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Integrating quality postnatal care into PMTCT in Swaziland.
- Source :
-
Global public health [Glob Public Health] 2009; Vol. 4 (3), pp. 253-70. - Publication Year :
- 2009
-
Abstract
- Swaziland's prevention of mother-to-child transmission (PMTCT) programme is linked to maternal and newborn health (MNH) services, but is mainly focussed on HIV/AIDS. Existing MNH services are inadequate, especially postnatal care (PNC) of mothers and babies, with delayed postnatal visits occurring at 4-6 weeks after delivery. Fifty-seven percent of staff in seven Swazi health facilities were trained in promoting and providing early PNC. A final evaluation showed a 20-fold increase in the number of visits coming for an early postnatal visit (within the first three days after birth). A direct observation of the client-provider interaction showed a significant increase in the competence of the health workers related to postnatal examinations, and care of mothers and babies (p<0.05- < 0.01). The percentage of women breastfeeding within one hour of delivery increased by 41% in HIV-positive mothers and 52% in HIV-negative mothers. Cotrimoxazole prophylaxis for HIV-exposed infants increased by 24%. Although, health workers were observed providing counselling, maternal recall of messages was deficient, suggesting the need for additional strategies for promoting healthy behaviours. High-quality integrated PMTCT programmes and MNH postnatal services are feasible and acceptable, and can result in promoting early postnatal visits and improved care of both HIV-positive and HIV-negative mothers and their babies.
- Subjects :
- Adolescent
Adult
Counseling
Eswatini
Female
HIV-1
Health Knowledge, Attitudes, Practice
Humans
Infant, Newborn
Maternal Health Services statistics & numerical data
Mothers
Observation
Postnatal Care methods
Pregnancy
Pregnancy Complications, Infectious prevention & control
Program Evaluation
Quality Assurance, Health Care
Young Adult
HIV Infections transmission
Health Personnel education
Infectious Disease Transmission, Vertical prevention & control
Maternal Health Services organization & administration
Postnatal Care organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 1744-1706
- Volume :
- 4
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Global public health
- Publication Type :
- Academic Journal
- Accession number :
- 19437214
- Full Text :
- https://doi.org/10.1080/17441690902769669