Role of Nurses in Maternal and newborn Care at Community Health Centers of Rural and Tribal areas of Madhya Pradesh, India
Abstract
Introduction: The study is an attempt to observe maternal and newborn care provided by nurses at CHCs, understand their experiences and what barriers and facilitators they encountered. Material and methods: The study was carried out at two rural and two tribal CHCs. A convergent mixed-method research approach was used. The observational method was adopted to observe maternal and newborn care. The phenomenology method was followed to understand experience, barriers and facilitators. Descriptive data analysis reveals that nurses are providing comprehensive antenatal, intranatal and newborn care however certain important post-natal nursing care were missing. Iterative Qualitative analysis through ATLAS.ti has captured themes of experiences about challenging night shifts, safety threats, inter and intra-professional hierarchal issues, multitasking, professional issues and social isolation. Results: Results of the study identified barriers related to human resources, inadequate basic facilities, and nurses-related, culturally related, interprofessional issues. Facilitators consist of nurses’ skills and competencies, good facilities and a labour room. Maternal and newborn care was performed by nurses however few gaps were identified. Conclusion: Nurses have a variety of interconnected experiences in rendering maternal and newborn care at CHCs. Nurses encounter several barriers and facilitators in maternal care
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References
2. Miller, K. J., Couchie, C., Ehman, W., Graves, L., Grzybowski, S., Medves, J., & joint position paper working group (2012). Rural maternity care. Journal of obstetrics and gynaecology Canada, 34(10), 984–991. https://doi.org/10.1016/S1701-2163(16)35414-7.
3. Niti Ayog Govt of India (2018). Maternal Mortality Ratio (MMR) (per 100000 live births). https://niti.gov.in/niti/hi/content/maternal-mortality-ratio-mmr-100000-live-births.
4. Office of The Registrar General, India (2019). SRS Bulletin Sample Registration System. Retrieved from http://censusindia.gov.in/vital_statistics/SRS_Bulletins/SRS_Bulletin-Rate-2017-_May_2019.pdf.
5. Hamal, M., Dieleman, M., De Brouwere, V., & de Cock Buning, T. (2020). Social determinants of maternal health: a scoping review of factors influencing maternal mortality and maternal health service use in India. Public health reviews, 41, 13. https://doi.org/10.1186/s40985-020-00125-6
6. Directorate General of Health Services Ministry of Health & Family Welfare Government of India. Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised (2012). https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2012/community-health-centres.pdf
7. Open government data (OGD) Platform India. HMIS sub-district level item-wise monthly report of Madhya Pradesh/Item-wise report for Betul and Vidisha of Madhya Pradesh for April-2019-20
9. Irvine, D., Sidani, S., & Hall, L. M. (1998). Finding value in nursing care: a framework for quality improvement and clinical evaluation. Nursing economic$, 16(3), 110–131.
10. Korstjens, I., & Moser, A. (2018). Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. The European journal of general practice, 24(1), 120–124. https://doi.org/10.1080/13814788.2017.1375092
11. Moseholm, E., & Fetters, M. D. (2017). Conceptual models to guide integration during analysis in convergent mixed methods studies. Methodological Innovations, 10(2). https://doi.org/10.1177/2059799117703118.
12. Alehagen, S. A., Finnström, O., Hermansson, G. V., Somasundaram, K. V., Bangal, V. B., Patil, A., Chandekar, P., & Johansson, A. K. (2012). Nurse-based antenatal and child health care in rural India. Implementation and effects - an Indian-Swedish collaboration. Rural and remote health, 12, 2140.
13. Rurangirwa, A. A., Mogren, I., Ntaganira, J., Govender, K., & Krantz, G. (2018). Quality of antenatal care services in Rwanda: assessing practices of health care providers. BMC health services research, 18(1), 865. doi:
14. Crispín Milart, P. H., Prieto-Egido, I., Díaz Molina, C. A., & Martínez-Fernández, A. (2019). Detection of high-risk pregnancies in low-resource settings: a case study in Guatemala. Reproductive health, 16(1), 80. https://doi.org/10.1186/s12978-019-0748-z
15. Jha, P., Christensson, K., Svanberg, A. S., Larsson, M., Sharma, B., & Johansson, E. (2016). Cashless childbirth, but at a cost: a grounded theory study on quality of intrapartum care in public health facilities in India. Midwifery, 39, 78-86.doi:
16. Bradley, J., Jayanna, K., Shaw, S., Cunningham, T., Fischer, E., Mony, P., Ramesh, B. M., Moses, S., Avery, L., Crockett, M., & Blanchard, J. F. (2017). Improving the knowledge of labour and delivery nurses in India: a randomized controlled trial of mentoring and case sheets in primary care centres. BMC health services research,17(1),14. https://doi.org/10.1186/s12913-016-1933-1
17. Iyengar, K., & Iyengar, S. D. (2009). Emergency obstetric care and referral: experience of two midwife-led health centres in rural Rajasthan, India. Reproductive health matters, 17(33), 9-20. doi: https://doi.org/10.1016/S0968-8080(09)33459-X.
18. Kim, E. T., Singh, K., & Weiss, W. (2019). Maternal postnatal care in Bangladesh: a closer look at specific content and coverage by different types of providers. J Glob Health Rep. 2019, 3. pii: e2019004. doi: 10.29392/joghr.3.e2019004.
19. Berhe, A. K., Tinsae, F., & Gebreegziabher, G. (2017). Knowledge and practice of immediate newborn care among health care providers in eastern zone public health facilities, Tigray, Ethiopia, 2016. BMC pediatrics, 17(1), 157. https://doi.org/10.1186/s12887-017-0915-8
20. Murphy, G. A., Gathara, D., Mwaniki, A., Nabea, G., Mwachiro, J., Abuya, N., & English, M. (2019). Nursing knowledge of essential maternal and newborn care in a high‐mortality urban African setting: A cross‐sectional study. Journal of clinical nursing, 28(5-6), 882-893. doi:https://doi.org/10.1111/jocn.14695.
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