Innovative Tools and Strategies | Health Systems and Workforce | Strengthening Quality of Care | Focus: Gender | Focus: Mental Health Room: 2.44-2.46 Oral Abstracts
May 09, 2023 13:15 - 14:30(Africa/Johannesburg)
20230509T1315 20230509T1430 Africa/Johannesburg Creating Transformational Change for Families, Providers, and Facilities

Caught in the Middle: Understanding the Experience of Maternal and Newborn Health (MNH) Providers through the Lens of Organizational Theory for Mistreatment in Childbirth

Reports of mistreatment in childbirth have emerged around the globe, reducing trust in health systems at a profound moment of human life. The similar patterns and dynamics indicate its systemic nature. Limited research to date has focused on developing explanatory theory. Organizational sociology provides one lens for theory development, unearthing the experience of providers within the broader system that leads to its persistence.

Organisational and Individual Readiness for Change to Respectful Maternity Care Practice and Associated Factors in Ibadan, Nigeria: A Survey

Readiness for change is a known determinant of implementation success. Respectful maternity care (RMC) has been recommended as the standard for all women during childbirth. However, many RMC-promoting interventions have been conducted without prior assessment of the readiness for change. This study explored the relevance of readiness for change theories to the RMC literature. Health providers' organisational and individual readiness for change to RMC practice and the associated factors were assessed.

Embedding Inclusive, Supportive, and Dignified Maternity Care (SDMC) in Public Health Facilities: An Evaluation of a Theory-Driven Service-Delivery Intervention Package

Disrespect, discrimination, abuse, and lack of emotional support characterise intrapartum care in many low- and middle-income countries. While the World Health Organization (WHO) provides affirmative guidelines to address this issue, no operational model has effectively incorporated those guidelines into routine public health s ...

Room: 2.44-2.46 International Maternal Newborn Health Conference 2023 information@imnhc.org
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Caught in the Middle: Understanding the Experience of Maternal and Newborn Health (MNH) Providers through the Lens of Organizational Theory for Mistreatment in Childbirth

Reports of mistreatment in childbirth have emerged around the globe, reducing trust in health systems at a profound moment of human life. The similar patterns and dynamics indicate its systemic nature. Limited research to date has focused on developing explanatory theory. Organizational sociology provides one lens for theory development, unearthing the experience of providers within the broader system that leads to its persistence.


Organisational and Individual Readiness for Change to Respectful Maternity Care Practice and Associated Factors in Ibadan, Nigeria: A Survey

Readiness for change is a known determinant of implementation success. Respectful maternity care (RMC) has been recommended as the standard for all women during childbirth. However, many RMC-promoting interventions have been conducted without prior assessment of the readiness for change. This study explored the relevance of readiness for change theories to the RMC literature. Health providers' organisational and individual readiness for change to RMC practice and the associated factors were assessed.


Embedding Inclusive, Supportive, and Dignified Maternity Care (SDMC) in Public Health Facilities: An Evaluation of a Theory-Driven Service-Delivery Intervention Package

Disrespect, discrimination, abuse, and lack of emotional support characterise intrapartum care in many low- and middle-income countries. While the World Health Organization (WHO) provides affirmative guidelines to address this issue, no operational model has effectively incorporated those guidelines into routine public health services. Therefore, we developed and evaluated a theory-driven service-delivery intervention to promote inclusive, supportive, and dignified maternity care (SDMC) in public health systems. Our SDMC intervention worked with maternity teams in a participatory, consensus-driven process, theoretically underpinned by the COM-B framework (Capability, Opportunity and Motivation drivers for respectful maternity Behaviour). Components included (a) capacity-building of staff (respectful care, rights-based care, medical ethics, values clarification, psychosocial support), and (b) improved governance (enhanced management information systems, care coordination) and accountability mechanisms (patient feedback, performance review). Technical content drew from WHO's intrapartum care guidelines, WHO's mental health GAP strategy, and contextual evidence.


Promoting Caregiver Well-Being as Part of Holistic Nurturing Care Programming in Ghana and the Kyrgyz Republic

The stress of parenting can have negative consequences on caregiver well-being, and the period immediately after birth is a particularly high-risk period for maternal depression. The Responsive Care and Early Learning (RCEL) Addendum is designed for integration with nutrition and health counseling packages to promote holistic nurturing care. One training module focuses on supporting caregivers to engage in self-care and support-seeking for their own well-being and also because a child's healthy development largely depends on their caregiver's capacity and well-being, particularly mothers. This study aims to understand the feasibility and acceptability of this training module among health workers and community volunteers, as well as initial effectiveness in reducing parenting stress in Ghana and the Kyrgyz Republic.

Caught in the Middle: Understanding the Experience of Maternal and Newborn Health (MNH) Providers through the Lens of Organizational Theory for Mistreatment in Childbirth
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Mental Health
Health Systems and Workforce
Strengthening Quality of Care
Presenters Kate Ramsey
Senior Global Health Advisor, Scope Impact
Organisational and Individual Readiness for Change to Respectful Maternity Care Practice and Associated Factors in Ibadan, Nigeria: A Survey
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Gender
Strengthening Quality of Care
Health Systems and Workforce
Presenters Oluwaseun Esan
Senior Lecturer/ Dr, Department Of Community Health, Faculty Of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
Co-authors
SM
Salome Maswime
Professor Of Obstetrics & Gynaecology And Head Of Global Surgery, Global Surgery Division, Department Of Surgery, Faculty Of Health Sciences, University Of Cape Town, Cape Town, Western Cape, South Africa
DB
Duane Blaauw
Senior Researcher, Centre For Health Policy, School Of Public Health, Faculty Of Health Sciences, University Of The Witwatersrand, Johannesburg, Gauteng, South Africa
Embedding Inclusive, Supportive, and Dignified Maternity Care (SDMC) in Public Health Facilities: An Evaluation of a Theory-Driven Service-Delivery Intervention Package
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Mental Health
Innovative Tools and Strategies
Strengthening Quality of Care
Presenters
SH
Shaikh Waqas Hameed
Senior Instructor, Aga Khan University
Co-authors
BI
Bilal Iqbal
Associate Professor, London School Of Hygiene And Tropical Medicine, UK
BK
Bushra Khan
Assistant Professor, University Of Karachi
MA
Muhammad Asim
Assistant Professor , The Aga Khan University
SS
Sarah Saleem
Professor, Head, Population And Reproductive Health, Aga Khan University
SS
Sameen Siddiqi
Professor, Aga Khan University
Promoting Caregiver Well-Being as Part of Holistic Nurturing Care Programming in Ghana and the Kyrgyz Republic
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Gender, Mental Health
Innovative Tools and Strategies
Presenters
CK
Cat Kirk
Early Childhood Care And Development Advisor, USAID
Co-authors Lesley Oot
Technical Advisor, JSI, USAID Advancing Nutrition
CA
Cholpon Abdimitalipova
ECD Specialist, USAID Advancing Nutrition
JJ
Joyce Jambeidu
ECD SPECIALIST, JSI - USAID ADVANCING NUTRITION
KT
Kelsey Torres
Technical Specialist, USAID Advancing Nutrition
Romilla Karnati
Save The Children, US, Save The Children/MOMENTUM Country And Global Leadership
EA
Enam Aidam
Consultant, USAID Advancing Nutrition
BZ
Begimai Zhumgalbekova
ECD And MEL Program Assistant, USAID Advancing Nutrition
Fauzia Abukari
ECD MEL- Officer, USAID Advancing Nutrition
MU
Malia Uyehara
Program Officer, USAID Advancing Nutrition
KB
Kathryn Beck
Technical Advisor, USAID Advancing Nutrition
PK
Peggy Koniz-Booher
Senior SBC And Nutrition Advisor, USAID Advancing Nutrition
LA
Lutuf Abdul Rahman
DAS - Nutrition And Food Security , USAID
AC
Andrew Cunningham
SBC Specialist, USAID Advancing Nutrition
VV
Veronica Varela
MEL Specialist, USAID Advancing Nutrition
TW
Tim Williams
Senior MEL Advisor, USAID Advancing Nutrition
Early Childhood Care and Development Advisor
,
USAID
Senior Instructor
,
Aga Khan University
Senior Lecturer/ Dr
,
Department of Community Health, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
Senior Global Health Advisor
,
Scope Impact
Dr. Kathleen Hill
Sr Technical Advisor for Quality
,
MOMENTUM Country and Global Leadership
Ms. Mariam Barabara
Researcher
,
Kilimanjaro Clinical Research Institute, Moshi, Tanzania
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