Sakala Betty, Chirwa Ellen
University of Malawi Kamuzu College of Nursing.
Malawi Med J. 2019 Jun;31(2):164-168. doi: 10.4314/mmj.v31i2.12.
Malawi is experiencing slow progress in postnatal care of mothers within the first 48 hours after childbirth. Malawi Demographic and Health Survey (MDHS) 2015-16 reported a slow progress in postnatal care of mothers in the first 48 hours at 42% from 41% in 2010 despite a high number of institutional births. This is a critical period as a large proportion of maternal deaths occur during this period, currently at 439 per 100,000 live births. During postnatal care the mother is given important information to assist in caring for herself and her baby. The lack of well documented guidelines and funding to employ more midwives to manage mothers in postnatal ward contributes to poor quality of postnatal care.
This is an evidence-based policy brief that was prepared to inform policy makers, health workers, clients, community and other stakeholders to consider the available evidence about the impact of the suggested options in order to improve postnatal care.
Several factors that contribute to low utilization of postnatal care among mothers after childbirth were identified. Factors included lack of clear guidelines on postnatal care, shortage of skilled health workers and inadequate resources.
Implementation of the identified policy options may improve postnatal care.
马拉维在产后48小时内对母亲的产后护理进展缓慢。《2015 - 2016年马拉维人口与健康调查》报告称，尽管机构分娩数量众多，但产后48小时内母亲产后护理的进展缓慢，从2010年的41%升至42%。这是一个关键时期，因为很大一部分孕产妇死亡发生在此期间，目前每10万例活产中有439例。在产后护理期间，母亲会获得重要信息以帮助照顾自己和婴儿。缺乏详细记录的指南以及缺乏资金雇佣更多助产士在产后病房照顾母亲，导致产后护理质量较差。
这是一份基于证据的政策简报，旨在让政策制定者、卫生工作者、客户、社区及其他利益相关者考虑有关建议选项影响的现有证据，以改善产后护理。
确定了导致产后母亲产后护理利用率低的几个因素。这些因素包括缺乏明确的产后护理指南、熟练卫生工作者短缺以及资源不足。
实施已确定的政策选项可能会改善产后护理。
