Alinaitwe Businge, Kisakye Faith Sharon, Kato Charles, Nkunzimaana Francis, Ayebare Elizabeth, Winter Jameel J, Ngabirano Tom Denis
Uganda Cancer Institute, Regional Cancer Center, Gulu, Uganda.
Department of Nursing, College of Health Sciences, Makerere University, Kampala, Uganda.
Patient Prefer Adherence. 2024 Oct 30;18:2187-2202. doi: 10.2147/PPA.S486921. eCollection 2024.
Neonatal mortality is a major contributor to under-five deaths yet the main causes of these deaths are preventable. Postnatal health education programs can improve timely detection and care seeking for newborn morbidities such as neonatal jaundice (NNJ). Being a common occurrence in low-income countries, it is surprising that women do not have sufficient knowledge about NNJ. Although the knowledge can be improved through routine education programs, healthcare providers rarely engage women in evaluating such programs, which limits their uptake and sustainability.
This was a qualitative study evaluating a postnatal neonatal jaundice health education program conducted at Jinja Regional Referral Hospital (JRRH). Narrative data on the structure, design, and delivery of the program was recorded from 12 postnatal women through unstructured interviews. The participants were those who had taken part in an enhanced NNJ education program. Qualitative content analysis, guided by the Consolidated Framework for Implementation Research (CFIR) was performed.
Using the CFIR, two themes were identified; the intervention characteristics domain and the individual domains. The constructs under these domains were intervention design quality and packaging, relative advantage, and maternal knowledge needs. The augmented nature of the intervention, sorting individual needs, ability to promote continuity of care, and care-seeking were identified as key facilitators. Lack of group interaction was identified by some women as a possible barrier.
Overall, the education program was positively perceived by women and preferred compared to the conventional method of health education. In low-resource settings where maternal health education can contribute to a reduction in newborn mortality, the design, implementation, and evaluation of maternal education programs should be informed by women's preferences. Healthcare providers should utilize multiple sources of information and routinely practice patient-centered evaluation to meet the changing knowledge demands of postnatal women.
新生儿死亡率是五岁以下儿童死亡的主要原因之一，然而这些死亡的主要原因是可以预防的。产后健康教育项目可以改善对新生儿疾病（如新生儿黄疸，NNJ）的及时发现和就医行为。在低收入国家，新生儿黄疸很常见，但令人惊讶的是，女性对其了解不足。尽管可以通过常规教育项目来提高认知，但医疗服务提供者很少让女性参与评估此类项目，这限制了项目的接受度和可持续性。
这是一项定性研究，评估在金贾地区转诊医院（JRRH）开展的产后新生儿黄疸健康教育项目。通过非结构化访谈，从12名产后女性那里记录了关于该项目结构、设计和实施的叙述性数据。参与者是那些参加了强化新生儿黄疸教育项目的人。在实施研究综合框架（CFIR）的指导下进行了定性内容分析。
使用CFIR，确定了两个主题；干预特征领域和个体领域。这些领域下的构念包括干预设计质量和包装、相对优势以及产妇知识需求。干预的强化性质、区分个体需求、促进连续护理的能力以及就医行为被确定为关键促进因素。一些女性认为缺乏小组互动可能是一个障碍。
总体而言，与传统健康教育方法相比，女性对该教育项目评价积极且更青睐。在孕产妇健康教育有助于降低新生儿死亡率的低资源环境中，孕产妇教育项目的设计、实施和评估应考虑女性的偏好。医疗服务提供者应利用多种信息来源，并经常进行以患者为中心的评估，以满足产后女性不断变化的知识需求。
