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      Traditional beliefs in postpartum care among Indonesian and Filipino mothers: a comparative study

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          Abstract Introduction: This study was conducted to assess the traditional beliefs and practices in postpartum care among Indonesian and Filipino mothers to propose a program to improve maternal and child health. Methods: The study utilized a descriptive research design to Indonesian mother respondents (n=110) and Filipino mother-respondents (n=119) who were conveniently selected. Traditional beliefs focused on technological factors, religious and philosophical factors, kinship and social factors, cultural values, beliefs, lifestyles, political and legal factors, economic factors, and educational factors were evaluated. Results: On assessing the traditional beliefs in postpartum care, Indonesian mother respondents obtained an overall mean of 2.83 verbally interpreted as agree/true while Filipino mother-respondents yielded an overall mean of 2.99 verbally interpreted as agree/true. Statistical analysis showed a significant difference in the assessment of Indonesian and Filipino mother respondents on their traditional beliefs in postpartum care in terms of technological factors, kinship, and social factors, cultural values, and educational factors. Conclusions: These findings indicate that traditional practices towards maternal care in the postpartum period are commonplace that have been practiced for generations in countries in Southeast Asia, especially Indonesia and the Philippines, although there are different traditional beliefs in postpartum care in aspects of technological factors, kinship and social factors, cultural values, beliefs, and like ways factors, and educational factors.

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          Resumen Introducción: Este estudio se realizó para evaluar las creencias y prácticas tradicionales en la atención posparto entre madres indonesias y filipinas para proponer un programa para mejorar la salud maternoinfantil. Métodos: El estudio utilizó un diseño de investigación descriptivo para las madres encuestadas indonesias (n=110) y las madres filipinas encuestadas (n=119) que fueron convenientemente seleccionadas. Creencias tradicionales enfocadas en factores tecnológicos, factores religiosos y filosóficos, factores sociales y de parentesco, valores culturales, creencias, estilos de vida, factores políticos y legales, factores económicos y factores educativos fueron evaluadas. Resultados: Al evaluar las creencias tradicionales en la atención posparto, las madres indonesias encuestadas obtuvieron una media general de 2,83 interpretado verbalmente como de acuerdo / verdadero, mientras que las madres filipinas encuestadas arrojaron una media general de 2,99 interpretadas verbalmente como de acuerdo/verdadero. El análisis estadístico mostró una diferencia significativa en la evaluación de las madres encuestadas indonesias y filipinas sobre sus creencias tradicionales en la atención posparto en términos de factores tecnológicos, parentesco y factores sociales, valores culturales y factores educativos. Conclusiones: Estos hallazgos indican que las prácticas tradicionales hacia el cuidado materno en el posparto son un lugar común que se ha practicado durante generaciones en países del sudeste asiático, especialmente Indonesia y Filipinas, aunque existen diferentes creencias tradicionales en el cuidado posparto en aspectos de factores tecnológicos, parentesco y factores sociales, valores culturales, creencias y factores de formas similares, y factores educativos.

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          Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda

          Background Improving knowledge of obstetric danger signs and promoting birth preparedness practices are strategies aimed at enhancing utilization of skilled care in low-income countries. The aim of the study was to explore the association between knowledge of obstetric danger signs and birth preparedness among recently delivered women in south-western Uganda. Methods The study included 764 recently delivered women from 112 villages in Mbarara district. Community survey methods were used and 764 recently delivered women from 112 villages in Mbarara district were included in study. Interviewer administered questionnaire were used to collect data. Logistic regression analyses were conducted to explore the relationship between knowledge of key danger signs and birth preparedness. Results Fifty two percent of women knew at least one key danger sign during pregnancy, 72% during delivery and 72% during postpartum. Only 19% had knowledge of 3 or more key danger signs during the three periods. Of the four birth preparedness practices; 91% had saved money, 71% had bought birth materials, 61% identified a health professional and 61% identified means of transport. Overall 35% of the respondents were birth prepared. The relationship between knowledge of at least one key danger sign during pregnancy or during postpartum and birth preparedness showed statistical significance which persisted after adjusting for probable confounders (OR 1.8, 95% CI: 1.2-2.6) and (OR 1.9, 95% CI: 1.2-3.0) respectively. Young age and high levels of education had synergistic effect on the relationship between knowledge and birth preparedness. The associations between knowledge of at least one key danger sign during childbirth or knowledge that prolonged labour was a key danger sign and birth preparedness were not statistically significant. Conclusions The prevalence of recently delivered women who had knowledge of key danger signs or those who were birth prepared was very low. Since the majority of women attend antenatal care sessions, the quality and methods of delivery of antenatal care education require review so as to improve its effectiveness. Universal primary and secondary education programmes ought to be promoted so as to enhance the impact of knowledge of key danger signs on birth preparedness practices.
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            Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis

            Abstract Objective To assess the socioeconomic, geographical and demographic inequities in the use of postnatal health-care services in low- and middle-income countries. Methods We searched Medline, Embase and Cochrane Central databases and grey literature for experimental, quasi-experimental and observational studies that had been conducted in low- and middle-income countries. We summarized the relevant studies qualitatively and performed meta-analyses of the use of postnatal care services according to selected indicators of socioeconomic status and residence in an urban or rural setting. Findings A total of 36 studies were included in the narrative synthesis and 10 of them were used for the meta-analyses. Compared with women in the lowest quintile of socioeconomic status, the pooled odds ratios for use of postnatal care by women in the second, third, fourth and fifth quintiles were: 1.14 (95% confidence interval, CI : 0.96–1.34), 1.32 (95% CI: 1.12–1.55), 1.60 (95% CI: 1.30–1.98) and 2.27 (95% CI: 1.75–2.93) respectively. Compared to women living in rural settings, the pooled odds ratio for the use of postnatal care by women living in urban settings was 1.36 (95% CI: 1.01–1.81). A qualitative assessment of the relevant published data also indicated that use of postnatal care services increased with increasing level of education. Conclusion In low- and middle-income countries, use of postnatal care services remains highly inequitable and varies markedly with socioeconomic status and between urban and rural residents.
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              Why don't some women attend antenatal and postnatal care services?: a qualitative study of community members' perspectives in Garut, Sukabumi and Ciamis districts of West Java Province, Indonesia

              Background Antenatal, delivery and postnatal care services are amongst the recommended interventions aimed at preventing maternal and newborn deaths worldwide. West Java is one of the provinces of Java Island in Indonesia with a high proportion of home deliveries, a low attendance of four antenatal services and a low postnatal care uptake. This paper aims to explore community members' perspectives on antenatal and postnatal care services, including reasons for using or not using these services, the services received during antenatal and postnatal care, and cultural practices during antenatal and postnatal periods in Garut, Sukabumi and Ciamis districts of West Java province. Methods A qualitative study was conducted from March to July 2009 in six villages in three districts of West Java province. Twenty focus group discussions (FGDs) and 165 in-depth interviews were carried out involving a total of 295 respondents. The guidelines for FGDs and in-depth interviews included the topics of community experiences with antenatal and postnatal care services, reasons for not attending the services, and cultural practices during antenatal and postnatal periods. Results Our study found that the main reason women attended antenatal and postnatal care services was to ensure the safe health of both mother and infant. Financial difficulty emerged as the major issue among women who did not fulfil the minimum requirements of four antenatal care services or two postnatal care services within the first month after delivery. This was related to the cost of health services, transportation costs, or both. In remote areas, the limited availability of health services was also a problem, especially if the village midwife frequently travelled out of the village. The distances from health facilities, in addition to poor road conditions were major concerns, particularly for those living in remote areas. Lack of community awareness about the importance of these services was also found, as some community members perceived health services to be necessary only if obstetric complications occurred. The services of traditional birth attendants for antenatal, delivery, and postnatal care were widely used, and their roles in maternal and child care were considered vital by some community members. Conclusions It is important that public health strategies take into account the availability, affordability and accessibility of health services. Poverty alleviation strategies will help financially deprived communities to use antenatal and postnatal health services. This study also demonstrated the importance of health promotion programs for increasing community awareness about the necessity of antenatal and postnatal services.
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                Author and article information

                Journal
                ijm
                Iberoamerican Journal of Medicine
                Iberoam J Med
                Hospital San Pedro (Logroño, La Rioja, Spain )
                2695-5075
                2695-5075
                2021
                : 3
                : 3
                : 241-248
                Affiliations
                [3] Karawang orgnameSingaper Bangsa University orgdiv1Department of Midwifery Indonesia
                [1] Tapanuli Utara orgnameHealth Polytechnic orgdiv1Department of Midwifery Indonesia
                [2] orgnameTrinity University of Asia orgdiv1Department of Nursing Filipinas
                Article
                S2695-50752021000300010 S2695-5075(21)00300300010
                10.5281/zenodo.5036131
                76648c08-508b-4b64-8448-5a9a53d99a88

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 26 June 2021
                : 28 May 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 8
                Product

                SciELO Spain


                Cuidados posnatales,Cultura,Tradicional,Philippines,Indonesia,Cultural diversity,Postnatal care,Culture,Traditional,Diversidad cultural,Filipinas

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