Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa

Background: Inadequate neonatal facilities in rural areas is one of the challenges affecting the management of preterm infants. In low income countries with limited resources, over 90% of preterm babies die within few days of life. Purpose: The purpose of this study was to describe the challenges en...

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Autores principales:	Thendo Mahwasane, Maria S. Maputle, Khathutshelo G. Simane-Netshisaulu, Thivhulawi Malwela
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/55fb99f4ad0d4d3baaae7bcdcda50680
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spelling	oai:doaj.org-article:55fb99f4ad0d4d3baaae7bcdcda506802021-12-02T03:58:04ZProvision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa2214-999610.5334/aogh.2555https://doaj.org/article/55fb99f4ad0d4d3baaae7bcdcda506802020-02-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2555https://doaj.org/toc/2214-9996Background: Inadequate neonatal facilities in rural areas is one of the challenges affecting the management of preterm infants. In low income countries with limited resources, over 90% of preterm babies die within few days of life. Purpose: The purpose of this study was to describe the challenges encountered by midwives when providing care to preterm infants at resource limited health facilities in Limpopo Province, South Africa. Methods: Qualitative research approach, using exploratory and descriptive design was used. Non-probability purposive sampling was used to select twenty three midwives who had an experience of two or more years in maternity. Data was collected using unstructured individual interviews, which were voice recorded and transcribed and data analysed qualitatively through the open-coding method. Findings: Revealed one theme, preterm condition and expected care; with sub-themes namely; perceived causes of preterm complications and deaths, preterm babies experience several difficulties which need specialised care, the need for constant individualised care and monitoring of preterm infants by midwives, functional relevant equipment needed for care of preterm infants, a need for constant training for midwives regarding care of preterm infants, and importance for a proper structure to house preterm infants which will lead to quality care provision. Conclusion: Preterm babies need simple essential care such as warmth, feeding support, safe oxygen use and prevention of infection. Lack of adequate resources and limited skills from midwives could contribute to morbidity and mortality. Health facility managers need to create opportunities for basic and advanced preterm care to equip the skills of midwives by sending them to special trainings such as Limpopo Initiative Neonatal Care (LINC), Helping Baby Breath (HHB) and Neonatal Intensive Care Unit (NICU). Operational managers should be involved in the identification, procurement and supply of required equipment. Continuous health education should be provided on the mothers about kangaroo mother care (KMC) and measures to prevent infections in the neonatal unit.Thendo MahwasaneMaria S. MaputleKhathutshelo G. Simane-NetshisauluThivhulawi MalwelaUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Thendo Mahwasane Maria S. Maputle Khathutshelo G. Simane-Netshisaulu Thivhulawi Malwela Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
description	Background: Inadequate neonatal facilities in rural areas is one of the challenges affecting the management of preterm infants. In low income countries with limited resources, over 90% of preterm babies die within few days of life. Purpose: The purpose of this study was to describe the challenges encountered by midwives when providing care to preterm infants at resource limited health facilities in Limpopo Province, South Africa. Methods: Qualitative research approach, using exploratory and descriptive design was used. Non-probability purposive sampling was used to select twenty three midwives who had an experience of two or more years in maternity. Data was collected using unstructured individual interviews, which were voice recorded and transcribed and data analysed qualitatively through the open-coding method. Findings: Revealed one theme, preterm condition and expected care; with sub-themes namely; perceived causes of preterm complications and deaths, preterm babies experience several difficulties which need specialised care, the need for constant individualised care and monitoring of preterm infants by midwives, functional relevant equipment needed for care of preterm infants, a need for constant training for midwives regarding care of preterm infants, and importance for a proper structure to house preterm infants which will lead to quality care provision. Conclusion: Preterm babies need simple essential care such as warmth, feeding support, safe oxygen use and prevention of infection. Lack of adequate resources and limited skills from midwives could contribute to morbidity and mortality. Health facility managers need to create opportunities for basic and advanced preterm care to equip the skills of midwives by sending them to special trainings such as Limpopo Initiative Neonatal Care (LINC), Helping Baby Breath (HHB) and Neonatal Intensive Care Unit (NICU). Operational managers should be involved in the identification, procurement and supply of required equipment. Continuous health education should be provided on the mothers about kangaroo mother care (KMC) and measures to prevent infections in the neonatal unit.
format	article
author	Thendo Mahwasane Maria S. Maputle Khathutshelo G. Simane-Netshisaulu Thivhulawi Malwela
author_facet	Thendo Mahwasane Maria S. Maputle Khathutshelo G. Simane-Netshisaulu Thivhulawi Malwela
author_sort	Thendo Mahwasane
title	Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_short	Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_full	Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_fullStr	Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_full_unstemmed	Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_sort	provision of care to preterm infants at resource limited health facilities of mopani district, south africa
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/55fb99f4ad0d4d3baaae7bcdcda50680
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Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa

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