Objective:
To gain an understanding of competency based training of TBAs and its effect on both maternal postpartum and new-born care. To investigate the factors that influence the training programs in different cultures with a focus on a rural Angolan district.
Design:
The research paper is a descriptive study in which mixed methods have been used. Both qualitative and quantitative techniques are used in this research.
Setting:
Remote and cultural areas of a rural Angolan district.
Participants:
150 participants will be involved in the research study, and will be divided into three groups.
Introduction:
The training of traditional birth attendants (TBAs) plays an important and critical role in maternal health and care. The role of the traditional birth attendant is an institution which has evolved since the earliest of times and has continued into the present. (Kama, 1998). In 1984 in the countries of Asia and Sub-Saharan Africa, there was observed, a decline in the infant mortality rate when births were attended by TBAs who received training. It is important to consider whether the training of TBAs reduced the rate of postpartum RTIs (these should be written in full once, the first time, after that it is o.k. to put RTI…whatever it is). that are caused by vaginal or other microorganisms. Early detection of the RTIs helps in early treatment of the infections which in turn minimize or prevent some major complications (Germain, Holmes & Piot, 1992).
The World Health Organization (WHO) has emphasized the importance of TBAs in maternal health and child care in the third world countries. However, in countries such as Angola no proper training is provided to the TBAs, and this leads to a failure to perform their ...
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...esearch.
Discussion and future implications:
One of the limitations in this type of method might be the difficulty of seeing any real trends or patterns in the society due to some cultural and traditional barriers. In the future, researchers who are interested in the study might concentrate more on the data collection by interviewing people living in the district. Initially however, the interviews will be of just a sample of twenty TBAs which means that it will be harder to generalize the findings to the population since twenty people is a relatively small number. However, one can always compensate for the small amount of cases by saying something along the lines of “Based on the initial sample twenty interviews, it was revealed that …” This shows an awareness that it may be risky to generalize the initial sample findings to the general population.
After reading the book which mentions the maternal and neonatal situation in Mali, one of the poorest countries in the world, is pitiable. (1) Child birth takes place under lantern light, in Mud bricks with profuse sweating without electricity, no running water, no emergency backup. With only the grace of God and the skill of a midwife that child birth takes place in remote villages in the country of Mali, West Africa, having the third highest total fertility
In every culture health play an essential part of life but means to achieve that healthy being may vary from one country to another depending on their belief system. It is important that professional healthcare providers obtain a proficiency in different cultures and respect these customs as they may influence patient’s behaviors towards receiving care. Birthing is a very important stage in the life of a Vietnamese woman . the Vietnamese culture is very diverse as many of their cultural practices have been influenced by the country’s’ strategic located between china and India. The Vietnamese people religiously observe their traditions and beliefs especially in pregnancy and during and after delivery.
Dr. Gro Harlem Brundtland writes in a 2002 paper she presented to the XVIII European Congress of Perinatal Medicine, “There is an ongoing “epidemic” of cesarean sections in Asia and Latin America. This worldwide fad of obstetrical interventions may have a serious negative health impact on women. In contrast, the low rates observed in Africa reflect a lack of resources more than a consensus of providers. The commercial and litigation pressures that drive this ‘epidemic’ need to be countered.” Her medical metaphor notwithstanding, this is a serious wake-up call for women to be asking the question, “What is going on that this phenomenon of major surgery on women is happening on such a wide scale?”
"International Neonatal Nursing Excellence Award - Regina Obeng | Healthy Newborn Network." Healthy Newborn Network | Healthy Newborn Network. N.p., n.d. Web. 22 May 2014.
Since neonatal nursing is my special interest and field, I chose to write about the health care options which are available to parents having children in different hospitals throughout the world. With the state of the art technological advances in the neonatal units, there are so many options available for the care of newborn babies. I reviewed the neonatal units in Australia, Saudi Arabia, New York, Tokyo, Ireland, and California, and I have learned what It takes to run a neonatal intensive care unit all around the world.
This book covers a broad range of topics yet can be divided into 6 sections: anatomy and physiology, essential skills and best practice guidelines, management of common problems, babies and mothers with special needs, public health issues and complementary feeding. Maria Pollard writes with a student friendly style discussing and presenting evidence based care in each of these areas in an undaunting manner. The structure and presentation remain consistent throughout the book with clear learning outcomes identified at the beginning of each chapter. This immediately engages with the reader and highlights the main aspects to be discussed. With each topic that Maria Pollard discusses she provides thought provoking scenarios, short quizzes and encourages group discussion and reflection. Again this highlights Maria’s background in education as the use of reflection is the trademark of good practice today.
HIV-infected women in developing countries are faced with a difficult choice. Do they breastfeed their infant and potentially transmit the disease through breastmilk, or do they use supplemental feedings of expensive synthetic formula. Many women that desire to use supplemental feedings lack the financial means or necessary equipment to be able to provide adequate nutrition. There is the distinct risk that even if they are able to use supplemental formula unclean water could expose their child gastrointestinal infections or parasites. The official recommendation of the World Health Organization (WHO) is that if supplemental feeding is feasible and practical by the mother, then the mother should avoid breastfeeding. If supplemental feeding is not feasible, then the child should be exclusively breastfed for at least six months. Neither choice is a one hundred percent satisfactory solution, and ongoing research continues to argue the benefits of one method of feeding versus the other.
Different styles of research are employed in research to safeguard that the facts are acquired to permit examiners to find resolution to the principal queries for the study correctly, therefore, evading uncertainty ( ). Acquiring relevant proof encompasses stipulating the type of proof mandatory in answering the query. Methodological designs encompass logical complications; therefore, matters of sampling, information gathering methods, and queries are secondary to the type of method used in research. Strategies are often compared with quantitative and qualitative research methods. Research and collective studies are often observed as principal specimens of quantitative research and are evaluated compared to the flaws and strong point of numerical, examination, and quantitative research methods ( ).
When a parent has a baby staying in the Neonatal Intensive Care Unit, they are worried and stressed about the health of their baby. This worriedness and stress can lead to the parents developing Post- Traumatic Stress Disorder. A parent is more likely to develop Post- Traumatic Stress Disorder if they experience a fear of the unknown and fear of death, quality of life, medical interventions in the Neonatal Intensive Care Unit, and stories from other parent’s experiences with the Neonatal Intensive Care Unit. A study founded that with parents who have babies in the Neonatal Intensive Care Unit experience suffering in social relationships, this includes marital relationships. The article suggest childbirth educators should prepare parents for the possibility of Post- Traumatic Stress Disorder in prenatal classes and teach the symptoms of Post- Traumatic Stress Disorder, so parents can recognize if they start to show the symptoms of Post- Traumatic Stress Disorder that they can receive the help they need.
...eeding is a necessity for all maternity floors and the NICUs especially. Without lactation consultants we would not have as many healthy babies or happy mothers!
The international definition of midwife ratified by the World Health Organization (WHO) describes an individual who has completed a duly recognized program of study and is registered or legally licensed to practice midwifery in their country (WHO, 2000). This differs from most cultural definitions of a midwife. More often, midwives are any woman experienced in birth and recognized by her community to be a midwife. WHO calls these women Traditional Birthing Assistants (TBAs), and considers them care providers who fall outside the formal sector of skilled birth attendants. However, these women are experienced in maternal care and offer expertise to their clients. They are also accepted by their communities as able midwives and habitually afforded more trust than professionals.
Umberto de Vonderweid, Marialisa Leonessa, Family centered neonatal care, Early Human Development, Volume 85, Issue 10, Supplement 1, Proceedings and selected abstracts from 1st International Conference on Clinical Neonatology Torino, Italy, November 2009, October 2009, Pages S37-S38, ISSN 0378-3782, DOI: 10.1016/j.earlhumdev.2009.08.009.
However, nurses in the maternity ward have expressed their deepest concerns about meeting the needs of first time mother on discharge education during their stay in the hospital. Some of the nurses’ concerns include the lack of time and the amount of information they are required to equip the first time mothers to care for their newborn. Mothers have also reported dissatisfaction with the discharge education provided by the hospital. One of which that causes their frustration was the inconsistent breast feeding information and the need for more information about newborn care which was not covered by the hospital. (Barbara L. Buchko C. H., National Center for Biotechnology Info...
1) Reproductive health is important for women around the world. Women with reproductive capacity require ongoing health care to protect their health and the health of their newborns. The increased and sustained investment in reproductive health will ensure that women are able to receive preventive care prior during and after their pregnancies (Singh, Darroch, & Lori, 2014). This will help decrease the number of infants deaths related to pregnancies. It will also decrease the number of deaths with pregnant women. Investing in reproductive health may decrease the burden that steams from infant and women deaths that are related to pregnancy. Reproductive health has improved globally. However, disparities still exist between developed and developing countries (Singh et al., 2014). Therefore, it is important for countries throughout the world to invest in new technologies to strengthen reproductive health in areas that lack adequate preventive reproductive health services. This will allow countries to decrease the number of still births, miscarriages, and infants and women deaths. This will return the burden of these conditions. Moreover, many
The Millennium Development Goal Report 2013 states that the progress towards achieving the target of reducing maternal mortality by two thirds between 1990 and 2015 significantly falls short of the set goal and the indices are still poor in the developing countries especially sub-Saharan Africa (United Nations, 2013). The People’s Health Movement (PHM), through its WHO Watch clearly identifies the huge omission of Traditional Birth Attendants (TBAs) in the WHO’s revised strategy on traditional medicine (PHM WHO Watch, 2013). The magnitude of this omission appears to be puzzling owing to the fact that in just about three decades ago the WHO aimed to reduce death of women associated with child bearing through the training of TBAs and promoted their integration into the orthodox health care system. The WHO calls for a collaborative effort in achieving the goal of reducing maternal deaths. Yet, one can insinuate that the TBAs are no longer seen as a resource to be harnessed by public health professionals in addressing the issues associated with childbearing (Langwick, 2011). The ‘friend or foe’ mentality can clearly be observed in a statement made by one of Nigeria’s chief leaders in the fight towards reducing maternal mortality published in Nigeria’s foremost editorial daily newspaper magazine, the Punch. He said that ‘it was no longer acceptable for women to give birth in TBA centres, TBAs were no longer required in labour and delivery because of the availability of enough trained or skilled personnel, and he promised to jail any TBA involved in a maternal death’ (Punch, 2013). As such, it is important for us to critically analyse and evaluate the relevance of TBAs in promoting health from a contemporary global health perspective. I...