1) La descarga del recurso depende de la página de origen
2) Para poder descargar el recurso, es necesario ser usuario registrado en Universia

Opción 1: Descargar recurso

Detalles del recurso


Background While 79% of Nigerian mothers who deliver in facilities receive postnatal care within 48 h of delivery, this is only true for 16% of mothers who deliver outside facilities. Most maternal deaths can be prevented with access to timely and competent health care. Thus, the World Health Organization, International Confederation of Midwives, and International Federation of Gynecology and Obstetrics recommend that unskilled birth attendants be involved in advocacy for skilled care use among mothers. This study explores postnatal care referral behavior by TBAs in Nigeria, including the perceived factors that may deter or promote referrals to skilled health workers. Methods This study collected qualitative data using focus group discussions involving 28 female health workers, TBAs, and TBA delivery clients. The study conceptual framework drew on constructs in Fishbein and Ajzen’s theory of reasoned action onto which we mapped hypothesized determinants of postnatal care referrals described in the empirical literature. We analyzed the transcribed data thematically, and linked themes to the study conceptual framework in the discussion to explain variation in TBA referral behavior across the maternal continuum, from the antenatal to postnatal period. Results Differences in TBA referral before, during, and after delivery appear to reflect the TBAs understanding of the added value of skilled care for the client and the TBA, as well as the TBA’s perception of the implications of referral for her credibility as a maternal care provider among her clients. We also found that there are opportunities to engage TBAs in routine postnatal care referrals to facilities in Nigeria by using incentives and promoting a cordial relationship between TBAs and skilled health workers. Conclusions Thus, despite the potential negative consequences TBAs may face with postnatal care referrals, there are opportunities to promote these referrals using incentives and promoting a cordial relationship between TBAs and skilled health workers. Further research is needed on the interactions between postnatal maternal complications, TBA referral behavior, and maternal perception of TBA competence.

Pertenece a

Digital Access to Scholarship at Harvard  


Chukwuma, Adanna Deborah Ugochi -  Mbachu, Chinyere -  Cohen, Jessica L -  Bossert, Thomas John -  McConnell, Margaret Anne - 

Id.: 70870799

Idioma: inglés (Estados Unidos)  - 

Versión: 1.0

Estado: Final

Palabras clavePostnatal - 

Tipo de recurso: Journal Article  - 

Tipo de Interactividad: Expositivo

Nivel de Interactividad: muy bajo

Audiencia: Estudiante  -  Profesor  -  Autor  - 

Estructura: Atomic

Coste: no

Copyright: sí

: open

Requerimientos técnicos:  Browser: Any - 

Relación: [References] doi:10.1186/s12884-017-1616-x
[References] BMC Pregnancy and Childbirth

Fecha de contribución: 13-ene-2018


* Quick submit: 2017-12-08T05:14:00-0500
* Chukwuma, Adanna, Chinyere Mbachu, Jessica Cohen, Thomas Bossert, and Margaret McConnell. 2017. “‘Once the Delivery Is Done, They Have Finished’: a Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria.” BMC Pregnancy and Childbirth 17 (1) (December). doi:10.1186/s12884-017-1616-x.
* 1471-2393

Otros recursos del mismo autor(es)

  1. A qualitative and quantitative performance evaluation of Swaziland’s Rural Health Motivator program Background: Community health workers (CHWs) are increasingly used to increase access to primary heal...
  2. Improving the performance of community health workers in Swaziland: findings from a qualitative study Background: The performance of community health workers (CHWs) in Swaziland has not yet been studied...
  3. Quality of antenatal care predicts retention in skilled birth attendance: a multilevel analysis of 28 African countries Background An effective continuum of maternal care ensures that mothers receive essential health pac...
  4. Can a community health worker administered postnatal checklist increase health-seeking behaviors and knowledge?: evidence from a randomized trial with a private maternity facility in Kiambu County, Kenya Background: Since the 2009 WHO and UNICEF recommendation that women receive home-based postnatal car...
  5. Introducing malaria rapid diagnostic tests in private medicine retail outlets: A systematic literature review Background: Many patients with malaria-like symptoms seek treatment in private medicine retail outle...

Otros recursos de la mismacolección

  1. Dormancy and surgery-driven escape from dormancy help explain some clinical features of breast cancer To explain bimodal relapse patterns observed in breast cancer data, we have proposed that metastatic...
  2. Tumor dormancy and surgery-driven interruption of dormancy in breast cancer: learning from failures Primary tumor removal, usually considered intrinsically beneficial, can perturb metastatic homeostas...
  3. Rollout of community-based family health strategy (programa de saude de familia) is associated with large reductions in neonatal mortality in São Paulo, Brazil Rationale: Several recent studies suggest that Brazil’s Estratégia Saude de Familia (Family Health S...
  4. Social capital and pet ownership – A tale of four cities☆ Highlights • Pet ownership is significantly associated with higher levels of social capital. • Socia...
  5. Defective STIM-mediated store operated Ca2+ entry in hepatocytes leads to metabolic dysfunction in obesity Defective Ca2+ handling is a key mechanism underlying hepatic endoplasmic reticulum (ER) dysfunction...

Aviso de cookies: Usamos cookies propias y de terceros para mejorar nuestros servicios, para análisis estadístico y para mostrarle publicidad. Si continua navegando consideramos que acepta su uso en los términos establecidos en la Política de cookies.