Maternal and child health is a crucial public health issue, as it can help end preventable deaths among women, children, and adolescents and improve their health and well-being. Community-based care in maternal and newborn health involves providing home- and/or community-level skilled care, linking them to equity-centered approaches to maternity care, and promoting a supportive community environment. Equity-centered approaches may help curb the rising rate of maternal mortality in the United States, particularly among women of color.
In 2018, Medicaid covered approximately 43 million mothers and children. Coordinating care from preconception to delivery and the health of the child can lead to profound benefits for the health and well-being of women and children, improving subsequent pregnancy and child health outcomes. However, mothers and children continue to die due to triple delays in seeking appropriate care, reaching the health facility, and receiving appropriate management.
Maternal health is vital to society, as it affects the health of future generations. Community-based care can serve as a valuable program in providing essential maternal and newborn care, especially in low-income communities. Good quality child care plays an important role in insulating the child from family-based risk.
Family-centered maternity and newborn care is a complex, multidimensional, dynamic process of providing safe, skilled, and individualized care. Promoting maternal and child health is a mandate dedicated to young children and families, and children have always occupied an important place among First Nations.
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What are the benefits of community based interventions?
Community-based interventions aim to prevent dysfunction and promote well-being among the target population by reducing chronic diseases, improving mental health, reducing crime and violence, and promoting economic development. These interventions often involve collaboration between community members, government agencies, and non-profit organizations, addressing complex social, economic, and environmental factors that contribute to health and well-being in their community.
What is the importance of maternal role?
The maternal role is a crucial aspect of a woman’s life, requiring her to gain competence and become comfortable with her identity. However, diseases like Multiple Sclerosis (MS) can hinder this process. A study was conducted in Iran to explore the experiences of women with MS in their maternal role. The first phase involved interviewing pregnant women with MS and mothers with MS who have children under one-year-old. The second phase involved creating a support program to assist women with MS during pregnancy and after giving birth.
The third phase evaluated the program using nominal group technique. The maternal role is seen as challenging yet rewarding, involving physical and practical duties like feeding, holding, cleaning, and ensuring the safety of the baby, as well as cognitive-emotional aspects focusing on attitudes towards motherhood and awareness of the child’s needs.
What are examples of community based interventions?
Social ecology is a framework that suggests that individuals’ behaviors are influenced by various social influences at different levels of analysis. Interventions can include family support, social network influences, neighborhood characteristics, organizational policies and practices, community factors, public policy, the physical environment, and culture. These interventions can be implemented at multiple levels within the social ecology to address behavioral risks.
However, social ecology is more than just using interventions at multiple levels of the social system; it also emphasizes the reciprocal causality between each level of analysis. Individuals are affected by their families and informal networks, and individual characteristics affect the social networks they have access to. Our social networks are largely developed within the context of organizations and environments that bring us into contact with others.
Social ecology provides a systems framework for thinking about behavioral change as an outcome of community-based interventions and a framework for thinking about healthy communities. For example, since the 1950s, smoking rates in the US have decreased by half, leading to widespread shifts in perceptions of smokers from masculine, sophisticated, and sexy adults to weak-willed and addicted individuals. These changes have occurred despite the deliberate shaping of public opinion by tobacco producers and the marketing of tobacco to vulnerable populations.
These cultural changes in perceptions of smoking are not the result of any single community-based intervention but are the result of increasing evidence of the harmful effects of tobacco use and the cumulative impact of multiple systemic interventions.
Why is it important in childcare to have a good relationship with the community?
Children grow within their community, learning about society and its values. They develop in small environments like music circles, art classes, and reading corners, which help them understand the wider society. This local community provides a supportive foundation for a child’s life, helping them learn about themselves, tackle challenges, build knowledge, and thrive. Additionally, children within communities build relationships that support their emotional and physical development and help them succeed in life. Participating in community creation leads to the building of profound relationships, which must become part of a child’s everyday experience and be nurtured consistently over time.
Why is maternal wellbeing important?
Infants born to mothers with mental health challenges have a higher likelihood of poor mental health throughout their lives, affecting attachment and self-soothing. This occurs during the first thousand crucial days of an infant’s brain development, when the infant’s brain is most vulnerable. Maternal mental health is a transitional process, involving identity, vulnerability, control, choice, autonomy, difference, and grief.
Motherhood is also subject to misuse of power, causing women to feel marginalized and oppressed. Ethical issues are complex and vary with each stage, affecting multiple humans, including mothers, fathers, partners, donors, siblings, and wider families.
What are the goals of maternal and child health?
MCH Care’s objective is to diminish maternal, perinatal, infant, and childhood mortality and morbidity, advance reproductive health, and bolster the physical and psychosocial growth of children and adolescents within the family.
What is the importance of maternal care?
Maternal healthcare is of paramount importance for the well-being of both mother and infant, as well as for the benefit of society at large. Nurses are instrumental in addressing the challenges mothers encounter in accessing quality healthcare and leading healthier lives, thereby promoting maternal health.
Why are communities important for children or benefits of having a community around the child as they develop?
Regular engagement in a community is crucial for children’s social and emotional development, as it provides them with new experiences and opportunities, broadening their horizons and building their confidence. Relationships with family members, teachers, and other caregivers can help children feel safe, supported, and valued, affecting their overall wellbeing. A strong community also provides role models and positive relationships with adults, shaping their attitudes and beliefs about the world.
The EYLF emphasizes the importance of understanding and appreciating different cultures, as children in a strong community experience different customs and ways of thinking, leading to a wider understanding and acceptance of the world.
Why community is important in motherhood?
A review of the literature reveals a positive correlation between maternal well-being and the level of support received during pregnancy and the postpartum period. Mothers who receive more support tend to exhibit increased happiness and optimism about parenthood. Given the pivotal role that community plays in shaping women’s perceptions of motherhood, it is of paramount importance for them to establish supportive networks.
What are community based interventions for maternal health?
The review authors found 26 studies evaluating the impact of community-based intervention packages on preventing maternal illness and death and improving newborn health outcomes. These studies were mostly conducted in developing countries, including India, Bangladesh, Pakistan, Nepal, China, Zambia, Malawi, Tanzania, South Africa, and Ghana. The results showed that women assigned to receive a community-based intervention package and with health workers receiving additional training had less illness and complications during pregnancy and birth, fewer stillbirths, infant deaths around the time of birth, and maternal ill-health.
Community-based intervention packages were associated with improved uptake of tetanus immunisation, usage of clean delivery kits for home births and institutional deliveries, early initiation of breastfeeding, and health-care seeking by mothers for illnesses related to their babies.
The review highlights the value of integrating maternal and newborn care in community settings through a range of interventions that can be packaged effectively for delivery through a range of community health workers and health promotion groups. While skilled delivery and facility-based care for maternal care cannot be denied, community-based strategies may extend across the continuum of maternal and newborn care.
The most successful packages were those that emphasized involving family members through community support and advocacy groups, community mobilization and education strategies, provision of care through trained community health workers via home visitation, and strengthened proper referrals for sick mothers and newborns.
However, the analysis largely derives from a limited number of effectiveness trials, as most studies were conducted in efficacy settings and the bulk of data was from Asia. There is a clear need for additional research at an appropriate scale and in the right settings, as well as high-quality randomised controlled trials employing stringent methods to ensure quality.
What is the main goal of improve maternal health?
Millennium Development Goal 5 (MDG 5) aims to improve maternal health by achieving two primary targets: 5A and 5B. Target 5A aims to reduce the global maternal mortality ratio by 75 percent, while Target 5B aims to achieve universal access to reproductive health. This is supported by research from the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), the Department of Reproductive Health and Research at the World Health Organization, the Department of Paediatrics at Ribeirão Preto Medical School, GLIDE Technical Cooperation and Research, and the Department of Social Medicine at Ribeirão Preto Medical School.
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