We call the baby ‘nakaghwele’. ‘Nakaghwele’ is the newborn and ‘omwibo’ is the mother. Because she is still in the postnatal period ‘akali mwibo’ |
‘Nakaghwele’ is the newborn and ‘omwibo’ is the newly delivered mother |
Cultural terms for newborn and mother |
Newborn and mother cultural terms |
Understanding newborn definition |
‘Nakaghwele’ starts at 1 day up to: 6 weeks …, 3 months …, 6 months when he/she starts eating and drinking …, starts to crawl/walk …, ends at 2 years |
Newborn period defined in various ways |
Varying definitions of newborn in community |
No common newborn definition |
Understanding newborn definition |
Now, we the Basogas have cultural norms …, A baby with an umbilical cord does not come out of the house and doesn't cross the road unless when sick |
A baby with an umbilical cord does not come out of the house |
Newborn kept in house till umbilical cord detaches |
Seclusion period |
Understanding newborn period and cultural expectation |
It's to all, irrespective of boy or girl; the cord must go off before he/she is brought out of the house |
Both female and male newborns are kept inside until cord detaches |
Male and female babies treated the same |
Seclusion norm – no differentiation by sex |
Understanding newborn period and cultural expectation |
If Sande (CHW) gives me a referral form, I don't line up; when I reach there, I just show them the referral form and they will work on me; you don't have to wait like the one without a referral form |
Mothers referred by CHWs with a referral note are attended to quickly at health facilities |
CHWs’ referrals recognised by health workers |
CHWs link mothers to health facilities |
Role of community health actors |
No, we go there because clinics are near and easy to access. And still it depends on the baby's situation; you may just go and get first aid from clinics before you proceed to the hospital |
Seek care from private clinics due to easy access and for first aid |
Seek care from private clinics |
Private clinics offer services |
Role of community health actors |
There are times when you give birth to a child and he/she develops what they call ‘bidama’ in Lusoga, you have to take the child for traditional intervention |
Local/traditional diseases are treated at traditional healers |
Traditional illness requires traditional treatment |
Care from traditional sector |
Role of community health actors |
At Musawo Monica's clinic in the trading centre and that is where she was immunised from because they send vaccines from Magada every end of the month |
Mothers are aware and immunise children at outreaches |
Private clinics used for immunisation outreaches |
Public–private partnership |
Role of community health actors |
When the body changes and becomes yellow, child has a problem …, if the baby has been breastfeeding well, the feeding pattern reduces or it cannot suckle |
Baby has a problem when he/she turns yellow …, if he/she reduces or stops breastfeeding |
Yellowing, failure to breastfeed show baby is unwell |
Knowledge of danger signs |
Caregiver knowledge |
Sometimes if the past experience from Nakavule (Hospital) was very bad so you are forced to go to clinics |
Go to clinics due to bad experience at hospital |
Bad experience at hospital |
Past experience at health facility |
Caregiver experience |
When you are a husband at home, yet you don't have money, the one who has money decides |
The one who has money is the one who decides |
Decision depends on availability of money |
Both mother and father can decide |
Decision-making autonomy |