While antenatal education can lay the groundwork for improving mothers' knowledge of newborn care practices, 28 not all mothers or their partners receive this messaging as part of antenatal care. Postnatal education is a key chance to reach families with essential evidence-based newborn care knowledge and skills.…”

Section: Implications For Postnatal Education Programmingmentioning

confidence: 99%

“…In addition, we know educational interventions that inform and activate caregivers with practical skills are most effective in improving patient outcomes, [36][37][38][39] but we need more evidence about the right multipronged teaching approaches to convey information (eg, verbal, multimedia, written materials) and build skills (eg, modelling, role playing) in various LMIC settings. 15 Family-wide education to engage key family decision-makers as care partners Our survey data show that postnatal education gaps exist for both mothers and family caregivers (55% do not receive any education), and there is considerable room for improvement in newborn care practices that could be done by any family caregiver: skin-to-skin care, clean/dry umbilical cord care, hand hygiene and recognising signs of illness. Mothers are typically the primary caregivers for their newborns, but other family members (ie, fathers, grandparents, other extended family) often influence newborn care decisions, 14 17 so it is to implementers' advantage to include them in postnatal education efforts.…”

Section: Implications For Postnatal Education Programmingmentioning

confidence: 99%

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Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Subramanian

Murthy²,

Bogam³

et al. 2020

BMJ Glob Health

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Worldwide, many newborns die in the first month of life, with most deaths happening in low/middle-income countries (LMICs). Families’ use of evidence-based newborn care practices in the home and timely care-seeking for illness can save newborn lives. Postnatal education is an important investment to improve families’ use of evidence-based newborn care practices, yet there are gaps in the literature on postnatal education programees that have been evaluated to date. Recent findings from a 13 000+ person survey in 3 states in India show opportunities for improvement in postnatal education for mothers and families and their use of newborn care practices in the home. Our survey data and the literature suggest the need to incorporate the following strategies into future postnatal education programming: implement structured predischarge education with postdischarge reinforcement, using a multipronged teaching approach to reach whole families with education on multiple newborn care practices. Researchers need to conduct robust evaluation on postnatal education models incorporating these programee elements in the LMIC context, as well as explore whether this type of education model can work for other health areas that are critical for families to survive and thrive.

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Section: Implications For Postnatal Education Programmingsupporting

confidence: 59%

Section: Rates Of Postnatal Education and Newborn Care Practices In Lmentioning

confidence: 99%

Section: Implications For Postnatal Education Programmingmentioning

confidence: 99%

Section: Implications For Postnatal Education Programmingmentioning

confidence: 99%

See 2 more Smart Citations

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Subramanian

Murthy²,

Bogam³

et al. 2020

BMJ Glob Health

View full text Add to dashboard Cite

show abstract

“…A recent study demonstrated that while healthcare providers acquired new information after training, they continued to have some learning difficulties around items related to feeding, including how to cup feed and the signs of adequate breastfeeding (Dol, Campbell‐Yeo, Bulemela, et al, ). Around the world, focus has been on improving care during the antenatal and delivery period, to great success, with less emphasis on improving care during the postnatal period (Dol et al, ).…”

Section: Human Resources For Health Crisis For Newborn Care In Tanzaniamentioning

confidence: 99%

The inclusion of mothers in human resources for health planning

Dol

Murphy

Rigby

et al. 2020

International Nursing Review

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Aim This paper examines the possibility of including families, particularly mothers, within the health workforce using the human resource for health planning model to improve newborn outcomes. Background In many low‐ and middle‐income countries, there is a critical shortage of healthcare providers which impacts care for the neonatal population. A maternal and newborn health need that is prevalent in such countries is the care available between pregnancy and the postnatal period, where significant maternal and newborn deaths occur. Sources of evidence Using the population health need of the neonatal population in Tanzania, this paper explores the opportunity to include mothers as an additional human resource for health within the Needs‐Based Health Human Resources and Health Systems Planning model. Discussion In relation to educating and engaging family caregivers, the possible extension of the health workforce to include mothers as a response to meeting the healthcare needs of the neonatal population has yet to be explored. Through mothers and healthcare providers working together to address the population health need of essential newborn care, it offers a way forward for planning the resources needed in a health system. If utilized, mothers offer the opportunity to supplement the demand for human resources for health in the provision of newborn care, without replacing healthcare providers. Conclusion Mothers as potential members of the health workforce furthers the health system as a whole whereby population health needs are addressed and newborn mortality declines. Implications for health policy To solve the critical gap based on the supply of and demand for providers including doctors, nurses and midwives, a broader look at innovative solutions is essential. Implications for nursing practice Mothers offer the opportunity to supplement the available human resources for health in the provision of newborn care, thus helping to close existing gaps.

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Parenting Pain Away: Development and usability testing of an educational website about infant procedural pain management

Richardson

Martin-Misener

Latimer

et al. 2023

Paediatric and Neonatal Pain

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All newborns undergo minor painful procedures (e.g., injections). Despite strong evidence supporting parents' efficacy to reduce procedural pain (e.g., breastfeeding), parents remain an underutilized resource. Limited evidence‐based resources about infant procedural pain management targeting parents in the perinatal period exist. We co‐created Parenting Pain Away, a website to enhance parents' access to information and participation in procedural pain management following birth. This study aimed to conduct iterative usability testing with the perinatal population to refine Parenting Pain Away based on target users' identified needs and satisfaction. In 2020, parents of healthy newborns or expectant parents from an Atlantic Canadian province, participated in two iterative cycles of usability testing of Parenting Pain Away. Through recorded interviews, participants were directed to use the “Think Aloud” approach (e.g., verbalize what they see, think, feel) as they navigated through the website. Participants completed online questionnaires related to demographics and user satisfaction, measured by the Post Study System Usability Questionnaire (PSSUQ). Descriptive statistics and content analysis were conducted to analyze the data. In total, there were 10 participants with an average age of 29.9 years (SD = 3.9). Participants identified as mothers (n = 7) or fathers (n = 3) and were expecting (n = 6) or had a newborn (n = 4). The PSSUQ overall scores were 1.84 (SD = 0.55) and 1.34 (SD = 0.49) in Cycles 1 and 2, respectively, indicating high user satisfaction on the 7‐point scale. When comparing between the two cycles, the average overall score was lower in Cycle 2, suggesting improved satisfaction. Participants provided positive feedback about the website and suggested major refinements to simplify content and site navigation. Findings from usability testing cycles were used to inform refinements of the Parenting Pain Away in response to participant satisfaction and feedback. Engaging target users in the development process enhanced this website in preparation for further effectiveness testing.

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Parent-targeted postnatal educational interventions in low and middle-income countries: A scoping review and critical analysis

Cited by 17 publications

References 79 publications

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

The inclusion of mothers in human resources for health planning

Parenting Pain Away: Development and usability testing of an educational website about infant procedural pain management

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