Women's and Children's Health, Karolinska Institutet, Solna, Sweden.
PhD, School of Nursing Sciences, University of Nairobi, Kenya.
Sex Reprod Healthc. 2021 Dec;30:100670. doi: 10.1016/j.srhc.2021.100670. Epub 2021 Sep 24.
The Swedish care model MIDWIZE defined as midwife-led interdisciplinary care and zero separation between mother and newborn, was implemented in 2020-21 in Ethiopia, Kenya, Malawi, and Somalia in a capacity building programme funded by the Swedish Institute.
To determine the feasibility of using an internet-based capacity building programme contributing to effective midwifery practices in the labour rooms through implementation of dynamic birthing positions, delayed umbilical cord clamping and skin-to-skin care of newborns in the immediate postnatal period.
The design is inspired by process evaluation. Focus group discussions with policy leaders, academicians, and clinicians who participated in the capacity building programme were carried out. Before and after the intervention, the numbers for dynamic birthing positions, delayed umbilical cord clamping and skin-to-skin care of the newborn in the immediate postnatal period were detected.
Participants believed the internet-based programme was appropriate for their countries' contexts based on their need for improved leadership and collaboration, the need for strengthened human resources, and the vast need for improved outcomes of maternal and newborn health.
The findings provide insight into the feasibility to expand similar online capacity building programmes in collaboration with onsite policy leaders, academicians, and clinicians in sub-Saharan African countries with an agenda for improvements in maternal and child health.
瑞典护理模式 MIDWIZE 被定义为助产士主导的跨学科护理,以及母婴零分离,该模式于 2020-2021 年在埃塞俄比亚、肯尼亚、马拉维和索马里实施,这是一个由瑞典国际发展合作署资助的能力建设项目。
通过实施动态分娩体位、延迟脐带夹闭和新生儿出生后立即进行皮肤接触,确定基于互联网的能力建设项目在产房中促进有效助产实践的可行性。
设计灵感来自于过程评估。对参与能力建设项目的政策领导人、学者和临床医生进行了焦点小组讨论。在干预前后,检测了动态分娩体位、延迟脐带夹闭和新生儿出生后立即进行皮肤接触的数量。
参与者认为基于领导力和协作的改善、人力资源的加强以及母婴健康结果的巨大改善需求,基于互联网的项目适合他们国家的背景。
研究结果为与撒哈拉以南非洲国家的现场政策领导人、学者和临床医生合作扩大类似的在线能力建设项目提供了可行性见解,以改善母婴健康。