The post natal home visit care program is a maternal and newborn home visit care program, designed to address the needs of the childbearing families following delivery and early discharge, irrespective of the place of delivery. The study was undertaken to determine the factors influencing the implementation of the post natal home visit care program by nurses and to make suggestions to resolve the problem in an urban health district in Botswana. A descriptive exploratory study, using both quantitative and qualitative methods guided the process. Two methods were used to collect data, namely, the developed checklist and four focus group discussions. Twelve clinics were sampled and checklists were completed for the twelve clinics by the researcher. A total of twenty eight Registered Nurses and Registered/Enrolled Nurse Midwives were recruited from the participating twelve clinics through purposive sampling. This included nursing managers and senior nursing staff. The findings reflect the post natal home visit care program deficits. Protocols and logistics such as transport and staff for the program were not in place. Furthermore, the results also reflect various factors such as lack of motivation, lack of support from management and co-workers, distance and fear of stigmatisation as reasons for not implementing the post natal home visit care program. The participants felt that there was need to implement the program and attached merit to its importance. Finally, the participants made suggestions to overcome the deficit such as team work, commitment to work, academic development and improvement of management and supervision. In conclusion, failure to implement the program represents a health delivery deficit. There is need for improved management and supervision to balance the needs of Registered/Enrolled Nurse Midwives and the needs of the organization in order to attain better results. There is also a need for the provision of logistics needed for the post natal home visit care program such as transport and manpower. Finally, there is need for the coordination of the post natal home visit program by the District Health Team to aid implementation so as to provide the essential service. / Thesis (M.N.)-University of KwaZulu-Natal, 2006.

published_or_final_version / Nursing Studies / Master / Master of Nursing

published_or_final_version / abstract / toc / Clinical Psychology / Master / Master of Social Sciences

Thesis (M.Nurs.)--University of Hong Kong, 2008. / Includes bibliographical references (p. 70-75)

The aim of this research was to explore perinatal clinical indicators and experiences of postnatal care among European and Middle Eastern migrant women, and to compare them with those of British women, at one tertiary hospital in the North East of Scotland. The numbers of non-British maternity service users increased over the period 2004 to 2008. This increase was not only in numbers but also in diversity of the countries of origins, religions, languages and specific cultural needs, which form new demands on the health services. European women were more likely to be younger, and primigravida and Middle Eastern women were more likely to be married, than British women. Both these migrant groups were more likely to breastfeed at birth and at discharge than British women. However, there was no significant difference in maternal postnatal length of stay in hospital between the study groups. The data do not suggest poorer processes of care or birth outcomes for the new migrant groups. Both migrant and British women reported positive experiences of postnatal care when their needs, those considered basic and essential for each woman after giving birth, were met. Negative postnatal experiences were explored among women from both groups when there were shortcomings in meeting those essential needs. The acceptance of and the expectations about the postnatal care provided differed between migrant and British women, due to their previous experiences in different countries. Although both migrant groups were first generation in Aberdeen and shared some needs and preferences, each migrant group had its own specific needs and beliefs that reflected the women’s culture, religion and country of origin.

Although, there are several programs in place in Nigeria to ensure maternal and child health, maternal and neonatal mortality rates remain high with maternal mortality rates being 560/100,000 and neonatal mortality rates at 40/1,000 live births. While there are many studies on the utilization of maternal health services such as antenatal care and skilled delivery at birth, studies on postnatal care are rare. While efficient utilisation of postnatal care services has been proven to reduce morbidity and mortality among mothers and their newborns, the uptake of this service is low in Nigeria. Thus, identification of the factors that are associated with non-utilization of postnatal care services could shed light on what needs to be done to improve the uptake of the services in Nigeria and assist the country in achieving the MDG4 and MDG 5 targets of bringing down the levels of child and maternal mortality. Therefore, the aim of this study is to examine the factors associated with the non-utilization of postnatal care among mothers in Nigeria. Methods: Population-based cross-sectional data from 2008 Nigeria Demographic and Health Survey (NDHS) were used in this study. For analysis, the postnatal care uptake for 28,647 children born in the five years preceding the survey was considered. The dependent variable was a composite variable derived from a list of questions on postnatal care. Mothers who received postnatal care were coded as (0) while mothers who did not receive postnatal care were coded as (1). Child’s characteristics and mother's characteristics were used as the explanatory variables. Descriptive statistics were used to examine the patterns of postnatal care nonutilization by selected characteristics of mothers and children in the country. Binary logistic regression was used to identify factors associated with postnatal care non-utilization in Nigeria at bivariate and multivariate levels. Results: Results showed that 96% of the mothers of the 28,647 children did not utilize postnatal care services in the period examined. About 50% of the study population between 25-34 years did not utilize postnatal care and 46% of the women who did not utilize postnatal care had no education. Results from multivariate logistic regression show that accessibility, antenatal care use, birth size, education, place of delivery and region are significantly associated with the non-utilization of postnatal care services. Women who received antenatal care had lower odds (OR=0.23, 95% CI=1.09-1.87) of not utilizing postnatal care services. Also mothers of children who were smaller than average at birth had higher odds (OR=1.43, 95% CI=1.09- 1.87) of not utilizing postnatal care services. Conclusions: This study revealed the low uptake of postnatal care service in Nigeria. To increase mothers’ utilization of postnatal care services and improve maternal and child health in Nigeria, interventions should be targeted at mothers who deliver children that have low birth weight and great attention should be given to the women outside the South West region especially the Northern region of the country. In addition, it is crucial that steps should be taken on educating women. This would have a significant influence on their perceptions about the use of postnatal care services in Nigeria.

This study explores and identifies the needs of North Shore women during their postpartum period (0-3 months). In order to compare the perspective of the service users and the professional care givers, data were collected from three groups: new mothers, community health nurses and hospital maternity nurses. Discussions resulting from eight focus group interviews were the primary source of information for this exploratory study. Six groups of mothers, one group of community health nurses and one group of hospital nurses participated in the focus group discussions. The total number of participants were thirty-three mothers, eight community health nurses and six hospital nurses. Content analysis of the qualitative data identified three themes: 1) lack of knowledge, 2) role confusion and/or role redefinition, and 3) lifestyle adjustments. Each theme was examined within the context of three developmental time periods: the first week, 1 week to 6 weeks, and 6 weeks to three months. The data indicated that women were concerned with six tasks during their postnatal period: breast-feeding, infant care, maternal care, maintaining their spousal relationship, sibling care and household care. The relationship of each task to each theme was considered in each time period. In addition to the themes and tasks identified, the focus groups revealed that assistance and emotional support from spouses, other family members and friends is one of the most important components in the maternal recovery and adjustment process. The overall findings of the study indicate that during their postnatal period the mothers needed information, support and validation to assist them in adapting to their role as parents. The results of this study have implications for health care service providers, agencies and organizations providing services and resources to women and their families, and for the family and friends of new mothers.

This study explores and identifies the needs of North Shore women during their postpartum period (0-3 months). In order to compare the perspective of the service users and the professional care givers, data were collected from three groups: new mothers, community health nurses and hospital maternity nurses. Discussions resulting from eight focus group interviews were the primary source of information for this exploratory study. Six groups of mothers, one group of community health nurses and one group of hospital nurses participated in the focus group discussions. The total number of participants were thirty-three mothers, eight community health nurses and six hospital nurses. Content analysis of the qualitative data identified three themes: 1) lack of knowledge, 2) role confusion and/or role redefinition, and 3) lifestyle adjustments. Each theme was examined within the context of three developmental time periods: the first week, 1 week to 6 weeks, and 6 weeks to three months. The data indicated that women were concerned with six tasks during their postnatal period: breast-feeding, infant care, maternal care, maintaining their spousal relationship, sibling care and household care. The relationship of each task to each theme was considered in each time period. In addition to the themes and tasks identified, the focus groups revealed that assistance and emotional support from spouses, other family members and friends is one of the most important components in the maternal recovery and adjustment process. The overall findings of the study indicate that during their postnatal period the mothers needed information, support and validation to assist them in adapting to their role as parents. The results of this study have implications for health care service providers, agencies and organizations providing services and resources to women and their families, and for the family and friends of new mothers. / Arts, Faculty of / Social Work, School of / Graduate

Thesis (M.S.)--University of Wisconsin--Madison, 1984. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 80-83).

Background: The study described the perspectives and experiences of women and health care providers with regard to use of postnatal care and reasons why some women do not attend postnatal care in order to identify strategies for improving postnatal care services. Methods: An explorative, descriptive, and contextual research design was used. In step one data was collected with semi-structured interviews with seventeen (17) women who attended postnatal care. The second sample consisted of ten (10) women who did not attend postnatal care but brought their babies for well-baby clinic. Focus groups were conducted with midwives who offered postnatal care to women. The midwives of the first focus group worked in the hospital while the second focus group worked at a filter clinic. Results: In step one, some women indicated positive experiences but most women had negative experiences about postnatal care. The positive experiences were related to the satisfaction of the women with good services received and not encountering problems with staff's care. Common concerns mentioned in step one and two about postnatal care were shortage of skilled midwives, need for staff to be trained on postnatal care services, lack of confidentiality, poor infrastructure and non-integration of maternal and child services. Reasons for not attending postnatal care that were mentioned by women in step three were inaccessibility of the health care facilities, poor roads infrastructure, lack of knowledge about postnatal services and socio-cultural factors. Conclusion: Based on the findings, strategies to improve postnatal care were developed: Firstly, the midwives need to be trained on postnatal care and highlighted on current postnatal policies and guidelines. Secondly, woman and baby should attend the postnatal care at the health facility. Thirdly, community health nurses and trained community health workers should visit the women at home soon after birth of the babies. Fourthly, postnatal care should be provided at the family and community level by a trained and skilled midwife during the early postnatal period. Fifthly, combination of care facility and home visit - when the woman and baby are discharged from the hospital, follow- up need to be done at home by the midwife. Lastly, a comprehensive integration of postnatal services with other programmes needs to be enforced and supported by the programme management and policy makers. / MCur, North-West University, Potchefstroom Campus, 2015