ABSTRACT
<b>Background:</b> Given the shortage of medical professionals in the Philippines, Barangay HealthWorkers (BHWs) may play a role in providing postpartum healthcare services.However, as there are no reports regarding BHW activities in postpartumhealthcare, we conducted this study to understandpostpartum healthcare services and exploring the challenges and motivations ofmaternal health service providers. <b>Methods:</b> Focus group interview (FGI) of 13participants was conducted as Qualitative Research Methodology at Muntinlupa City. The results were analyzed according tothe interview guide. The proceedingsof the FGI were transcribed verbatim, and researchers read and coded thetranscripts. The codes were then used to construct a categories. <b>Results:</b> Four important activities were highlighted among 11 analysiscodes. These activities were “Assessment of postpartum women’s conditions,”“Recommendation to visit a health facility,” “Measurement of blood-pressure andvitamin intake,” and “Providing postpartum health information.” Among fiveanalysis codes, we identified three challenges that BHWs face, which were “Nocurrent information regarding postpartum care,” “Some postpartum women do notwant to receive healthcare services from BHW,” and “Too many assigned postpartumwomen.” Among five analysis codes, we identified two reasons for continuing BHWactivities, which were “Hospitality to help postpartum women and their familyin the community” and “Performance of mission in providing BHW services.” <b>Conclusion:</b> This study is the first to evaluate BHW activities in postpartumhealthcare services. Our results indicate that BHWs may play an important rolein evaluating postpartum women’s physical and mental conditions throughhome-visiting services. However, several difficulties adversely affected theiractivities, and these must be addressed to maximize the contributions of BHWsto the postpartum healthcare system.
ABSTRACT
Background: Given the shortage of medical professionals in the Philippines, Barangay Health Workers (BHWs) may play a role in providing postpartum healthcare services. However, as there are no reports regarding BHW activities in postpartum healthcare, we conducted this study to understand postpartum healthcare services and to explore the challenges and motivations of maternal health service providers. Methods: Focus group interview (FGI) of 13 participants was conducted as qualitative research methodology at Muntinlupa City. The results were analyzed according to the interview guide. The proceedings of the FGI were transcribed verbatim, and researchers read and coded the transcripts. The codes were then used to construct categories. Results: Four important activities were highlighted among 11 analysis codes. These activities were “Assessment of postpartum women’s conditions,” “Recommendation to visit a health facility,” “Measurement of blood-pressure and vitamin intake,” and “Providing postpartum health information.” Among five analysis codes, we identified three challenges that BHWs face, which were “No current information regarding postpartum care,” “Some postpartum women do not want to receive healthcare services from BHW,” and “Too many assigned postpartum women.” Among five analysis codes, we identified two reasons for continuing BHW activities, which were “Hospitality to help postpartum women and their family in the community” and “Performance of mission in providing BHW services.” Conclusion: This study is the first to evaluate BHW activities in postpartum healthcare services. Our results indicate that BHWs play a potentially important role in evaluating postpartum women’s physical and mental conditions through home-visiting services. However, several difficulties adversely affected their activities, and these must be addressed to maximize the contributions of BHWs to the postpartum healthcare system.
ABSTRACT
<B>Introduction</B><BR>Compared to Japanese nationals, foreigners residing in Japan have a poor rate of maternal and child mortality and utilization of maternal and child health services. In this study, we examine the maternal and child health services provided by public health nurses to foreigners residing in Japan.<BR><B>Methods</B><BR>Questionnaires were administered to public health nurses working at local health centers in Aichi prefecture.<BR><B>Results</B><BR>Among the respondents, 4.5% were satisfied with the support system offered to foreigners residing in Japan, and 41.5% had offered their services to foreigners residing in Japan with various ideas. The following factors significantly affected satisfaction in public health nurses: acceptance by foreigners residing in Japan of the home of a newborn and maternal and child health check-ups (P=0.037, P=0.001, respectively), utilization of translators (P=0.002), and adopting a positive attitude towards providing health care services to foreigners residing in Japan (P=0.028).<BR><B>Conclusions</B><BR>Public health nurses in Japan are not satisfied with the health care services they offer foreigners residing in Japan. The results of this study suggest that it is important to provide them with multilingual materials and help them develop a positive attitude towards offering health care services to foreigners residing in Japan.
ABSTRACT
Objectives: To examine perceptions of nursing care for foreign patients in the ward and operating room (OR) and to clarify incidents and difficulties in nursing care.<br>Methods: Fifty-five obstetric and gynecological ward nurses and 13 OR nurses were contacted in writing and asked to participate in a self-administered questionnaire to clarify their perceptions of nursing care for foreign patients.<br>Results: The response rates for ward nurses and OR nurses were 65% (n=36) and 77% (n=10) respectively. One hundred percent of nurses with experience of foreign patient care stated that they had difficulties with language, cultural differences, the medical system, and financial problems. Incidents resulting from the nursing care included: not following instructions not to take food/drink, walking too soon, and missing their clinical follow-up appointment after discharge.<br>Conclusions: This research showed major difficulties with perioperative nursing care for foreign patients. These difficulties may have occurred as a result of issues such as language, differences in culture and the health care system. Difficulty with nursing care for foreign patients sometimes causes incidents. It is recommended that the barriers between non-Japanese patients and the medical staff are rectified in the perioperative period, when mutual understanding is important.