Barriers and Enablers of Postnatal Care by Accredited Social Health Activist (ASHA) Workers: A Community-Based Qualitative Study From Tribal Gujarat

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: March 21, 2024

Background The care provided to the mother and child from delivery six weeks after is defined as postnatal care. period both a happy critical phase for newborn. However, provision of high-quality services often ignored during this time. objective study was assess quality by Accredited Social Health Activist (ASHA) workers associated factors such newborn in rural tribal areas Gujarat, India. Methodology An ethnographic approach adopted. Four primary health centers (PHCs) were selected purposively Sankheda Block, Chhotaudepur, district eastern part Gujarat. Information on obstacles facilitators collected using in-depth interviews (IDIs) with purposive sample 22 ASHAs working PHCs. Qualitative data analyzed thematic analysis. Results median age ASHA 39 years ranged 30 51 (N = 22). Most encountered logistical challenges when offering (e.g., they struggled her babies because missing essential equipment, thermometer salter-type baby weighing machine, or had broken equipment). two main issues facing incentives timely payments. There concerns about their safety physical security fieldwork. majority good experiences home visits, received support other healthcare workers. many misconceptions false assumptions community regarding breastfeeding, prelacteal feeding, family planning, contraception methods. wanted become long-term government employees believed entitled sufficient training, assistance, recognition, remuneration duties performed. Conclusions Postnatal mothers receive considerably less attention than antenatal it mostly depends field staff. are doing best This revealed some face, including logistic issues, transportation regular payment local-level acceptance issues.

Language: Английский

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Barriers to accessing and utilising under-five primary health care services in Vhembe District

African Journal of Primary Health Care & Family Medicine, Journal Year: 2024, Volume and Issue: 16(1)

Published: March 29, 2024

Sub-Saharan Africa continues to be the region with highest under-five mortality rate globally, 74 deaths per 1000 live births. Even though child primary health care (PHC) services are free in South Africa, accessing such remains challenging. Children under 5 years reportedly die from common illnesses as pneumonia, diarrhoea and malaria, which treatable PHC facilities.

Language: Английский

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Safe motherhood in crisis; threats, opportunities, and needs: a qualitative study

BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 2, 2024

Abstract Background The coronavirus disease (COVID)-19 pandemic has affected many aspects of life, including pregnancy, childbirth, and safe motherhood so that pregnancy childbirth take place in completely novel unusual conditions for people. Therefore, we aimed to determine the opportunities, threats, needs pregnant women during a crisis. Methods present qualitative study was conducted among who had history COVID-19 period 2022. data were collected by conducting face-to-face, semi-structured in-depth interviews with 20 purposefully selected participants. Interviews continued until saturation attained. Data analyzed through conventional content analysis based on Graneheim Lundman approach. Results categorized under three main themes: 1(“Opportunities crisis“(2 Sub‑themes), 2) “Threats 3) “Needs crisis” (3 Sub‑themes). Conclusions Crisis is not always threat. By developing an awareness faced crisis, policy makers can identify existing gaps affecting health mothers necessary measures improve their conditions, experiences, further crises.

Language: Английский

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Access to Maternal and Child Healthcare in India: Mapping of Regional and Social Variation

Springer geography, Journal Year: 2024, Volume and Issue: unknown, P. 163 - 199

Published: Jan. 1, 2024

Language: Английский

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