Conference abstract

Implementation experience in developing a post-caesarean section home care guide in Tanzania

Pan African Medical Journal - Conference Proceedings. 2024:21(51).29 Apr 2024.
doi: 10.11604/pamj-cp.2024.21.51.2381
Archived on: 29 Apr 2024
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Keywords: Post cesarean section, home guide, family planning
Oral presentation

Implementation experience in developing a post-caesarean section home care guide in Tanzania

Mwajuma B. Mdoe1,&, Kibusi SM2, Mselle LT3

1Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania, 2Department of Public Health, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania, 3Department of Clinical Nursing, School of Nursing, Muhimbili University of Health and Allied Science, Dar es Salaam, Tanzania

&Corresponding author

Introduction: post-caesarean section (CS) mothers have a unique recovery and are discharged early to decongest post-CS wards, yet they don’t receive adequate information on how to live at home after a hospital discharge. This is because there is no guide for nurse-midwives to educate mothers. This study aimed to develop guides on home care for post-CS mothers and share their developmental experiences.

Methods: the development of the home care guide involved multiple stages: an integrative review of the literature and a qualitative study to explore the content of health education provided by nurse midwives and opinions of post-CS mothers. Findings resulted in the prototype I, validated by maternal and child health experts, nurse-midwives, and post-CS mothers at Morogoro Referral Hospital. The SPSS version 25 was used to run a descriptive analysis of their opinions.

Results: the majority rated the relevance of the components of the guide except in language use (55%, n=11), which suggested the use of advisory words. The recommendations for 5 meals per meal were suggested to be changed to at least 3 meals due to their economic status. The majority (55%, n=27) of post-CS mothers and nurse midwives (55%, n=11) rated the guide to be taught more than two times, and the majority of mothers (66%, n=33) suggested the guide be taught during discharge. Nurse midwives and mothers reported a unique experience of being involved in guide development.

Conclusion: the developed guide included content on wound care, nutrition, hygiene, exercise, family planning, breast care, and mental health care.