Just-in-time postnatal education programees to improve newborn care practices: needs and opportunities in
Laura Subramanian1, Seema Murthy2, Prasad Bogam2
1Ariadne Labs, Harvard T.H. Chan School of Public Health/Brigham and Women's Hospital, Boston, Massachusetts, USA lsubramanian@ariadnelabs.org.
Insights
Improving newborn survival in low- and middle-income countries (LMICs) requires better postnatal education. Evidence-based practices and timely care-seeking are crucial for saving infant lives.
Area of Science:
- Maternal and Child Health
- Global Health
- Public Health Interventions
Background:
- Neonatal mortality remains a significant global health challenge, disproportionately affecting low- and middle-income countries (LMICs).
- Effective home-based newborn care practices and prompt healthcare seeking are vital for reducing infant mortality.
- While postnatal education is recognized as a key intervention, there is a notable gap in evaluated programs, particularly in LMICs.
Purpose of the Study:
- To identify opportunities for enhancing postnatal education programs in LMICs.
- To inform the development of effective postnatal education strategies based on current evidence and survey data.
- To highlight the need for robust evaluations of innovative postnatal education models.
Main Methods:
- Analysis of a large-scale survey (13,000+ participants) across three Indian states.
- Literature review to identify gaps in existing research on postnatal education programs.
- Synthesis of survey findings and existing literature to propose improved educational strategies.
Main Results:
- Survey data revealed significant opportunities to improve postnatal education for mothers and families regarding newborn care practices in the home.
- The study identified a need for structured predischarge education coupled with postdischarge reinforcement.
- A multipronged teaching approach targeting entire families with comprehensive newborn care information is recommended.
Conclusions:
- Future postnatal education programs in LMICs should integrate structured education, postdischarge support, and family-wide engagement.
- Robust evaluations are necessary to assess the effectiveness of these enhanced postnatal education models in LMIC settings.
- The potential applicability of these educational models to other critical child survival and thriving health areas warrants further exploration.
Abstract:
Worldwide, many newborns die in the first month of life, with most deaths happening in low/middle-income countries (LMICs). Families' use of evidence-based newborn care practices in the home and timely care-seeking for illness can save newborn lives. Postnatal education is an important investment to improve families' use of evidence-based newborn care practices, yet there are gaps in the literature on postnatal education programees that have been evaluated to date. Recent findings from a 13 000+ person survey in 3 states in India show opportunities for improvement in postnatal education for mothers and families and their use of newborn care practices in the home. Our survey data and the literature suggest the need to incorporate the following strategies into future postnatal education programming: implement structured predischarge education with postdischarge reinforcement, using a multipronged teaching approach to reach whole families with education on multiple newborn care practices. Researchers need to conduct robust evaluation on postnatal education models incorporating these programee elements in the LMIC context, as well as explore whether this type of education model can work for other health areas that are critical for families to survive and thrive.
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