Design matters in home visiting improvement

Babyar, Julie

doi:10.18203/2394-6040.ijcmph20175307

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…Home visitation is an effective and community-wide acceptable model to provide intensive care during pregnancy, childbirth, and postnatal care to improve maternal and child health outcomes ( 1 , 2 ). Most of the home visitation programs are grounded on the ecological theory suggesting that the children develop in multi-layered environmental conditions ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Barriers in reaching new-borns and infants through home visits: A qualitative study using nexus planning framework

Deshmukh

John

Pakhare

et al. 2022

Front. Public Health

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BackgroundHome visitation has emerged as an effective model to provide high-quality care during pregnancy, childbirth, and post-natal period and improve the health outcomes of mother- new born dyad. This 3600 assessment documented the constraints faced by the community health workers (known as the Accredited Social Health Activists, ASHAs) to accomplish home visitation and deliver quality services in a poor-performing district and co-created the strategies to overcome these using a nexus planning approach.MethodsThe study was conducted in the Raisen district of Madhya Pradesh, India. The grounded theory approach was applied for data collection and analysis using in-depth interviews, and focus group discussions with stakeholders representing from health system (including the ASHAs) and the community (rural population). A key group of diverse stakeholders were convened to utilize the nexus planning five domain framework (social-cultural, educational, organizational, economic, and physical) to prioritize the challenges and co-create solutions for improving the home visitation program performance and quality. The nexus framework provides a systemic lens for evaluating the success of the ASHAs home visitation program.ResultsThe societal (caste and economic discrimination), and personal (domestic responsibilities and cultural constraints of working in the village milieu) issues emerged as the key constraints for completing home visits. The programmatic gaps in imparting technical knowledge and skills, mentoring system, communication abilities, and unsatisfactory remuneration system were the other barriers to the credibility of the services. The nexus planning framework emphasized that each of the above factors/domains is intertwined and affects or depends on each other for home-based maternal and newborn care services delivered with quality through the ASHAs.ConclusionThe home visitation program services, quality and impact can be enhanced by addressing the social-cultural, organizational, educational, economic, and physical nexus domains with concurrent efforts for skill and confidence enhancement of the ASHAs and their credibility.

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Section: Introductionmentioning

confidence: 99%