Perceived Benefits of home visits and phone consultations |
Women & Village Health Teams |
• Perceived Benefits of home visits for the mother |
• Mediated appointments between pregnant women/mother and health workers |
• Promoted trust in the health system |
• Indirectly improved level of knowledge for VHTs |
• Perceived benefits of home visits for the newborn |
• Facilitated access to care & additional information and improved the referral process |
• General benefits of home visits |
• Encouraged maternal and newborn service utilisation |
• Perceived benefits of mobile phone consultation for the mother and newborn |
• Phone consultations saved time and reduced transport costs |
• Now we are famous in the |
• community- Elevated social status for VHTs & Participant women |
• Promoted confidence among VHTs, ingredient for sustainability of voluntary programme |
• Perceived benefit for the newborn |
• Provided additional information and lead to attitudinal change |
• Women felt better cared for than before the program began Elicited male partner support |
• Perceived general benefits of mobile phone consultation |
Perception regarding recommended newborn care practices |
Women & Village Health Teams |
• Perceptions about newborn care- |
• Nearly all VHTs practiced recommended practices Women & VHTs perceived as beneficial recommended maternal and newborn care practices |
• Lived experiences are powerful tools for attitudinal change-prerequisite for behaviour change |
• none application of substance on the cord- |
• delayed bathing for 3 days- |
• initiation of breastfeeding within one-hour and avoiding pre-lacteal feeds |
• Some VHTs doubted practicalities of delayed bathing and exclusive breastfeeding |
• Recommended practices not accepted in minority of VHTs-may compromise the benefits of home visits |
Perception regarding delegation of promotional maternal and newborn messages to VHTs |
Professional health workers |
• Beneficial |
• Mostly accepted by professional health workers to delegate promotional maternal and newborn interventions |
• Acceptable to work with VHTs |
• Sceptics about competencies of VHTs to offer maternal and newborn care |
• Not beneficial |
• Maybe |
• Caution about their mandate and how much they can perform regarding maternal and newborn care |
• Fear of over “professionalising” VHTs |
• Abuse of the responsibility accorded to them |