Volume 4, Issue 3 (7-2019)                   CJHR 2019, 4(3): 54-59 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jourabchi Z, Ranjkesh F, Alimoradi Z. Viewpoints of Health care Providers About the Integrated Maternal Healthcare Program: A Qualitative Study. CJHR 2019; 4 (3) :54-59
URL: http://cjhr.gums.ac.ir/article-1-124-en.html
Viewpoints of Health care Providers About the Integrated Maternal Healthcare Program: A Qualitative Study
Zinat Jourabchi1 , Fatemeh Ranjkesh1 , Zainab Alimoradi * 2
1- Department of Midwifery, School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
2- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran , zainabalimoradi@yahoo.com
Abstract:   (2206 Views)
Background: Maternal health program is among the most important health services. Providing convenient and high quality services, improve the mothers' health and satisfaction. This study was aimed to determine Health care providers` Viewpoints about the Integrated Maternal Healthcare Program.
Methods: The present qualitative study was performed using content analysis method. Data were collected by a semi-structured interview with midwives, physicians and relevant administrators from health department of Qazvin University of medical sciences. Purposive sampling technique was continued until conceptual saturation of information. Data analysis was done simultaneously with data collection.
Results: Data analysis showed three main themes of “program shortcomings”, “requirements for development” and “program facilitating points” along with ten subthemes.
Conclusion: It seems that the quality of maternal health services is more favorable with new program compared to old program. But there are problems in the implementation such as long period between visits or delay in requesting sonogram in the first trimester. Therefore continuous re-evaluation and correction of program will improve quality of the program and subsequently maternal health.
 
Keywords: Iran, Maternal Health Services, Prenatal care, Qualitative research
Full-Text [PDF 602 kb]   (603 Downloads)    
Article Type: Original Contributions | Subject: Health Management
Received: 2019/04/5 | Accepted: 2019/06/18 | Published: 2019/07/9
References
1. World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: WHO, 2016. available at: https://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng.pdf?sequence=1. Accessed June 10, 2019.
2. Tayebi T, Zahrani ST, Mohammadpour R. Relationship between adequacy of prenatal care utilization index and pregnancy outcomes. Iran J Nurs Midwifery Res. 2013;18(5):360-366.
3. World Health Organization. Maternal mortality. available at: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Updated February 18, 2018. Accessed June 10, 2019.
4. Bergsjø P. What is the evidence for the role of antenatal care strategies in the reduction of maternal mortality and morbidity? Safe motherhood strategies: a review of the evidence. available at: http://dspace.itg.be/bitstream/handle/10390/2653/2001shsop0035.pdf?sequence=2 Updated 17, 2001. Accessed Julu 2, 2019.
5. Villar J, Carroli G, Khan-Neelofur D, Piaggio G, Gülmezoglu M. Patterns of routine antenatal care for low-risk pregnancy. Cochrane Database Syst Rev. 2001;4(4):1-15. doi: 10.1002/14651858.CD000934. [DOI:10.1002/14651858.CD000934]
6. Kharaghani R, Shariati M, Yunesian M, Keramat A, Moghisi A. The Iranian integrated maternal health care guideline based on evidence-based medicine and American guidelines: A comparative study. Mod Care J. 2016 ; 13(2):e9455. doi: 10.17795/modernc.9455. [DOI:10.17795/modernc.9455]
7. Jafari N, Valafar S, Radpoyan L. Maternal health integrated cares. 3rd ed. Tehran, Iran: Ministery of Health in Iran, Maternal Health Office; 2006.
8. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-112. doi: 10.1016/j.nedt.2003.10.001. [DOI:10.1016/j.nedt.2003.10.001]
9. American College of Obstetricians and Gynecologists. ACOG Committee Opinion number 313, September 2005. The importance of preconception care in the continuum of women's health care. Obstet Gynecol. 2005;106(3):665-666. [DOI:10.1097/00006250-200509000-00052]
10. World Health Organization. Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice. 3rd eds. Geneva, Switzerland: World Health Organization; 2014.
11. Curtis MG. Preconception care: a clinical case of "think globally, act locally". Am J Obstet Gynecol. 2008;199(6 Suppl 2):S257-258. doi: 10.1016/j.ajog.2008.07.068. [DOI:10.1016/j.ajog.2008.07.068]
12. Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, et al. Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 2006;55(RR-6):1-23. [DOI:10.1037/e506902006-001]
13. Waggoner MR. Motherhood preconceived: The emergence of the preconception health and health care initiative. J Health Polit Policy Law. 2013;38(2):345-371. doi: 10.1215/03616878-1966333. [DOI:10.1215/03616878-1966333]
14. Berghella V, Buchanan E, Pereira L, Baxter JK. Preconception care. Obstet Gynecol Surv. 2010;65(2):119-131. doi: 10.1097/OGX.0b013e3181d0c358. [DOI:10.1097/OGX.0b013e3181d0c358]
15. World Health Organization. WHO antenatal care randomized trial: manual for the implementation of the new model. Geneva, Switzerland: World Health Organization; 2002.
16. Raatikainen K, Heiskanen N, Heinonen S. Under-attending free antenatal care is associated with adverse pregnancy outcomes. BMC Public Health. 2007;7(1):268. doi: 10.1186/1471-2458-7-268. [DOI:10.1186/1471-2458-7-268]
17. Phelan ST. Components and timing of prenatal care. Obstet Gynecol Clin North Am. 2008;35(3):339-353, vii. doi: 10.1016/j.ogc.2008.06.002. [DOI:10.1016/j.ogc.2008.06.002]
18. Corry MP; Maternity Center Association. Recommendations from Listening to Mothers: the first national US survey of women's childbearing experiences. Birth. 2004;31(1):61-65. [DOI:10.1111/j.0730-7659.2004.0275.x]
19. Davis LJ, Okuboye S, Ferguson SL. Healthy people 2010. Examining a decade of matternal & infant health. AWHONN Lifelines. 2000;4(3):26-33. [DOI:10.1111/j.1552-6356.2000.tb01429.x]
20. Chuang CH, Velott DL, Weisman CS. Exploring knowledge and attitudes related to pregnancy and preconception health in women with chronic medical conditions. Matern Child Health J. 2010;14(5):713-719. doi: 10.1007/s10995-009-0518-6. [DOI:10.1007/s10995-009-0518-6]
21. Ebrahim SH, Kulkarni R, Parker C, Atrash HK. Blood disorders among women: Implications for preconception care. Am J Prev Med. 2010;38(4 Suppl):S459-67. doi: 10.1016/j.amepre.2009.12.018. [DOI:10.1016/j.amepre.2009.12.018]
22. Masek M, Lee CS, Lam CP, Tan KT, Fyneman A. Remote home-based ante and post natal care. Presented at: Proceedings of the 11th International Conference on e-Health Networking, Applications and Services. Sydney, Australia, December 16-18, 2009. [DOI:10.1109/HEALTH.2009.5406204]
23. Winterbottom J, Smyth R, Jacoby A, Baker G. The effectiveness of preconception counseling to reduce adverse pregnancy outcome in women with epilepsy: What's the evidence? Epilepsy Behav. 2009;14(2):273-279. doi: 10.1016/j.yebeh.2008.11.008. [DOI:10.1016/j.yebeh.2008.11.008]
Add your comments about this article : Your username or Email:
CAPTCHA
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Caspian Journal of Health Research

Designed & Developed by : Yektaweb