Access to home-based postnatal care (PNC) in Flanders for people in vulnerable situations: a qualitative study
Mespreuve Ann-Sofie, 2023
As hospital stays after childbirth shortened in Belgium, it became increasingly important that the mother and new-born receive adequate medical and non-medical support at home. This is because the use of medical and non-medical care in the period after birth could improve survival numbers and overall health and wellbeing of mother and child. It was reported that the population in a vulnerable situation tends to underuse this type of care and therefore it is of particular importance to study the underlying reasons. In this study, we have talked to care providers to find out what makes it difficult or easy for that specific population to access care at home in the period after birth. Several barriers were found, like not receiving personalized guidance, unwilling to accept help, cultural insensitivity of care providers, poor communication and collaboration between relevant health care providers, not being able to afford the care, unawareness of what type of care is available and how much it costs, and lack of social support. Our experts shared some policy-level ideas to help overcome these challenges. They talked about the importance of building trust between patients and healthcare providers, as well as having coordinated care, which could be guaranteed by having the same contact person (e.g. midwife) for all health care needs during pregnancy and after. Additionally, they proposed collaboration platforms so that the best care plan for each patient can be discussed by all relevant care providers. Moreover, they made suggestions about how midwives and maternity aid workers should be paid and recognized for their work. Furthermore, they recommended Group Care, where medical check-ups are combined with interactive learning and meeting other people in similar situations. Policymakers and researchers should use these findings when designing strategies to make care at home in the postpartum period more accessible for people in vulnerable situations, and when designing follow-up research on the topic.
Promotor | Anna Galle |
Opleiding | Global Health |
Kernwoorden | access to care postnatal care home-based care vulnerable situation policy recommendations |