[“Forgetting” the newborn: An anthropological analysis in Mauritania]
Summary
Newborn care is often overlooked in Mauritania, with health workers deprioritizing essential care for newborns immediately after birth. This study highlights the need to refocus attention on newborns to improve neonatal survival rates.
Area of Science:
- Medical Anthropology
- Global Health
- Maternal and Child Health
Background:
- Neonatal mortality remains a significant challenge in West Africa, including Mauritania.
- Existing programs to combat neonatal mortality have shown mixed success.
- Understanding health worker practices in neonatal care is crucial for program improvement.
Purpose of the Study:
- To investigate how health workers in Mauritania are involved in neonatal care.
- To identify factors contributing to the neglect of newborn care immediately after birth.
- To propose strategies for enhancing the quality of neonatal care.
Main Methods:
- An anthropological study was conducted in the Senegal River Valley, Mauritania.
- Methods included ethnography of a health center, direct observation of care, and interviews with health workers.
Main Results:
- Caregivers' attention shifts away from newborns in the critical minutes and hours post-birth.
- Essential newborn care practices like thermal protection and examination are often not provided.
- Newborn care is frequently neglected in the sequence of childbirth actions and professional responsibilities.
Conclusions:
- Newborn care at birth is inadequately medicalized in the study setting.
- Health worker disengagement stems from perceived uncertainty in neonatal survival and the prevalence of local childbirth practices.
- Re-emphasizing the newborn's importance is essential for improving neonatal care quality.
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