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Related Experiment Videos

Implementation, uptake, and impact of a provincial postpartum program.

Wendy Sword1, Susan Watt, Paul Krueger

  • 1School of Nursing, McMaster University, Ontario, Canada.

The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmieres
|September 17, 2004
PubMed
Summary

The Hospital Stay and Postpartum Home Visiting Program in Ontario showed varied implementation but low acceptance rates for extended hospital stays and home visits. Few changes in maternal satisfaction or health indicators were observed post-implementation.

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Area of Science:

  • Maternal and Child Health
  • Healthcare Program Evaluation
  • Public Health Policy

Background:

  • The Hospital Stay and Postpartum Home Visiting Program was implemented in Ontario to enhance maternal and infant care.
  • Variations in program implementation and uptake can impact service effectiveness and client outcomes.

Purpose of the Study:

  • To examine the implementation and uptake of the Hospital Stay and Postpartum Home Visiting Program across five Ontario sites.
  • To assess changes in client satisfaction and maternal/infant health indicators following program implementation by comparing pre- and post-implementation survey data.

Main Methods:

  • A cross-sectional survey was conducted at five sites in Ontario.
  • Data were collected using in-hospital questionnaires and telephone interviews at four weeks post-discharge.

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  • Findings were compared with a previous survey administered before policy implementation.

    • Main Results:

    • Significant differences in the offer of the 60-hour hospital-stay option were observed across sites (11.7%-81.2%), but acceptance rates were similar (21.1%-39.4%).
    • Home visit offers were consistently high (91.5%-96.6%), yet uptake varied significantly (21.1%-39.4%).
    • Few significant changes in client satisfaction or health indicators were noted post-program implementation.

    Conclusions:

    • The current implementation of the postpartum program raises questions regarding its overall utility.
    • Further research is needed to understand and optimize the program's effectiveness and impact on maternal and infant health outcomes.