Repositioning postnatal care in a high HIV environment: Swaziland

Abstract

The Population Council is an international, non-profit, nongovernmental institution that seeks to improve the well-being and reproductive health of current and future generations around the world and to help achieve a humane, equitable, and sustainable balance between people and resources. The Council conducts biomedical, social science, and public health research and helps build research capacities in developing countries. Established in 1952, the Council is governed by an international board of trustees. Its New York headquarters supports a global network of regional and country offices. The Elizabeth Glaser Pediatric AIDS Foundation (The Foundation) is a recognized global leader in the fight against pediatric AIDS. Since its inception in 1988 as a U.S.-based non-profit 501 (c) (3), the Foundation has been at the global forefront of the fight to prevent pediatric HIV infection and to eradicate pediatric AIDS through research, advocacy, and prevention and treatment programs. The Foundation provided financial and technical support to this study. The financial support was provided to Population Council through the sub-agreement number CTA-0101-42-307-05. The sub-award was made under the authority provided to Elizabeth Glaser Pediatric AIDS Foundation USAID Cooperative Agreement No. GPH-A-00-02-00011-00), titled-Call to Action Project..‖ BASICS (Basic Support for Institutionalizing Child Survival), is a global project to assist developing countries in reducing infant and child mortality through the implementation of proven health interventions. BASICS is funded by the U.S. Agency for International Development (contract no.

Use of early postnatal care among postpartum women in Eastern Uganda

“…In Palestine, a five-fold increase in postnatal care utilization was realized after the inception of health information on the importance and schedules of postnatal care during prenatal care visits [19]. Additionally, the present results agree with a previous study in Swaziland [10], which showed a dramatic increase in postnatal care visits within the first week after delivery due to active health worker participation in educating and scheduling mothers.…”

“…The level of EPNC use was only 15.4% in the present study, confirming that EPNC remains highly neglected [3,9], poorly utilized [6], inadequately recognized [10], and is the weakest of all reproductive, maternal, and child health interventions [2]. However, the proportion was similar to the overall postnatal care utilization rate of 13% observed in most parts of Africa [3,9,14].…”

“…The present study has confirmed the importance of scheduling postnatal care visits for specific days [6,10]. In Palestine, a five-fold increase in postnatal care utilization was realized after the inception of health information on the importance and schedules of postnatal care during prenatal care visits [19].…”

What works to meet the sexual and reproductive health needs of women living with HIV/AIDS

“…Providing clinic services that are youth-friendly Increased use of reproductive health service, including counselling and testing [41] Multi-country III A review of HIV prevention interventions among youth from 80 developing countries. provider training from 2006 to 2007 found that the proportion of HIV-positive postpartum women not wanting another child increased from 77% to 83% [38]. Provider training increased the proportion of women being asked about their preferred contraceptive method, from 32% to 82%, and receiving their preferred method, from 28% to 70%.…”

“…Increased condom use, contraceptive use, HIV testing and treatment, reduced unintended pregnancy [38] Swaziland III One week postpartum visit for HIV-positive mothers, with provider training on FP.…”