Maternal & Child Health

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Browsing Maternal & Child Health by Author "Chirwa, Marumbo"

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    Exploring factors that influence of uptake and utilisation of maternity health services among adolescent women to inform designing of novel adolescent friendly maternity health services in Malawi: A formative qualitative study
    (Kamuzu University of Health Sciences, 2021-08-02) Chirwa, Marumbo
    Type of research study: the study will use a longitudinal qualitative design in the phenomenological tradition. Pregnant adolescents will be recruited in their second or third trimester and they will be followed until 6 weeks postpartum. Data will be collected during the antenatal period, one week postpartum and six weeks postpartum. The problem: Maternal health services in Malawi are provided in all government hospitals, starting right from the primary health care facilities, and are rendered at no cost. Despite the availability of these services, some adolescent women inadequately utilizse them, and do not gain maximum benefits of the services, by reporting late to book for ANC, for labour and delivery, and as well as for their postnatal checkups. This situation increases the risk of infant and maternal morbidity and mortality. Hence, this research proposal seeks to address this challenge by understanding the factors that influence and strategies for improving the utilization of maternal health services among the adolescents in resource resource-limited settings, which is one of the contributing factors to maternal and infant morbiditly and mortality. Objective: To assess the factors that influence and strategies for optimizing utilization of maternity services among adolescent women. in Zomba Malawi. Specific objectives; toally we will assess knowledge and experiences of adolescent women of maternal health services;, to explore factors that influence adolescent women’s decision to utilize maternal health services, and to identify barriers and facilitators to utilization of maternity services and strategies for optimizing utilization of maternity services among adolescents. in Zomba. Methods: the The study will use a longitudinala qualitative design in the phenomenological tradition. Pregnant adolescents in their second or third trimesters, will be purposively selected and upon giving consent to participate in the study, they will be recruited. Data will be collected from participants through Vignettes, pictorial diaries, and In-depth interviews at three three-time intervals; during the antenatal period, one week postpartum, and six weeks postpartum, to help the researcher understand adolescents’ experiences while they were receiving care when they were pregnant, during labour and deliver and after they had delivered. In addition to the above above-mentioned methods, literate participants will also be given diaries in which they will write down their experiences during pregnancy. All the tools for data collection will be presented in the local language and will be recorded on a digital recorder then transcribed in English verbatim. Transcripts will then be imported into Nvivo software. Thematic data analysis will be used in this study. Safety The safety of data will be ensured by using a password to get access into the database. Expected findings and their dissemination; It is expected that the study will provide information on determinants of uptake and strategies of improving the utilizsation of maternity health services among adolescent mothers. Results of this study will be presented at both the district and at the national level through review meetings coordinated by MOH and other stakeholders. Also, at the College of Medicine research dissemination conference. Printed hard copies will be made available to the College of Medicine library Library and COMREC. Finally, the prepared paper will be submitted to peer review journals for publication and summarized in policy briefs and posters. Possible constraints: Conduct The conduct of the study may be challenged with the ongoing COVID-19 pandemic. We propose to conduct both telephonic and face-to-face methods of data collection to mitigate the unintended consequences of COVOD-19