Research Article
Volume 9 Issue 8 - 2020
Providing Community based Birth and Immediate Perinatal Care to Pregnant Women in Rural Districts of Zambia: Results of a Randomised Community Interventional Study in Mpongwe and Chongwe
Mary Shilalukey Ngoma1*, Chishala Chabala2 and Anitha Menon3
1Professor of Paediatrics and Child Health, University of Zambia, Lusaka, Zambia
2Childrens Hospital, University of Zambia, Lusaka, Zambia
3Professor of Health Psychology, University of Zambia, Lusaka, Zambia
*Corresponding Author: Mary Shilalukey Ngoma, Professor of Paediatrics and Child Health, University of Zambia, Lusaka, Zambia.
Received: June 07, 2020; Published: , 2020




Abstract

The aim of the community based randomized control interventional study was to establish the capabilities of community health workers (CHWs) and traditional birth attendants (TBAs) to provide primary, home based maternal and immediate neonatal care. A total of 3846 pregnant women were recruited and 2000 gave birth during the study and 63% of these were delivered at home by the TBAs. CHWs and TBAs had been trained to provide antenatal care, delivery and perinatal and newborn care in the pilot districts.

Both the intervention and control groups were trained but only the intervention groups were equipped for the various interventions, while the control group provided routine Ministry of Health care. During the study 27% and 29% were pregnant in Chongwe and Mpongwe respectively. Home deliveries in respective districts were 57%, Chongwe; and 29% Mpongwe. Health centre deliveries were 40% Chongwe and 62% Mpongwe. More women in the intervention sites received perinatal care than in the control sites (p < 0.01). The CBAs were able to identify and record the danger signs such as: retained placenta, severe vaginal bleeding, prolonged labor and increased blood pressure. They also provided delivery and perinatal care such as: skilled attendance at delivery, observing for danger signs in the mother, observing for danger signs in the newborn, resuscitation of babies with asphyxia, and essential newborn care at birth. They referred complicated cases when they identified danger signs in the pregnant woman or baby. They additionally provided Prevention of Mother to Child Transmission care and administration of NVP to mother and newborn, while counseling the family when danger signs were identified. They encouraged early breastfeeding, keeping the infant warm, with Kangaroo Method of Care and referred those with complications.

Training, equipping and supervising community based health care givers, enabled them to capably offer antenatal, delivery and perinatal care which improved the wellbeing of pregnant women and their infants, in the early postnatal period. While Zambia upgrades the cadre of community health care givers, there is still need to give care to pregnant women.

Keywords: Birth; Perinatal Care; Pregnant Women; Zambia

References

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Citation: Mary Shilalukey Ngoma., et al. “Providing Community based Birth and Immediate Perinatal Care to Pregnant Women in Rural Districts of Zambia: Results of a Randomised Community Interventional Study in Mpongwe and Chongwe”. EC Gynaecology 9.8 (2020): 28-35.

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