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.

BMJ Global Health
|July 31, 2020
PubMed

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.

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