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Concept analysis: Community-based postnatal care.

Katekani J Shirindza1, Thivhulawi Malwela, Maria S Maputle

  • 1Department of Advanced Nursing Sciences, Faculty of Health Sciences, University of Venda, Polokwane. katekani.joyce@yahoo.com.

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Summary

Community-based postnatal care enhances maternal and neonatal health through primary caregiver involvement. This study clarifies its complex, ethnic dimensions and integration into midwifery practice for improved outcomes.

Keywords:
community-basedconcept analysisearly dischargenewbornpostnatal carepostnatal womanprimary caregivers

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Area of Science:

  • Maternal and Child Health
  • Community Health Nursing
  • Healthcare Systems Research

Background:

  • Community-based postnatal care is crucial for maternal and neonatal health outside hospitals.
  • Its role and integration with primary caregiver services require clearer documentation.

Purpose of the Study:

  • To clarify the concept of community-based postnatal care using a rigorous concept analysis method.
  • To define the attributes, antecedents, and consequences of community-based postnatal care.

Main Methods:

  • Literature review and analysis using the established Walker and Avant concept analysis method.
  • Identification and categorization of recurring characteristics from relevant studies.

Main Results:

  • Community-based postnatal care is a complex concept, influenced by ethnicity and characterized by home-based skilled care.
  • Key components include community participation, mobilization, and linkages between health services and stakeholders.
  • Antecedents and consequences significantly influence the attributes of this care model.

Conclusions:

  • Empirical referents of community-based postnatal care can be integrated into midwifery guidelines for measurement.
  • Enhanced understanding promotes self-care, early detection, management, and referral in postnatal care.
  • This research aims to foster independence, confidence, and better relationships between caregivers and healthcare facilities, guiding future practice and research.