Perceptions Of Mothers Research Articles

Are the mothers admitted for childbirth in a tertiary care hospital satisfied with the health care services? A mixed methods study from Mangaluru, Karnataka state, India

ContextPatient Satisfaction is the strongest determinant of hospital functioning and is an indirect or proxy indicator of the quality of doctor. AimsThe study aims to assess maternal satisfaction with healthcare services during childbirth during hospital stay, explore factors influencing satisfaction, and assess the perceptions of both mothers and their bystanders regarding the healthcare services provided. Methods and materialIt is a sequential explanatory mixed method study conducted in the Obstetrics and Gynaecology department in a tertiary college hospital among 291 pregnant women admitted for childbirth. Quantitative data obtained using expert validated questionnaire was entered in an Excel sheet and analyzed using IBM SPSS Version 23. Descriptive statistics were reported as median (IQR) for continuous variables and as frequencies and proportions for categorical variables. Normality was tested using Shapiro Wilk test and to test significant difference in satisfaction scores across the variables Mann Whitney U test was used. For the qualitative phase, in-depth interview was conducted to explore factors determining patient satisfaction in healthcare services. ResultsQuantitative results showed that mothers were satisfied with the admission process, support given during breastfeeding, immunization and vaccination, health education and very satisfied with the privacy, doctors and nursing services, overall cleanliness. Qualitative results revealed the admission process was time consuming, overall cleanliness was poor, guidance on breast feeding and immunization and service provided by doctors and nurses are good. ConclusionThe study concluded that while mothers were generally satisfied with healthcare services, particularly with support during breastfeeding, immunization, and doctor and nursing services, there were concerns about the admission process and overall cleanliness.

Exploring the Experiences, Cultural Values, and Perceptions of Mothers of Hospitalized Newborns in Malawi: An Integrative Review of the Literature.

Sub-Saharan Africa has the world's highest rates of neonatal mortality. Mothers are critical to the survival of these at-risk newborns. The aim of this integrative review is to appraise the published literature on the experiences, cultural values, and perceptions of mothers of hospitalized newborns in Malawi to inform future research. This integrative review utilizes Whittemore and Knafl's review model. CINAHL, PubMed, and Academic Search Elite databases were searched. Five summarizing themes were identified across ten articles relating to the mother as a caregiver, experiences of mother as a caregiver, cultural observations and perceptions of the mother, influence of others on the mother, and discrimination and stigma. Mothers' experiences of having a newborn requiring hospitalization in Malawi are complex. Results indicate a need for more studies to understand the experiences of mothers of newborns requiring hospitalization in Malawi in order to provide culturally congruent newborn care.

Investigation of mothers' elicited infant-directed speech and singing for preterm infants.

Mother's voice is a salient auditory stimulus commonly experienced during early development; after birth, characteristic acoustic modulations of mothers' infant-directed speech (IDSpeech) and singing (IDSinging) contribute to neurodevelopment. For preterm infants, early separation leads to decreased exposure to mother's voice; the impact on maternal ability to produce IDSpeech/IDSinging and infant perception of mother's voice is unknown. Fifty mother/preterm-infant dyads were enrolled in this prospective cohort study. Forty-four mothers recorded Twinkle, Twinkle Little Star in coached adult-directed speech (ADSpeech), IDSpeech, and IDSinging. Between 34.0-36.9w CGA, infants underwent high-density EEG during exposure to their mother's voice recordings. Acoustic features of mothers' voice and infant cortical response were analyzed and correlated. Acoustic features of recorded maternal ADSpeech, IDSpeech, and IDSinging were significantly different. In 33 infants with EEG, mean fundamental frequency and speech production rate (SPR) variability correlated with infant responses to ADSpeech; SPR and SPR variability correlated with IDSpeech; SPR correlated with IDSinging. Correlations were found at differing scalp locations for speech versus singing. Mothers of hospitalized preterm infants differentially modulate their voice during coached recorded language; features can then be differentiated by their preterm infants thus presenting opportunities for targeted interventions when parents cannot be present. Mothers of preterm infants can record their voice with acoustically quantifiable characteristics of infant-directed singing and speech, even when not at their infant's bedside. Recorded adult- and infant-directed speech stimuli are differentially processed in the brains of hospitalized preterm infants. The ability for mothers to create acoustically-distinct infant-directed speech in the absence of their infant may be driven by coaching to achieve an approximated sense of connection with their infant.

Challenges and Academic Performance of Re-Admitted Teenage Mothers in Kenyan Secondary Schools

Aims: The purpose of this study is to examine the influence of challenges faced by admitted teenage mother students on the academic performance in secondary schools in Kenya. The study addressed two specific objectives to achieve its aims These were to examine the challenges faced by the teenage mothers in the learning environment upon being re-admitted to school and its influence on their academic performance; and to explore the family and community perception of teenage mothers and its influence on the academic performance of admitted teenage mothers. Study Significance: The study assesses the impact of re-entry policy on teenage mothers' academic performance in Kenyan secondary schools, highlighting the need for improved support systems. It aims to inform educational practices, enhance program delivery, and contribute to achieving Vision 2030 goals. Study Design: The study a Mixed Methods Design that used a convergent parallel approach. Place and Duration of the Study: The research was conducted in Kenya in four counties namely: Trans Nzoia,xWest Pokot,xUasin Gishu andxElgeyo Marakwet. The variables ofxthe study included challenges faced by teenage mother and academic performance of the admitted teenage mother. The study was conducted in 2022. Methodology: The study used random, stratified and purposive approaches to select the 596 respondents from 102 schools in selected counties. Of this 458 responded to the questionnaire and interviews (72 Principals comprising 52 females and 20 males between 42 – 54 years; 74 Guidance and Counselling teachers 48 females and 24 males with an average age of 38 years; 66 Directors of Studies comprising 50 males and 16 females with a modal age of 36 years; 246 teenage mothers with an age range of 16 – 21 years). Results: The study found out that the challenges the teenage mothers experienced were both from home and the school environment which contributed to their academic performance. The teenage mothers found support from teachers while in school upon being admitted. Conclusion: Parents, schools and even other stakeholders should work in unity to ensure that the teenage mother do not go through challenges that can contribute to poor academic performance.

Perceptions of Motherhood Among Israeli Religious and Haredi Mothers of Children on the Autism Spectrum: From “I feel Like with Him I’m Lost” to “It’s a Gift in My Life”

Perceptions of Motherhood Among Israeli Religious and Haredi Mothers of Children on the Autism Spectrum: From “I feel Like with Him I’m Lost” to “It’s a Gift in My Life”

Unveiling Players' Perceptions of Mother- and Father-Initiated Motivational Climates and Fear of Failure in Youth Male Team Sports.

The aim of this study was to examine the relationship between perceived mother- and father-initiated motivational climates and players' fear of failure in youth male team sports. A sample of 336 youth male players from five team sports (basketball, football, handball, volleyball, and water polo) completed the Parent-Initiated Motivational Climate Questionnaire-2 and the Performance Failure Appraisal Inventory. The results showed that perceived mother- and father-initiated motivational climates were related to fear of failure predispositions. While a mastery orientation (perceived learning-enjoyment climate) had a low association with fear of failure, an ego orientation (perceived worry-conducive and success-without-effort climates) was highly related to fear of failure. Father-initiated climates had stronger associations with fear of failure than mother-initiated ones, revealing that mothers and fathers may have different influences when considering the developmental origins of fear of failure. The relationships between mother- and father-initiated motivational climates and fear of failure varied according to the type of sport, with basketball, football, and volleyball presenting stronger associations. The dimensions "Fear of important others losing interest" and "Fear of upsetting important others" presented the highest explained variance in all sports when predicted by the father-initiated motivational climate. The findings can inform important evidence-based guidelines and recommendations for parents, coaches, and organizations, enabling them to create supportive environments that aid athletes in developing the necessary psychological skills for long-term success and well-being.

Perception and Attitude of First-Time Mothers Towards Caesarean Section in Secondary Health Care Facility (A Mixed-Method Study)

Abstract Background: Despite the global rise in caesarean section (CS), Nigeria has a CS rate of 2.8%, which is far below the World Health Organisation recommendation of 10%–15%. Primigravida and/or first-time mothers constitute a cohort of women who are prone to obstetric emergencies such as cephalo–pelvic disproportion and obstructed labour. Objectives: To evaluate the first-time mothers’ knowledge, perceptions, and attitudes towards CS. Materials and Methods: This was a mixed-methods study conducted among first-time mothers (primigravids >28weeks and first-time CS-delivered) at Adeoyo Maternity Teaching Hospital, Ibadan, using questionnaires that assessed knowledge and attitude for the quantitative aspect and in-depth interviews for the qualitative aspect using a structured topic guide. Responses from the quantitative aspect were analysed using STATA 15, and each participant’s level of knowledge was scored and categorised as: Good knowledge >70%, fair knowledge 50%–70% and poor knowledge <50%. Content analysis was done for the qualitative aspect, and emerging themes on perception and interpretation in CS were summarised and presented as results for interpretation. Results: About 275 mothers (178 pregnant and 97 CS-delivered) were sampled. Only a few (13.45%) of the participants had good knowledge with an equivocal attitude towards CS. The majority (84%) believed that CS helped in saving lives. Also, there was a statistically significant difference between their knowledge and their educational level, occupation, religion, ethnicity, and family income (P < 0.05). The multinomial regression showed that gainfully employed Christian women significantly had more fair and good knowledge than Muslims (RR = 2.01, 95% CI = 1.13–3.57, P = 0.017) (RR = 2.71, 95% CI = 1.23–5.95, P = 0.013). Conclusion: Only a small number of the participants had good knowledge, and their perceptions about CS varied. The attitudes of participants towards CS appeared mixed, as nearly equal proportions of participants had positive and negative attitudes. Hence, there is a need to increase advocacy, antenatal education, and counselling during antenatal clinic visits. Also, first-time mothers need to be put on insurance to reduce the burden of costs.

Impact of Flood on Breastfeeding Practices at Flood Relief Camps of Pakistan.

To explore impact of flood on breastfeeding practices and identify barriers in continuation of breastfeeding among mothers residing in flood relief camps. This exploratory observational study was conducted during visit of medical team of The University of Child Health Sciences, Children's Hospital at flood relief camps of Sindh (7th September to 12th September, 2022) and south-west of Punjab province (18th November to 20th November, 2022). The data was collected on structured questionnaire from 40 lactating mothers residing in flood relief camps. Purposive sampling technique was used in this regard. The mean age of breastfed children was 16.1±7.811 months. There was negative impact on breastfeeding practices (n=21, 52.5%) as frequency decreased in 18(45%) mothers and 3(7.5%) totally stopped breastfeeding. There was significant relation between pre-flood breastfeeding status and impact of flood on breastfeeding practices (p=0.001). The major barriers to appropriate breastfeeding were mother's perception of insufficient breast milk due to inadequate diet (n=6, 15%) or depression and anxiety (n=4, 10%), mother's illness (n=3, 7.5%), constant displacement (n=2, 5%) and provision of breast milk substitutes (n=2, 5%). There has been significant negative impact of flood on breastfeeding practices among lactating mothers residing in flood relief camps. Perception of decreased milk production due to inadequate diet and stress are major barriers in continuation of breastfeeding. Breastfeeding supportive services need to be integral component of flood crisis management.

Navigating positive and negative emotional feelings as working mothers: A qualitative study

Purpose: This study explores the complex emotional experiences of working mothers as they strive to balance their professional and family commitments. It aims to deeply understand both the positive and negative emotional experiences that characterize the life of a working mother. Method: Utilizing a qualitative approach, this research conducted semi-structured interviews with six working mothers. This method was chosen to capture a comprehensive range of emotional experiences stemming from their dual roles. Result: Findings from the interviews revealed three main themes: (1) identity and role as a working mother, namely the mother's perception and integration of professional and parental roles; (2) their emotional feelings as working mothers, findings detailing the spectrum of emotions they encountered; and (3) strategies for balancing emotional states, exploring methods used to manage and reduce emotional fluctuations and maintain balance. Conclusion: The findings underscore the necessity for enhanced support systems that can better assist working mothers in managing the multifaceted challenges of their dual roles. In the absence of adequate support, these challenges can lead to significant stress and a reduction in overall life satisfaction

Effects of peanut ball use on perceived labor pain, fatigue, and mother's perception of childbirth: a randomized controlled trial.

The aim of this study was to evaluate the effects of using peanut balls on labor pain, fatigue, and the mother's perception of labor. This is a randomized controlled intervention trial. Data were collected from the Intervention (peanut ball) and Control groups between July 2022 and June 2023, with 45 pregnant women in each group. Data were collected using a personal information form, the Visual Analog Scale-Pain (VAS-P), the Visual Analog Scale for Fatigue (VAS-F), and the Maternal Perception of Childbirth Scale (MPCS). The VAS-P scores of the intervention group were statistically significantly lower than those of the control group 15min after peanut ball application (p = .000). Immediately after and 15min after peanut ball application, the mean fatigue score of the Intervention group was statistically significantly lower than that of the Control group (p = .000). There was no statistically significant difference between the mean duration of labor minutes in the two groups (p = .177). The mean MPCS scores of the intervention group and control groups were 62.73 + 7.30 and 47.17 + 9.12, respectively, and the difference was statistically significant (p = .000). The findings of this study indicate that the use of peanut balls during labor can effectively reduce labor pain and fatigue in pregnant women, without affecting the duration of labor. Additionally, the use of peanut balls has been shown to positively influence the perception of labor among pregnant women. Therefore, it is recommended that midwives educate pregnant women about the use of peanut balls during labor and provide support in their use.

The Assessment of Parental Acceptance- Rejection Perception in Adults Who Stutters

Objectives: This study aims to evaluate parental acceptance/rejection perception in adult who stutterers. Specifically, it highlights the significance of the attitudes of parents of individuals who stutter in terms of the lifelong effects of stuttering. Materials and Methods: This study was conducted with a total of 40 individuals, 20 females and 20 males, who stutter, and 20 females and 20 males who not stutter. These participants were recruited from the Speech and Language Therapy Unit at Hacettepe University. Digital video recordings of individuals with stuttering were made to assess their stuttering, and a Visual Analog Scale (VAS) was administered to the participants with stuttering to evaluate how they perceived the severity of their stuttering. All participants were administered the Parental Acceptance-Rejection Questionare Adult Form (PARQ) to assess their perception of parental attitudes. Results: The parental acceptance-rejection perceptions of mothers of individuals who stutter are significantly different from those of individuals who do not stutter (t=5.584, p < .05). The parental acceptance-rejection perceptions of fathers of individuals who stutter significantly differ from those of individuals who do not stutter (t=5.533, p < .05). The total parental acceptance-rejection scores and sub-dimensions of scores perceived by participants from their parents did not differ by gender. Conclusion: It was concluded that there are negative effects of parental acceptance-rejection perception in individuals who stutter

Perceptions of Mothers with Children Aged 0 to 59 Months Regarding Exclusive Breastfeeding (EBF) in the Rural Community of Wogo, Sinder, Tillabery, Niger

The objective of this study was to evaluate perceptions and beliefs regarding exclusive breastfeeding (EBF) according to the sociodemographic and economic characteristics of mothers of children aged 0 to 59 months in the Wogo rural commune of Sinder/Tillabery/ Niger. This is a cross-sectional descriptive study, on a representative sample of mothers of children aged under five years. A questionnaire was completed using a structured interview. The data were collected with ODK software then analyzed with SPSS and Epi Info version 7.2 software. Mothers in the age groups of 15 to 24 and 25 to 34 years mainly perceive that colostrum is bad for the health of the newborn 22.22% and 17.20%. These mothers use pre-lacteal products until the milk matures, which then changes color and becomes white. Mothers aged 35 to 53 years, for their part, perceive more of an insufficiency of milk secretion 26.87%. Among those not in school, 20.93% say that colostrum is bad; 14.53% think they don't have enough milk. 23.4% of those at primary level reject colostrum. Among unemployed mothers, 19.31% perceive colostrum as bad milk, and 16.55% of them perceive insufficient milk. First-time mothers mainly believe that the child is not satisfied with the consumption of milk only 28.67%. Despite their awareness, some mothers 10.24% say that the child will be thirsty, 14.45% perceive insufficient milk and 13.25% consider colostrum bad for health. The majority of mothers who gave birth in health centers and who did not practice EBF perceive insufficient milk secretion and the majority of women who gave birth at home say that colostrum is bad for the child 27, 37% and 22.10% say that the child is not satisfied with the consumption of breast milk alone. The perceptions and beliefs of mothers and their elders in traditional myths dangerously hinder the practice of EBF in this community.

Studying Mothers' Knowledge and Perceptions of Adolescent Reproductive Health

Correction of: https://wmmjournal.org/index.php/wmm/article/view/142 DOI: https://doi.org/10.36749/wmm.4.1.8-16.2024 Background: Reproductive health education is obtaining information and forming attitudes and beliefs about sex, sexual identity, relationships, and intimacy. Mothers are the primary caregivers and have an essential role in providing reproductive health and sexual education to adolescents. Parents' lack of reproductive health education triggers deviation; therefore, parents, especially mothers, can provide comprehensive reproductive health education to prevent free sexual behaviour and sexual crimes in adolescents. Purpose: To measure the knowledge and perception of mothers about adolescent reproductive health Methods: This is a cross-sectional study with a descriptive design. The study involved 135 respondents who were selected using a purposive sampling technique. Analysis using descriptive, T-test and Pearson correlation. Results: More than 50% of respondents answered that adolescents' reproductive health education should be parents' responsibility and education should begin during elementary school. There was a correlation between mothers' knowledge and perception of adolescent reproductive health (r=0.44, p<0.001). Most mothers were afraid of providing sex education due to their ignorance of teaching methods and their lack of knowledge, and mothers wanted to learn about adolescent reproductive health from experts. Conclusion: Mothers want to learn more about sex education from experts or health workers. They were interested in male/female sexual structure and sexual physiology. Open communication between mother and child on sex-related issues is essential. Providing accurate and up-to-date sex education information to parents is vital to effectively educating their children at home.

Perception and Practice of Sub-Himalayan Region Mothers for Breastfeeding: A Cross-Sectional Survey

Abstract Background: Breast milk is an ideal food for neonates, which is also beneficial for mothers. Nowadays, modern mothers choose not to breastfeed their babies. The World Health Organization also recommends continuous breastfeeding of babies for up to 2 years. The present study focuses on assessing the perception and practice of mothers for exclusive breastfeeding in the sub-Himalayan region of India. Materials and Methods: A cross-sectional study was conducted among postnatal mothers who were attending pediatric outpatient departments (OPDs) and immunization clinics at All India Institute of Medical Sciences, Rishikesh, India. Interview schedules were conducted to assess knowledge and skills, and data related to breastfeeding were collected from 210 mothers. Purposive sampling techniques were used to select each participant. Results: The mean age of mothers was 26.8 years, 56% had previous experience of breastfeeding, 76% had a cesarean delivery, and 70% had started breastfeeding within 1 h. More than half (53%) of the mothers had inadequate knowledge of breastfeeding. On the Iowa Scale, only 8% of mothers reported a very positive attitude toward breastfeeding. On the Bristol scale, 81% of mothers reported that they were following good breastfeeding practices. Conclusions: The study concludes that sub-Himalayan mothers have inadequate knowledge of breastfeeding, but their practices are still suboptimal. We recommend more public health awareness programs to promote breastfeeding in this region.

FAKTOR INTERNAL DAN PERSEPSI IBU TENTANG PERAN PETUGAS KESEHATAN TERHADAP PEMBERIAN ASI EKSKLUSIF

During the first 6 month period, newborns who are exclusively breastfed consume solely breast milk and abstain from any other form of nourishment, such as food or liquids, including water. The government Indonesia has pledged to attain a target proportion of exclusive breastfeeding, with a goal of reaching up to 80%. The X Community Health Centre in Malang City achieved a relatively low level of exclusive breastfeeding coverage in 2022, with only 51.18%. This falls far short of the established target. Internal variables and the mother's opinion of the involvement of health personnel are influential in determining exclusive breastfeeding. The aims of this research were to analyses the influence of internal factors and maternal perspectives on the role of healthcare providers in promoting exclusive breastfeeding. This cross-sectional study was conducted in January-March 2024 at the X Health Centre Working Area in Malang City. The study utilized observational analytics. The study's sample consisted of one hundred moms with children older than six months. Chi-square test yields identify there wasn't significant association between employment also having multiple children (p-value>0.05). However, various factors related to exclusive breastfeeding, like as age, education, family support, and mother's intellectual and perception about the role of health workers, were found to be significantly associated (p-value <0.05). The multivariate analysis using multiple logistic regression revealed that family support has a significant impact on exclusive breastfeeding. The p-value of 0.006 and an odds ratio of 26,595 indicate that family support increased the likelihood of exclusive breastfeeding by 26-fold.

Mother's perception of early introduction of complementary feeding affecting stunting in Ghana: A qualitative research

AbstractObjectivesThe study aimed to explore mothers' perceptions for timely introduction of complementary feeding through interviews with 2–12‐month‐old infants' mothers in Ghana.MethodsQualitative descriptive research with 16 semi‐structured interviews with mothers attending the Child Welfare Clinic at Ejisu Hospital was conducted from June 2022 to May 2023. The study was guided by the Declaration of Helsinki, and all participants were instructed about informed consent for the study. Interviews and analysis were guided by Theory of Planned Behavior. NVivo 1.5 was used throughout the coding procedure. This study was conducted after the approval from St. Luke's International University.ResultsFour themes were revealed: (1) attitude toward the behavior based on the mothers' experience raising children, (2) attitude toward the behavior influenced by subjective norm (grandmothers' recommendation), (3) attitude toward the behavior influenced by perceived behavioral control (difficulty in continuing breastfeeding), and (4) mothers who are worried about underweight despite timely introduction of complementary feeding. Attitudes toward the behavior were influenced by mothers' experiences raising children and grandmothers' recommendations. Surroundings disruptive of breastfeeding also influenced attitudes toward intentions and behavior. Moreover, some mothers suffered from underweight even if they introduce complementary feeding at an optimal time.ConclusionSupporting to continue breastfeeding and conducting re‐education for grandmothers is a key recommendation for midwives and pediatric nurses. Moreover, pediatric nurses are required to further enhance not only health education regarding the timing of initiating complementary feeding but also support after the introduction.

Food Insecurity and Children's Problem Behaviors: The Mediating Role of Parental Relationship Quality and Parenting Stress.

Food insecurity, identified as a critical stressor for many families, can directly and indirectly influence children's development through interparental relationships and parenting. This study examines how food insecurity relates to children's problem behaviors and the mediating roles of interparental relationship quality and parenting stress. It also investigates the association between parents' perception of relationship quality and both their own and their partner's parenting stress. The study included 2095 children from the Future of Families and Child Wellbeing Study. The actor partner interdependence model was used to explore the actor and partner influence of relationship quality on parents' parenting stress. To examine the association pathways from food insecurity to children's problem behaviors, a structural equation model was conducted. Results suggest that fathers' perception of couple relationship quality predicted both their own and their partner's parenting stress while mothers' perception of couple relationship quality only predicted their own, but not fathers', parenting stress. In the positive association between food insecurity and children's problem behaviors, there was a serial mediation through mothers' perception of relationship quality and mothers' parenting stress. In addition, food insecurity was negatively correlated with mothers' perception of relationship quality, but not with that of fathers. This study highlights the pathway from food insecurity to children's problem behaviors through mothers' perceptions of interparental relationship quality and parenting stress. Results provide support for the family stress theory and offer valuable insights for the formulation of potential prevention and intervention programs.

Mother's Perception of Implementing Cervical Cancer Prevention Behaviour Through HPV (Human Papilloma Virus) Vaccination

The high number of cervical cancer cases is still a big problem in Indonesia. Preventive measures that can be taken are early detection and vaccination against HPV (Human Papilloma Virus). However, the behavior of taking HPV vaccination is still low and is still influenced by several factors, according to the Health Belief Model theory, namely perception. This research is to identify and analyze perceptions using the Health Belief Model approach of HPV vaccination. The design used in this research is descriptive-analytical cross-sectional. The research was conducted in July-September 2023 at the Blahbatuh I Public Health Centre. The instrument used was a questionnaire about the mother's perception of the Health Belief Model with results reliability test 0.8614. Data were analyzed using SPSS with univariate and bivariate tests with Chi-Square. The components of the healing belief model that have a relationship with cervical cancer prevention behavior through HPV vaccination are perceived seriousness with p-value = 0.001 (p<0.05), perceived vulnerability with p-value = 0.001 (p<0.05), perceived benefits with p-value = 0.001 (p<0.05), perceived obstacles with p-value = 0.001 (p<0.05), and action to act with p-value = 0.001 (p<0.05). Maternal perceptions about the seriousness, susceptibility, benefits, barriers, and actions have a significant relationship with mother’s prevention behavior regarding HPV vaccination.

Characterizing Multisystem Barriers to Women's Residential SUD Treatment: A Multisite Qualitative Analysis in Los Angeles.

Residential substance use disorder (SUD) treatment programs are challenged by the differing values of the problem-solving court (PSC) and child welfare (CW) systems, along with communication barriers between staff. This study aimed to understand, from the viewpoints of SUD treatment providers, how divergent values and communication barriers adversely affect women's residential SUD treatment. We conducted qualitative semistructured interviews with 18 SUD treatment clinicians and six directors from four women's residential SUD treatment programs. Using a thematic analysis framework, we identified salient themes across specified codes. Analysis revealed six main themes, suggesting differing values and communication barriers across the SUD, PSC, and CW systems adversely affect the provision of SUD treatment. For differing values, three main themes emerged: (a) unaddressed trauma and fear of mental health treatment seeking; (b) perceptions of mothers with a SUD; and (c) the Adoption and Safe Families Act (ASFA) timeline as a barrier to SUD treatment provision. For communication barriers, three themes emerged: (a) inadequate communication and responsiveness with PSC and CW systems adversely affect treatment coordination, induce patient stress, and treatment disengagement; (b) lack of PSC and CW communication regarding child visitation planning adversely affects treatment motivation and retention; and (c) competing ASFA, PSC, and CW priorities and inadequate cross-system communication adversely affect treatment planning. Treatment providers face significant barriers in providing effective treatment to women simultaneously involved in the CW and PSC systems. Aligning values and addressing communication barriers, changes in policy, and enhanced cross-system training are crucial. Additionally, it is essential to reevaluate the ASFA timeline to align with the long-term treatment needs of mothers with a SUD. Further research should explore the viewpoints of patients, CW, and PSC staff to gain deeper insights into these SUD treatment barriers.

Maternal misperception of under-five children weight status and associated factors: A cross-sectional study.

Maternal perceptions, about the nutritional status of their children, may have implications for timely health care seeking and feeding behaviour. Shreds of evidence are limited in this area that assessed maternal perception about the nutritional status of the children in the context of Bangladesh. The objective of this study is to assess the differences in mothers' perceptions about their children's nutritional status who are less than 5 years of age and their associated factors in the context of urban slum areas. A cross-sectional study (Quantitative approach) was conducted in two of the largest urban slums of Dhaka city. A total of 437 mother-children dyads were included in the final analysis. The outcome of interest was the mother's 'varied perceptions' regarding the nutritional status of their children under five. 'Varied perception' refers to the difference between a mother's subjective assessment of her child's nutritional condition and the anthropometrically measured nutritional status. The prevalence of mother's varied perceptions was around 46%, and among them, 37% of mothers underestimated and 9% overestimated their child's nutritional status. 'The child doesn't want to eat' (AOR = 3.69; 95% CI: 2.34-5.85; p < 0.001) and 'Feels light when carried' (AOR = 3.39; 95% CI: 1.69-6.81; p = 0.001) were the significant reasons behind the mother's perception about the nutritional status of their under-five children. About one in two mothers' perceptions about their children varied from the anthropometry-derived status. Various research findings indicate that providing health education on proper feeding practices for children, along with anthropometric measurements, can assist mothers in enhancing their understanding and assessing their child's nutritional status with greater accuracy. Further qualitative research may be instrumental in getting deeper insights into maternal perception to develop context-specific interventions.