دورية أكاديمية
Integrating trauma- and violence-informed care for adolescent mothers in Rwanda: a qualitative study with community health workers.
| العنوان: | Integrating trauma- and violence-informed care for adolescent mothers in Rwanda: a qualitative study with community health workers. |
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| المؤلفون: | Nkurunziza A; School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. ankurun@uwo.ca.; Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, ON, Canada. ankurun@uwo.ca.; Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada. ankurun@uwo.ca.; School of Nursing, Nipissing University, North Bay, Canada. ankurun@uwo.ca., Smye VL; Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, ON, Canada., Wathen CN; Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, ON, Canada., Jackson KT; Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, ON, Canada., Cechetto DF; Schulich School of Medicine & Dentistry, Western University, London, ON, Canada., Tryphonopoulos P; Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, ON, Canada., Gishoma D; School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.; Mental Health Division, Rwanda Biomedical Center, Ministry of Health, Kigali, Rwanda. |
| المصدر: | BMC health services research [BMC Health Serv Res] 2024 Jul 30; Vol. 24 (1), pp. 868. Date of Electronic Publication: 2024 Jul 30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Qualitative Research* , Community Health Workers*/psychology , Pregnancy in Adolescence*/psychology, Humans ; Rwanda ; Adolescent ; Female ; Pregnancy ; Mothers/psychology ; Violence/psychology ; Maternal Health Services ; Adult ; Interviews as Topic |
| مستخلص: | Introduction: In Rwanda, maternal community health workers play a critical role to improving maternal, newborn and child health, but little is known about their specific experiences with adolescent mothers, who face unique challenges, including trauma, ongoing violence, stigma, ostracism, mental health issues, barriers within the healthcare system, and lack of access to the social determinants of health. This study explored the experiences of maternal community health workers when caring for adolescent mothers in Rwanda to inform the delivery of trauma- and violence-informed care in community maternal services. Methods: Interpretive Description methodology was used to understand the experiences of 12 community health workers purposively recruited for interviews due to their management roles. To gain additional insights about the context, seven key informants were also interviewed. Findings: Maternal community health workers provided personalized support to adolescent mothers through the provision of continuity of care, acting as a liaison, engaging relationally and tailoring home visits. They reported feeling passionate about their work, supporting each other, and receiving support from their leaders as facilitators in caring for adolescent mothers. Challenges in their work included handling disclosures of violence, dealing with adolescent mothers' financial constraints, difficulties accessing these young mothers, and transportation issues. Adolescent mothers' circumstances are generally difficult, leading to self-reports of vicarious trauma among this sample of workers. Conclusion: Maternal community health workers play a key role in addressing the complex needs of adolescent mothers in Rwanda. However, they face individual and structural challenges highlighting the complexities of their work. To sustain and enhance their roles, it is imperative for government and other stakeholders to invest in resources, mentorship, and support. Additionally, training in equity-oriented approaches, particularly trauma- and violence-informed care, is essential to ensure safe and effective care for adolescent mothers and to mitigate vicarious trauma among maternal community health workers. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Adolescent mothers; Community; Community Health workers; Low- and middle-income countries; Trauma- and violence-informed care; Universal Health Coverage |
| تواريخ الأحداث: | Date Created: 20240731 Date Completed: 20240731 Latest Revision: 20240802 |
| رمز التحديث: | 20240802 |
| مُعرف محوري في PubMed: | PMC11289957 |
| DOI: | 10.1186/s12913-024-11352-x |
| PMID: | 39080753 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1472-6963 |
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| DOI: | 10.1186/s12913-024-11352-x |