Pascal Byarugaba
Public Health 2018- Amending Timely Attendance of 1st Antenatal Care among Enceinte Women Utilizing Timed and Targeted Counselling (TTC)
Pascal Byarugaba
World Vision International, Uganda
Antenatal care (ANC) has perpetually been shown to abbreviate neonatal deaths via identification of high-risk pregnancies. Current WHO guidelines, however, state a supplemental underlying benefit: women’s uptake of ANC by a medical professional minimizes dropout from the continuum of maternal and reproductive healthcare. ANC plays a central role in the continuum of care, a critical framework for understanding the continuity between maternal, new born, and child health. ANC is an opportunity for adept professionals to inculcate and engage with women about how and why to distribute in a facility (in-facility distribution, IFD), the benefits of exclusive breastfeeding, where and when to return for postpartum and postnatal care, and the availability of modern family orchestrating methods. Supplementally, women who have a positive experience during their ANC visits may be more liable to bring their children back to health facilities for accommodations such as vaccinations and alimental supplements. While this logic is intuitive and optimistic, little evidence subsists to corroborate that receipt of ANC efficaciously keeps women in the health care system, categorically poor populations. Given that poor women are often the least connected to health accommodations due to long peregrinate distances, lack of access to conveyance or indemnification, poor health literacy, financial constraints, or cultural notions, it is categorically paramount to understand how receipt of ANC relates to other vital health accommodations along the continuum of care for these populations. If poor women who receive ANC are not returning to the health system or practicing positive health demeanours, this would be a grave missed opportunity to abbreviate subsisting health and healthca
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