What affects Clean Delivery Kit utilization at birth in Nepal? A qualitative study
Joanna Morrison1, Caroline Jacoby2, Sagar Ghimire3
1University College London, London, UK joanna.morrison@ucl.ac.uk.
Asia-Pacific Journal of Public Health
|September 18, 2012
Summary
Low utilization of Clean Delivery Kits (CDKs) in Nepal stems from poor promotion and availability. Increased marketing for both home and institutional use could improve uptake of these essential maternal and neonatal care tools.
Area of Science:
- Maternal and Child Health
- Public Health Interventions
- Qualitative Research Methods
Background:
- Infection remains a leading cause of maternal and neonatal mortality in low-income settings.
- Clean Delivery Kits (CDKs) are designed to promote safe childbirth practices and improve neonatal outcomes.
- Understanding barriers to CDK utilization is crucial for enhancing maternal and child survival rates.
Purpose of the Study:
- To explore the reasons behind the low utilization of Clean Delivery Kits (CDKs) in Nepal.
- To describe community perceptions and attitudes towards CDKs.
- To identify factors influencing the adoption of clean delivery practices.
Main Methods:
- Conducted 18 focus group discussions and 40 in-depth interviews.
- Included diverse stakeholders: CDK users, non-users, healthcare providers, birth attendants, and community decision-makers.
- Data collection spanned 6 districts, with additional interviews at the central level.
Main Results:
- CDK users recognized the benefits, and usage aligned with existing birth practices.
- Key barriers to utilization included lack of awareness regarding benefits and limited availability.
- A prevalent misconception was that CDKs were exclusively for home-based deliveries.
Conclusions:
- The promotion of CDKs is hindered by a disconnect between encouraging their use and promoting institutional deliveries.
- Strategic marketing of CDKs for both household and health facility settings is recommended.
- Improved availability and targeted marketing could significantly increase CDK utilization and impact maternal/neonatal health outcomes.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:28Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
01:30Development of Human Microbiota
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...