ELEANOR MITCHELL ELEANOR.MITCHELL@NOTTINGHAM.AC.UK
Associate Professor
Parents, healthcare professionals and other stakeholders’ experiences of caring for babies born too soon in a low resource setting: A qualitative study of essential newborn care for preterm infants in Kenya
Mitchell, Eleanor J; Pallotti, Phoebe; Qureshi, Zahida; Daniels, Jane P; Oliver, Mary; Were, Fredrick; Osoti, Alfred; Gwako, George; Kimani, Violet; Opira, Jacqueline; Ojha, Shalini
Authors
Phoebe Pallotti
Zahida Qureshi
Professor JANE DANIELS JANE.DANIELS@NOTTINGHAM.AC.UK
Professor of Clinical Trials
Mary Oliver
Fredrick Were
Alfred Osoti
George Gwako
Violet Kimani
Jacqueline Opira
SHALINI OJHA Shalini.Ojha@nottingham.ac.uk
Professor of Neonatal Medicine
Abstract
Objectives: Prematurity is the leading cause of global neonatal and infant mortality. Many babies could survive by the provision of essential newborn care. This qualitative study was conducted in order to understand, from a family and professional perspective, the barriers and facilitators to essential newborn care. The study will inform the development of an early warning score for preterm and LBW infants in low and middle income countries (LMICs).
Setting: Single-centre, tertiary referral hospital in Nairobi, Kenya.
Participants: Nineteen mothers and family members participated in focus group discussions and twenty key-informant interviews with professionals (healthcare professionals and policy-makers) were conducted. Focus group participants were identified via postnatal wards, the Newborn Unit and Kangaroo Mother Care Unit. Convenience and purposive sampling was used to identify professionals.
Outcome measures: Understanding facilitators and barriers to provision of essential newborn care in preterm infants.
Results: From 27 themes, three global themes emerged from the data; mothers’ physical and psychological needs, system pillars and kangaroo mother care.
Conclusion: Meeting mothers’ needs in the care of their babies is important to mothers, family members and professionals, and deserves greater attention. Functioning system pillars depended on a standardised approach to care and low cost, universally applicable interventions are needed to support the existing care structure. Kangaroo Mother Care (KMC) was effective in both meeting mothers’ needs, supporting existing care structures and also provided a space for the resolution of the dialectical relationship between families and hospital procedures. Lessons learnt from the implementation of KMC could be applied to the development of an early warning score in LMICs.
Citation
Mitchell, E. J., Pallotti, P., Qureshi, Z., Daniels, J. P., Oliver, M., Were, F., …Ojha, S. (2021). Parents, healthcare professionals and other stakeholders’ experiences of caring for babies born too soon in a low resource setting: A qualitative study of essential newborn care for preterm infants in Kenya. BMJ Open, 11(6), Article e043802. https://doi.org/10.1136/bmjopen-2020-043802
Journal Article Type | Article |
---|---|
Acceptance Date | May 5, 2021 |
Online Publication Date | Jun 23, 2021 |
Publication Date | 2021-06 |
Deposit Date | May 6, 2021 |
Publicly Available Date | Jun 23, 2021 |
Journal | BMJ Open |
Electronic ISSN | 2044-6055 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 11 |
Issue | 6 |
Article Number | e043802 |
DOI | https://doi.org/10.1136/bmjopen-2020-043802 |
Keywords | General Medicine |
Public URL | https://nottingham-repository.worktribe.com/output/5512182 |
Publisher URL | https://bmjopen.bmj.com/content/11/6/e043802 |
Files
BTS-Qual-study-v2-PeerReviewRevisions-6May21 AfterAccept
(350 Kb)
PDF
You might also like
Randomised trial of cord clamping and initial stabilisation at very preterm birth
(2017)
Journal Article
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: discovery-access-systems@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search