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Healthcare provider's attitude towards disability and experience of women with disabilities in the use of maternal healthcare service in rural Nepal

DEVKOTA, Hridaya Raj
KETT, Maria
GROCE, Nora
MURRAY, Emily
June 2017

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BACKGROUND:
Women with disabilities are less likely to receive maternal healthcare services compared to women without disabilities. While few studies have reviewed healthcare experience of women with disabilities, no studies have been conducted to understand provider's attitude towards disability in Nepal, yet the attitude and behaviour of healthcare providers may have a significant influence on aspects of care and the use of service by women with disabilities. This study examines healthcare provider's attitudes towards disability and explores the experience of women with disabilities in maternal healthcare service utilization during pregnancy and childbirth.

METHOD:
The study used mixed method approach. An attitude survey was conducted among 396 healthcare providers currently working in public health facilities in Rupandehi district of Nepal. For additional insight, eighteen in-depth interviews with women with disabilities who used maternal healthcare services in a healthcare facility within the study district in their last pregnancy were undertaken. The Attitude Towards Disabled Persons (ATDP) scale score was used to measure the attitudes of healthcare providers. For quantitative data, univariate and multivariate analysis using ANOVA was used to understand the association between outcome and independent variables and qualitative analysis generated and described themes.

Reproductive Health, 2017

Integrated management of pregnancy and childbirth : WHO recommended interventions for improving maternal and newborn health

WORLD HEALTH ORGANIZATION (WHO), DEPARTMENT OF MAKING PREGNANCY SAFER
2007

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This paper contains five tables listing recommendations to improve maternal and newborn health and survival, through health services, family and community. Table 1. Care in pregnancy, childbirth and postpartum period for mother and newborn infant; Table 2. Place of care, providers, interventions and commodities; Table 3. Home care, family, community and workplace support for the woman during pregnancy and childbirth and for the newborn infant; Table 4. Care for the woman before and between pregancies; Table 5. Pregnant women not wanting child

Opportunities for Africa's newborns : practical data, policy and programmatic support for newborn care in Africa

LAWN, Joy
KERBER, Kate
2006

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The African region has the highest rates of neonatal mortality in the world, and has shown the slowest progress so far in reducing neonatal deaths. New policies, however, seem to provide opportunities to accelerate progress for maternal, newborn and child health. Section 1 presents an overview of neonatal deaths, and lives that could be saved in Africa in order to guide policy and programme priority setting. Section 2 explores the the continuum of care through pre-pregnancy, pregnancy, childbirth and the postnatal period, highlighting current gaps in coverage of care and opportunities to address these gaps at all levels - family and community care, outreach services, and primary and referral care facilities. Section 3 contains an overview of the current situation for 9 key programmes related to newborn health. Section 4 discusses lessons learned and existing gaps between new policies and their implementation. Section 5, finally, contains a summary of relevant data for decision making for 46 countries in sub-Saharan Africa regarding maternal, newborn and child health status and policy. This accessible and comprehensive tool will be of use to policy makers, health and community workers and programme managers

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