Parents, healthcare professionals and other stakeholders’ experiences of caring for babies born too soon in a low-resource setting: a qualitative study of essential newborn care for preterm infants in Kenya

Mitchell, Eleanor; Pallotti, Phoebe; Qureshi, Zahida; Daniels, Jane; Oliver, Mary; Were, Fredrick; Osoti, Alfred; Gwako, George; Kimani, Violet; Opira, Jacqueline; Ojha, Shalini

doi:10.1136/bmjopen-2020-043802

Cited by 5 publications

(8 citation statements)

References 18 publications

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“…Perawatan BBLR dilakukan dengan metode kangguru. Metode kangguru efektif dalam perawatan BBLR dengan perawatan dan biaya yang rendah (Mitchell et al, 2021). Meskipun demikian, angka kematian neonatal dunia pada tahun 2012 sebesar 22 kematian per 1000 kelahiran hidup.…”

Section: Pendahuluanunclassified

Praktik Pengasuhan Dasar bagi Bayi Baru Lahir oleh Ibu Pasca Persalinan

Sari

Junengsih

Angraini

2022

JBC

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Introduction: Essential care for newborns requires a comprehensive strategy, while basic care for newborns includes breastfeeding, umbilical cord care, eye care, thermoregulation care, asphyxia management, recognition of danger signs, immunization, and low birth weight care. The care of newborns immediately after birth is important for parents to understand is one of the important factors to reduce neonatal mortality. The care of newborns immediately after birth is important for parents to understand is one of the important factors to reduce neonatal mortality Methods: The research design used was cross sectional with primary data with a sample of 98 mothers who had babies aged 0-6 months. The analysis used is chi square and multiple logistic regression. Results: As many as 72.5% of mothers carried out basic parenting practices for newborns by mothers well. Good maternal knowledge can increase the chances of mothers doing basic care for newborns by their mothers well 3 times compared to mothers who have less knowledge after being controlled by family support variables (p value 0.017; 95% CI 1.2-7.9). Conclusion: Health workers should be able to provide basic knowledge of newborn care since pregnancy and improve health promotion by involving other members of the mother's family. ABSTRAK Pendahuluan: Perawatan dasar bayi baru lahir membutuhkan strategi secara komprehensif, adapun asuhan dasar pada bayi baru lahir meliputi pemberian ASI, perawatan tali pusat, perawatan mata, termoregulasi, manajemen asfiksia, pengenalan tanda bahaya, imunisasi dan perawatan BBLR. Perawatan bayi baru lahir segera setelah lahir penting dipahami oleh orang tua merupakan salah satu faktor penting untuk menurunkan angka kematian neonatal. Tujuan: untuk mengetahui faktor yang mempengaruhi praktik pengasuhan dasar bayi baru lahir oleh ibu di Puskesmas Kecamatan Cilincing Jakarta Utara. Metode: Desain penelitian yang digunakan cross sectional dengan data primer dengan sampel berjumlah 98 orang ibu yang mempunyai bayi usia 0-6 bulan. Analisis yang digunakan yaitu chi square dan regresi logistic ganda. Hasil: Sebanyak 72,5% ibu melakukan praktik pengasuhan dasar bayi baru lahir oleh ibu dengan baik. Pengetahuan ibu yang baik dapat meningkatkan peluang 3 kali untuk ibu melakukan pengasuhan dasar bayi baru lahir oleh ibu dengan baik dibandingkan ibu yang memiliku pengetahuan kurang setelah dikontrol oleh variabel dukungan keluarga (p value 0,017; CI95% 1,2-7,9). Kesimpulan: Sebaiknya tenaga kesehatan dapat memberikan pengetahuan perawatan dasar bayi baru lahir sejak masa kehamilan serta meningkatkan promosi kesehatan dengan melibatkan anggota keluarga ibu yang lainnya.

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Section: Pendahuluanunclassified

Praktik Pengasuhan Dasar bagi Bayi Baru Lahir oleh Ibu Pasca Persalinan

Sari

Junengsih

Angraini

2022

JBC

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“…However, providing care should go beyond a biomedical approach. Mitchell notes that: ‘Meeting mothers' needs in the care of their babies is important to mothers, family members and professionals, and deserves greater attention’ 8 . A systematic review pointed to the cost‐effectiveness of participatory action and learning to improve maternal and neonatal survival 9 .…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review pointed to the cost‐effectiveness of participatory action and learning to improve maternal and neonatal survival 9 . Evidence points to the importance of postnatal education programmes 10 and a dialectical relationship between families and hospital procedures 8 . Maternal depression is also associated with poor child development outcomes and research has pointed to the importance of lay health workers providing support for women suffering from depression 11 .…”

Section: Introductionmentioning

confidence: 99%

“…Mitchell notes that: 'Meeting mothers' needs in the care of their babies is important to mothers, family members and professionals, and deserves greater attention'. 8 A systematic review pointed to the cost-effectiveness of participatory action and learning to improve maternal and neonatal survival. 9 Evidence points to the importance of postnatal education programmes 10 and a dialectical relationship between families and hospital procedures.…”

Section: Introductionmentioning

confidence: 99%

“…9 Evidence points to the importance of postnatal education programmes 10 and a dialectical relationship between families and hospital procedures. 8 Maternal depression is also associated with poor child development outcomes and research has pointed to the importance of lay health workers providing support for women suffering from depression. 11 Programmes focusing on maternal depression led to better child development outcomes.…”

Section: Introductionmentioning

confidence: 99%

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‘Being a mother is not child's play’: The capabilities of mothers in a low‐resource setting in South Africa

Pienaar

Marais

Serekoane

et al. 2023

Health Expectations

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Background: The importance of a child's first 1000 days has now been widely accepted by the medical fraternity. Yet, we do not know much about caring practices in low-resource settings.Aim: This study aimed to investigate the caring capabilities of mothers in a low-resource setting.Method: In this study, in-depth interviews were conducted with 18 mothers with children aged 30 months or younger to better understand the arrangements, means and ends that inform developmental health in a low-resource setting in South Africa.The study was conducted in a low-income area, the former black township of Mangaung in Bloemfontein. The mothers were recruited via pamphlets, and two interviews followed. Because of Covid-19, interviews took place via mobile phones, in Sesotho, the local language in the area. Trained fieldworkers conducted, translated and transcribed the interviews. We used thematic analysis and the capabilities approach as the theoretical framework to analyse the responses from the mothers.Findings: We used the following organizing themes: pregnancy and ante-natal care, nutrition, cognitive and physical development, the home environment and access to health care. Although short-term reactions to pregnancy were often negative, the longer-term responses showed that the respondents have agency. Most of them could change their nutrition habits, breastfeed and receive adequate nutrition support from the public health system. Most experienced joy when their children reached milestones (cognitive and others), although they became anxious if milestones were not reached. They emphasized children's play and had dreams for their children's futures. Technology was often mentioned as playing a role in their children's development. A large proportion of the respondents had disrupted homes (because of absent or abusive fathers), but some had stable homes. Most of them showed substantial capability to overcome adverse home environments. The public

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A mixed-methods study to investigate feasibility and acceptability of an early warning score for preterm infants in neonatal units in Kenya: results of the NEWS-K study

Mitchell,

Aluvaala,

Bradshaw

et al. 2024

BMC Pediatr

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Preterm birth (< 37 weeks gestation) complications are the leading cause of neonatal mortality. Early-warning scores (EWS) are charts where vital signs (e.g., temperature, heart rate, respiratory rate) are recorded, triggering action. To evaluate whether a neonatal EWS improves clinical outcomes in low-middle income countries, a randomised trial is needed. Determining whether the use of a neonatal EWS is feasible and acceptable in newborn units, is a prerequisite to conducting a trial. We implemented a neonatal EWS in three newborn units in Kenya. Staff were asked to record infants’ vital signs on the EWS during the study, triggering additional interventions as per existing local guidelines. No other aspects of care were altered. Feasibility criteria were pre-specified. We also interviewed health professionals (n = 28) and parents/family members (n = 42) to hear their opinions of the EWS. Data were collected on 465 preterm and/or low birthweight (< 2.5 kg) infants. In addition to qualitative study participants, 45 health professionals in participating hospitals also completed an online survey to share their views on the EWS. 94% of infants had the EWS completed at least once during their newborn unit admission. EWS completion was highest on the day of admission (93%). Completion rates were similar across shifts. 15% of vital signs triggered escalation to a more senior member of staff. Health professionals reported liking the EWS, though recognised the biggest barrier to implementation was poor staffing. Newborn unit infant to staff ratios varied between 10 and 53 staff per 1 infant, depending upon time of shift and staff type. A randomised trial of neonatal EWS in Kenya is possible and acceptable, though adaptations are required to the form before implementation.

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Parents, healthcare professionals and other stakeholders’ experiences of caring for babies born too soon in a low-resource setting: a qualitative study of essential newborn care for preterm infants in Kenya

Cited by 5 publications

References 18 publications

Praktik Pengasuhan Dasar bagi Bayi Baru Lahir oleh Ibu Pasca Persalinan

Praktik Pengasuhan Dasar bagi Bayi Baru Lahir oleh Ibu Pasca Persalinan

‘Being a mother is not child's play’: The capabilities of mothers in a low‐resource setting in South Africa

A mixed-methods study to investigate feasibility and acceptability of an early warning score for preterm infants in neonatal units in Kenya: results of the NEWS-K study

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