الملخص
Introduction: Maternal and neonatal mortality is a major reproductive health concern in Nigeria. At present, the country has the highest maternal mortality rate in Africa and the second globally after India. Most of these maternal and neonatal deaths have been reported to occur at the postnatal period, complicated by a large number of home deliveries and poor uptake of postnatal care.
Approach: In 2009, WHO and UNICEF recommended community-based approach to postnatal care. Providing home visits during the six-week period following childbirth by skilled health care provider is the key strategy. With respect to this, HBPNC has been piloted and adopted by many countries such as Bangladesh, Kenya, Madagascar, Egypt, Ethiopia, Indonesia, India, Iran and Parkistan (to mention but a few) and found to be effective, acceptable, affordable and cost-effective.
Findings: In the past years, diverse interventions to combat maternal and neonatal mortality in Nigeria have been employed. Most of these interventions targeted the antenatal and intranatal period. Although, this has yielded remarkable success, HBPNC will immensely assist in reaching the unreached and meet the unmet need of mothers and neonates at this crucial period especially in the rural communities.
Conclusion: Since the SDG 3 is targeted at reducing material and neonatal mortalities by2030,as successful implementation of the Integrated Material, Newborn and Child Health Strategy and indeed HBPNC will contribute to the realization of this goal.
Keywords: Home-based, postnatal care, maternal health outcomes, rural communities.
Résumé
Introduction: La mortalité maternelle et néonatale est un problème majeur de santé reproductive au Nigeria. Actuellement, le pays a le taux de mortalité maternelle le plus élevé en Afrique et le deuxième dans le monde après l’Inde. La plupart de ces décès maternels et néonatals ont été signalés à la période postnatale, compliquée par un grand nombre d’accouchements à domicile et une faible prise en charge des soins postnataux.
Approche: En 2009, l’OMS et l’UNICEF ont recommandé une approche communautaire des soins postnataux. Fournir des visites à domicile au cours de la période de six semaines suivant l’accouchement par un fournisseur de soins de santé qualifié est la stratégie clé. À cet égard, HBPNC a été testé et adopté par de nombreux pays tels que le Bangladesh, le Kenya, Madagascar, l’Égypte, l’Éthiopie, l’Indonésie, l’Inde, l’Iran et le Pakistan (pour ne citer que quelques exemples) et trouvé effective, acceptable et rentable.
Résultats: Au cours des dernières années, diverses interventions ont été menées pour lutter contre la mortalité maternelle et néonatale au Nigéria. La plupart de ces interventions ciblaient la période prénatale et intra-natale. Bien que cela ait connu un succès remarquable, HBPNC aidera immensément à atteindre les personnes non atteintes et à répondre aux besoins non satisfaits des mères et des nouveau-nés à cette période cruciale, en particulier dans les communautés rurales.
Conclusion: Étant donné que SDG 3 vise à réduire la mortalité maternelle et néonatale d’ici 2030, une mise en œuvre réussie de la Stratégie intégrée pour la santé maternelle, néonatale et infantile et certainement du HBPNC contribuera à la réalisation de cet objectif.
Mots clés: à domicile, soins postnataux, résultats de santé maternelle, communautés rurales.
Correspondence: Dr. Titilayo D Odetola, Department of Nursing, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: odetolatitilayo@yahoo.com
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