Communication between mothers and health workers is important for quality of newborn care: a qualitative study in neonatal units in district hospitals in South Africa

Horwood, Christiane; Haskins, Lyn; Luthuli, Silondile; McKerrow, Neil

doi:10.1186/s12887-019-1874-z

Cited by 30 publications

(39 citation statements)

References 33 publications

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“…One study showed parents perceived providers as being rude or withholding information or not listening to mothers; non-consented care; speaking loudly about baby’s condition without consideration for privacy and confidentiality. On the other hand providers’ described mothers not following instructions (not washing hands prior to entering neonatal unit); giving incorrect or misleading information "lying about the condition" to have their baby discharged sooner [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…Processes that support mothers and fathers to learn how to care for their premature babies while still in hospital in readiness for caring for their babies at home was described as a positive experience of care. This helped parents overcome their fears and insecurities, strengthen mother-infant bonds, and made them feel empowered to participate actively, in the care of their babies and increased confidence of caregiving at discharge [ 32 , 34 ]. Positive experiences of parents, including providers responding to their needs and rights, was also instrumental in improving a child’s ability to thrive.…”

Section: Resultsmentioning

confidence: 99%

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Experience of care of hospitalized newborns and young children and their parents: A scoping review

et al. 2022

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Introduction Several global initiatives put parent involvement at the forefront of enabling children’s well-being and development and to promote quality of care for newborns and hospitalized young children aged 0–24 months. Scanty evidence on mistreatment such as delays or neglect and poor pain management among newborns exists, with even less exploring the experience of their parents and their hospitalized young children. To address this gap, authors reviewed research on experience of care for hospitalized young children and their parents, and potential interventions that may promote positive experience of care. Methods A scoping review of English language articles, guidelines, and reports that addressed the experiences of care for newborns and sick young children 0–24 months in health facilities was conducted. Multiple databases: PubMed, PROSPERO, COCHRANE Library and Google Scholar were included and yielded 7,784 articles. Documents published between 2009 and November 2020, in English and with evidence on interventions that addressed family involvement and partnership in care for their sick children were included. Results The scoping review includes 68 documents across 31 countries after exclusion. Mistreatment of newborns comprises physical abuse, verbal abuse, stigma and discrimination, failure to meet professional standards, poor rapport between providers and patients, poor legal accountability, and poor bereavement and posthumous care. No literature was identified describing mistreatment of hospitalized children aged 60 days– 24 months. Key drivers of mistreatment include under-resourced health systems and poor provider attitudes. Positive experience of care was reported in contexts of good parent-provider communication. Three possible interventions on positive experience of care for hospitalized young children (0–24 months) emerged: 1) nurturing care; 2) family centered care and 3) provider and parental engagement. Communication and counseling, effective provider-parental engagement, and supportive work environments were associated with reduced anxiety and stress for parents and hospitalized young children. Few interventions focused on addressing providers’ underlying attitudes and biases that influence provider behaviors, and how they affect engaging with parents. Conclusion Limited evidence on manifestations of mistreatment, lack of respectful care, drivers of poor experience and interventions that may mitigate poor experience of care for hospitalized young children 0–24 months especially in low resource settings exists. Design and testing appropriate models that enhance socio-behavioral dimensions of care experience and promote provider-family engagement in hospitals are required.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Experience of care of hospitalized newborns and young children and their parents: A scoping review

et al. 2022

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“…A garantia deste processo efetivo de interlocução também permite investigar a qualidade do acompanhamento implementado por ambos os serviços de saúde (atenção primária e ambulatório de alto risco). Porém, nem todos os trabalhadores dos serviços de saúde têm consciência acerca da sua importância no cumprimento desse papel, tornando essencial o treinamento dos profissionais de saúde para uma boa comunicação, aumentando, assim, as possibilidades de um cuidado integrado entre os serviços da rede de atenção (18) .…”

Section: Discussionunclassified

Co-tutorship process with high-risk children: an evaluation of the Rede Mãe Paranaense

et al. 2022

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Objective: to understand how the co-tutorship between primary health care and the referral outpatient clinic from the Mother Network from Paraná (Rede Mãe Paranaense) in the follow up of high-risk children. Methods: qualitative study carried out by understanding the process of co-tutorship between primary health care and the referral outpatient clinic of the Stork Network (Rede Cegonha) in the follow up of high-risk children. The study included 28 coordinators of primary health care and two representatives of the high-risk clinic. Data collection was carried out through interviews that were transcribed and underwent thematic category analysis according with Bardin's principles. Results: data analysis led to the creation of the category Communication between primary health care and outpatient clinics: outcomes of the (dis)continuity of care to high-risk children. It became clear that the process of co-tutorship has weaknesses that prevent the provision of integral care. Conclusion: fragmented communication and lack of alignment between the services, in addition to not acting like co-tutors as they provide care to children and their families lead to shortcomings in the attention provided. Contributions to practice: the study allowed for the identification of weaknesses that can be crucial for future interventions in the high risk childcare network.

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“…A sample size of 20 participants was estimated as enough to reach data saturation, based on our previous experience conducting qualitative research [ 32 , 33 ]. Twenty-four informal working women were enrolled in the cohort to allow for loss to follow-up over the extended period of follow up.…”

Section: Methodsmentioning

confidence: 99%

Does the unconditional cash transfer program in South Africa provide support for women after child birth? Barriers to accessing the child support grant among women in informal work in Durban, South Africa

et al. 2022

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Background The child support grant (CSG) is the largest unconditional cash transfer program in Africa and aims to alleviate poverty and improve child health and nutrition in low-income families in South Africa. Among informal working women, the CSG is an important source of income after childbirth when informal workers are unable to work, but reports suggest that women experience delays in accessing the CSG. We explore experiences and challenges of accessing the CSG among informal workers in Durban, South Africa. Methods We undertook a longitudinal mixed-methods cohort study. Women informal workers were recruited during pregnancy and followed-up for up to one year after the baby was born. Quantitative questionnaires and semi-structured in-depth interviews were used to collect data about women’s plans for applying for the CSG, the application process, use of the CSG in the household, and household food insecurity. Interviews were conducted in IsiZulu by experienced researchers. Descriptive analysis of quantitative data used SPSS v26, and framework analysis using NVIVO v12.3 was used for qualitative analysis. Results Twenty-four informal working women were enrolled. The CSG received for older children was reported as an important and reliable source of income for mothers after childbirth. However, delays receiving the CSG for the new baby meant this support was unavailable to first-time mothers. The complex application process for the CSG required mothers to travel to various government departments to complete the required documentation, often taking the baby with them. This was costly and time-consuming for mothers who were already vulnerable, and led to delays in obtaining CSG funds. Many women experienced moderate or severe food insecurity before and after the baby was born. As a result, some mothers had to return to work earlier than planned, disrupting childcare and breastfeeding. Conclusions Cash transfer programmes can effectively support low income households and improve outcomes for mothers and children. In South Africa there is a need for innovative approaches to streamline CSG applications, so women can access the funds immediately post-delivery to fill a resource gap and provide support at a vulnerable time for mothers and their children.

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Communication between mothers and health workers is important for quality of newborn care: a qualitative study in neonatal units in district hospitals in South Africa

Cited by 30 publications

References 33 publications

Experience of care of hospitalized newborns and young children and their parents: A scoping review

Experience of care of hospitalized newborns and young children and their parents: A scoping review

Co-tutorship process with high-risk children: an evaluation of the Rede Mãe Paranaense

Does the unconditional cash transfer program in South Africa provide support for women after child birth? Barriers to accessing the child support grant among women in informal work in Durban, South Africa

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