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other·pediatrics, public health, obstetrics and gynecology, family medicine, epidemiology·PMC10022017

Qualitative assessment of family caregiver-centered neonatal education program in Karnataka, India

PLOS Global Public Health · 8 authors, 5 centres

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TL;DR

This qualitative study used interviews with 42 family caregivers to assess perceptions of the Care Companion Program, an in-hospital neonatal education intervention in India. The study found the program was positively perceived and increased knowledge for some behaviors like skin-to-skin care, but its influence was inconsistent for behaviors with strong cultural norms.

Full summary

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This qualitative study assessed the Care Companion Program (CCP), an in-hospital, skills-based education program for mothers and family caregivers on newborn care in Karnataka, India. Participants had a positive perception of CCP, finding the training useful and appreciating family involvement. The program was reported to increase knowledge and provide critical details for behaviors like breastfeeding and skin-to-skin care. However, the influence on behaviors varied; awareness increased for newly learned behaviors that did not conflict with cultural norms, while the program had less impact on behaviors like nonrestrictive maternal diet, which are heavily influenced by cultural norms. The study relied on self-reported data and had limitations, including potential social desirability bias and a limited geographic scope. The findings suggest in-hospital family education can positively influence key neonatal behaviors, but effectiveness is not universal across all health practices.

STUDY TYPE

other

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10022017

Qualitative assessment of family caregiver-centered neonatal education program in Karnataka, India

PLOS Global Public Health

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ABSTRACT

Globally 2.5 million newborns die every year before they reach the age of one month; the majority of these deaths occur in low- and middle-income countries. Among other factors, inadequate knowledge and skills to take care of newborns contribute to these deaths. To fill this gap, training patients and family members on the behaviors needed to improve essential newborn care practices at home is a promising opportunity. One program that aims to do this is the Care Companion Program (CCP) which provides in-hospital, skills-based training on care of mothers and newborns to families. This study uses semi-structured interviews to understand how and why knowledge and behaviors of maternal and newborn care behaviors change (or don’t change) as a result of CCP sessions and participants’ perception of the impact of CCP on change. Interviews focused on knowledge and behaviors around key neonatal and newborn topics and health seeking behaviors for health complications. Forty-two in-depth interviews were conducted among families with recently-delivered babies at their homes from four districts in Karnataka, India. Respondents have a positive perception about CCP, found training useful and appreciated other family members presence during the training. CCP increased knowledge and awareness and provided critical details to key behaviors like breastfeeding. Respondents were more likely to be receptive toward details on already known topics, like hand washing before touching the baby. Awareness increased on newly learned behaviors, like skin-to-skin care, which don’t conflict with cultural norms. The CCP did not influence nonrestrictive maternal diet as much, which cultural norms heavily influence. In-hospital family caregiver education programs, like CCP, can positively influence key neonatal behaviors by imparting knowledge and key skills. However, the effect is not universal across health behaviors.

CITATION EXPORT

Shirley D. Yan, Sahana S.D., Meghna Desai et al.. Qualitative assessment of family caregiver-centered neonatal education program in Karnataka, India. PLOS Global Public Health. (2023). https://doi.org/10.1371/journal.pgph.0000524

AUTHORS

8 · 5 CENTRES

Shirley D. Yan, Sahana S.D., Meghna Desai, Megan Marx Delaney, Lauren Bobanski, N. Rajkumar, Seema Murthy, Natalie Henrich

1 Noora Health, San Francisco, California, United States of America
2 Aurora Health Innovations, Bengaluru, India
3 Ariadne Labs, Harvard T.H. Chan School of Public Health/Brigham and Women’s Hospital, Boston, Massachusetts, United States of America
4 Directorate of Health & Family Welfare Services, Bangalore, Karnataka, India
The University of Texas Health Science Center at Houston School of Public Health - San Antonio Campus, UNITED STATES

EDITOR / REVIEWER

Marie A. Brault