Myanmar Health Sciences Research Journal
Volume 25, Number 2
TITLE: ProvidersÃ¢â‚¬â„¢ and ClientsÃ¢â‚¬â„¢ Perceptions and Problems in Providing Newborn Health Services in Project and Non-project Townships of Magway Region
AUTHOR: Theingi Myint; Hla Soe Tinr; Kyaw Ko Ko Hlel; Phyu Phyu Thin Zaw; Kyaw Thu Soe; Zar Chi Win; Thi Thi Htun; Khin Htet Zin.
SOURCE: Myanmar Health Sciences Research Journal. 2013; 25(2): 106-113
ABSTRACT: A comparative study was conducted in two selected townships; Seikphyu (essential newborn care project-township) and Magway (non-project township) of Magway Region from September, 2009 to March, 2010. A total of 46 midwives (MWs) and 80 mothers were studied to investigate the perspectives of MWs and clients in delivering and receiving newborn health services. The number of MWs who practised postnatal visits daily during the first week after delivery was higher in project-township compared to non-project township (67.5% vs. 40.0%, p=0.048). MWs in project-township more practised body temperature taking (57.5% vs. 35.0%, p=0.044), avoidance of bathing after birth (92.5% vs. 52.5%, p=0.000) and encouraged exclusive breast feeding practice (82.5% vs, 60.0%, p=0.026). Barriers in provider side included inadequate equipment supplies especially in non-project township, heavy workload, geographical barriers, and ignorance of clients. Mothers in project-township more received newborn care education (87.5% vs. 52.5%, p=0.001), less practiced the application of substances into umbilicus (15.0% vs. 32.5%, p=0.046) and more practiced exclusive breast feeding (80.0% vs. 57.5%, p=0.03). Barriers in client side included busy days of MWs and geographical barrier. Therefore, client oriented intervention programs should be launched to relieve from ignorance and to overcome the traditional believes, parallel to innovative and effective projects on essential newborn care at provider side.
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