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Task shifting the promotion of health-related behaviours for maternal and newborn health to a broad range of cadres, including lay health workers, auxiliary nurses, nurses, midwives and doctors is ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Recommended) • The GDG noted that, while task shifting has an important role to play in allowing flexibility in health-care delivery in low-resource settings, policy-makers need to work towards midwife-led care for all women. • Lay health workers need to be recognized and integrated into the system, and not be working alone, i.e. task shifting needs to occur within a team approach. • The mandate of all health workers involved in task shifting programmes needs to be clear. • In a ...
ver más ... 2019Packages of interventions that include household and community mobilization and antenatal home visits are recommended to improve antenatal care utilization and perinatal health outcomes, particularly ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation) Remarks • The GDG agreed that the extent to which these packages improve communication and support for pregnant women is not clear. • As a stand-alone intervention, the evidence does not support the use of antenatal home visits by lay health workers during pregnancy to improve ANC utilization health outcomes. While the quality and effectiveness of communication during home visits, and the extent to which they increase support for women, is not clear, ...
ver más ... 2019The implementation of community mobilization through facilitated participatory learning and action (PLA) cycles with women’s groups is recommended to improve maternal and newborn health, ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
Participatory women’s groups represent an opportunity for women to discuss their needs during pregnancy, including barriers to reaching care, and to increase support to pregnant women. (Context-specific recommendation) Remarks • Part of this recommendation was integrated from WHO recommendations on community mobilization through facilitated participatory learning and action cycles with women’s groups for maternal and newborn health (2014). • The pathways of influence of this ...
ver más ... 2019Group antenatal care provided by qualified health-care professionals may be offered as an alternative to individual antenatal care for pregnant women in the context of rigorous research, depending on ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation – research) Remarks • With the group ANC model, the first visit for all pregnant women is an individual visit. Then at subsequent visits, the usual individual pregnancy health assessment, held in a private examination area, is integrated into a group ANC session, with facilitated educational activities and peer support. • Health-care facilities need to be seeing sufficient numbers of pregnant women, as allocation to groups is ideally performed according ...
ver más ... 2019Midwife-led continuity-of-care models, in which a known midwife or small group of known midwives supports a woman throughout the antenatal, intrapartum and postnatal continuum, are recommended for ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation) Remarks • MLCC models are models of care in which a known and trusted midwife (caseload midwifery), or small group of known midwives (team midwifery), supports a woman throughout the antenatal, intrapartum and postnatal period, to facilitate a healthy pregnancy and childbirth, and healthy parenting practices. • MLCC models are complex interventions and it is unclear whether the pathway of influence producing these positive effects is the continuity of ...
ver más ... 2019