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Competency based education and training
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Recommended: Competency based education and training
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 ...
... middle of paper ...
...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.
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?”
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.
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.
Karanja, J., Muganyizi, P., Rwamushaija, E., Hodoglugil, N., & Holm, E. (2013). Confronting maternal mortality due to postpartum hemorrhage and unsafe abortion: A call for commitment. African Journal of Reproductive Health, 17(2), 20. Retrieved from http://www.ajrh.info/vol17_no2/17_2_article2.php
Sorensen, J., & Abbott, E. (2004). The Maternity and Infancy Revolution. Maternal & Child Health Jounal, 8(3), 107-110. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=14089739&site=ehost-live
All of the tears, grief, and heartbreak of parents, family, and friends combine to transform into something much greater. Infant mortality is caused by a variety of factors including cultural, environmental, and health issues. In addition, statistics can also be based off geography, poverty, and race. It is evident that some countries, like Finland, are doing much better in their attempts to provide for expecting mothers and their newborns. Unfortunately, some countries just do not have the means to do so, such as
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
Within scientific research there is always a strong debate between those that prefer quantitative methods and those who prefer qualitative ones. proponents of quantitative methods have built the standards in experimental research and in researches performed on a large number of subjects and which use sampling criteria and statistical analysis techniques. On the other side, the qualitative method uses procedures of qualitative nature both at the level of collecting the data as well as the level of analyzing them (Tagliapietra, Trifan, Raineri & Lis, 2009). The gathering data procedures include: interviews, group discussions, observations, journals; while the analysis procedures include coding, categorizations and systematic confrontation between the categories and their dimensions. Such research is often defined as an explorative one, opposite to “classical” scientific research aiming to confirm / disconfirm initial hypothesis. Among the qualitative methods used in the scientific research we can list: Focus Group, Speech Analysis, Conversation Analysis, Grounded Theory and Phenomenological Interpretative Analysis (Tagliapietra, Trifan, Raineri & Lis, 2009).
Undoubtedly, the key to a healthy pregnancy is seeking adequate prenatal care. According to the U.S. Department of Health and Human Services [Office on Women’s Health] (2009), “Babies of mothers who do not get prenatal care are three times more likely to have a low birth weight and five times more likely to die than those born to mothers who do get care” (p. 1). This is where the prenatal nurse educator plays a major role. A prenatal nurse educator specializes in prenatal care and has acquired advance knowledge, usually a Bachelor or Master of Science in Nursing degree, that ensures that both the mother and the baby are healthy. The prenatal nurse job requirements include performing physical assessments, ordering and interpreting lab results, and teaching various childbirth techniques. The prenatal nurse educator helps aid the expecting mother throughout the prenatal period, during delivery, and even after the delivery of the baby. The nurse educator is able to better prepare expecting mothers fo...
The newborn mortality and maternal death is at the peak because of the lack of skilled professionals care during and after childbirth. Over half of maternal deaths occur during the postpartum period and their direct causes include obstructed labor, unsafe abortion, infection, and hemorrhage. Nonetheless, the uptake of postpartum care is lower in these countries and is clearly related to the lack of education and poverty. Comparing to the European region, the under-five mortality rate is seven times higher in the African region and Africa and South-East Asia accounts for more than 70% of all child deaths with more than 50% concentrated in just six countries: India, Pakistan, Ethiopia, the Democratic Republic of the Congo, and
Most of time the children often are born and die within a week because of the poor condition of their mothers. According to UNICEF mothers incur hypertensive disorders leading to death or disability (UNICEF). With the help of UNICEF and The United Nations administering preventative care in early stages to help stop transmission of HIV to infants (UNICEF). In these countries pre natal care is bypassed and is a foundation factor in the Infant Mortality Rate. Lack of pre natal care has driven Asian continent to high infant mortality rates.
For this purpose, after completing my internship, I joined Obstetrical and Gynecological Society of Bangladesh (OGSB), a very reputed NGO, which deals with maternal and child health issues of Bangladesh. At first, I worked as a medical officer in ‘Community-Based Skilled Birth Attendant (CSBA)’ project collaborating with the Government of Bangladesh and UNFPA. The aim of this project was to achieve the target of Millennium Development Goal 4 and 5, which was to reduce the child mortality (MDG 4) and to reduce the maternal mortality ratio along with improvement of maternal health (MDG 5). After completion of this project, I joined another project of OGSB on safe motherhood and this time in collaboration with Save the Children International and USAID. In this project, I trained the health workers, nurses, and physicians at the rural level about antenatal & postnatal care, normal delivery, partograph, and neonatal resuscitation. Not only as a master trainer, this time due to my managerial quality and convincing power, my supervisor selected me as the team leader of the training unit also. I believe this teaching experience will provide me some extra advantage in my future
Full maternity care comprises of prenatal care, early pregnancy care, antenatal care, postnatal care and also full obstetric care (Preston & Miller, 2012). Midwives are the main providers of maternity services in rural areas, who work as either Lead Maternity Carers (LMCs), who provide maternity care for women from early pregnancy up to six weeks postnatal, or are employed by rural maternity hospitals, providing maternity care when women are in the hospital (Kyle & Aileone, 2013). There is an increasing number of expectant mothers who experience difficulties in finding a suitable LMC, especially in rural areas, as there is a shortage of both midwi...
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...
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