Opportunities to improve postpartum care for mothers and infants: design of context-specific packages of postpartum interventions in rural districts in four sub-Saharan African countries

作者: Els Duysburgh , Birgit Kerstens , Seni Kouanda , Charles Paulin Kaboré , Danielle Belemsaga Yugbare

DOI: 10.1186/S12884-015-0562-8

关键词:

摘要: Background: Postpartum maternal and infant mortality is high in sub-Saharan Africa improving postpartum care as a strategy to enhance health has been neglected. We describe the design selection of suitable, context-specific interventions that have potential improve care. Methods: The study implemented rural districts Burkina Faso, Kenya, Malawi Mozambique. used four steps ‘systems thinking’ approach select interventions: 1) we conducted stakeholder analysis identify convene stakeholders; 2) organised stakeholders causal workshops which local situation challenges possible were discussed; 3) based on comprehensive needs assessment findings, inputs from existing knowledge regarding good care, list was designed, and; 4) selected agreed upon final intervention packages be Results: Needs findings showed all countries maternal, newborn child national priority but specific policies for are weak there very little evidence effective implementation. In few women received during first week after childbirth (25 % 33 41 Malawi, 40 Mozambique). Based these by mainly focused increasing availability provision services quality through strengthening at facility community level. This includes introduction home visits, outreach services, integration mother immunisation clinics, distribution guidelines among workers upgrading skills training.

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