Browsing by Author "Hadwiger, Mariquit C."
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- ItemFilipina mothers' perceptions about childbirth with a traditional birth attendant(2012-01-04) Hadwiger, Mariquit C.; Hadwiger, Stephen C.
The maternal mortality rate (MMR) in the Philippines has not dropped significantly since the 5th Millennium Development Goal of WHO in 2000 (Ericta, 2007). High MMRs in developing countries were attributed to absence of professional birth attendants during childbirth (Koblinsky & Campbell, 2003). The purpose of this ethnographic study (Germain, 2001) was to explore pregnancy and childbirth perceptions among Filipina women from Iloilo communities in the Philippines who used a traditional birth attendant (paltera) for childbirth. A network sample of 26 Filipina mothers from three municipalities outside Iloilo City were interviewed; confirmatory visits were made to 15 mothers. Conventional content analysis (Hsieh & Shannon 2005) revealed themes (and patterns) of 1) mothers' folk beliefs (for the welfare of my baby; during labor; trust in God), 2) mothers' care for(healthy pregnancy; recovery after childbirth), and 3) prefer childbirth at home with paltera (no money; personal comfort; unfriendly hospitals). Transferability included relatively rural areas near Iloilo City and lower socioeconomic Filipina mothers. Findings revealed the significance of economics on Filipina mothers' preference for a paltera during childbirth. Mothers voiced apprehension of hospitals due to professionals' attitudes toward them. Cultural practices of mothers were categorized as beneficial, harmless, or harmful. Ericta, C.N. (2007). Maternal mortality slightly declined, MDG target may not be achievable. National Statistics Office. Press Release Number 2007-18. Retrieved August 18, 2009, at http://www.census.gov.ph/data/pressrelease/2007/pr0718tx.html Germain, C.P. (2001).� Ethnography: The method.� In P.L. Munhall� (Ed.) Nursing research: A qualitative perspective (pp. 277-306)� Boston: Jones & Bartlett. Hsieh, H-F., & Shannon, S.E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277-1288. Koblinsky, M., & Campbell, O. (2003). Factors affecting the reduction of maternal mortality. In M. Koblinsky's (Ed.) Reducing maternal mortality: Learning from Bolivia, China, Egypt, Honduras, Indonesia, Jamaica, and Zimbabwe (pp. 5-38).� Washington, D.C.: World Bank.
- ItemFilipino professional birth attendants' perceptions about maternal services and childbirth at home(2012-01-04) Hadwiger, Stephen C.; Hadwiger, Mariquit C.
The Department of Health-Republic of the Philippines (DHRP; 1999) reported prenatal care by a professional birth attendant (physician, nurse, or midwife) reduced risks during childbirth. One third of women in the Philippines use a traditional birth attendant (paltera) during childbirth (DHRP, 2003). The purpose of this second phase ethnographic study was to describe maternal care services and perceptions among professional birth attendants from municipalities in Iloilo Province where Filipina mothers had previously been interviewed. A convenience sample of 15 licensed midwives and one registered nurse were interviewed regarding their services to Filipino mothers and perceptions about mothers' cultural beliefs. Fieldwork included visits to municipal health centers and neighborhood health stations. A template analysis (Hsieh & Shannon, 2005) revealed descriptions of prenatal care, childbirth care, post-natal care, perceptions of mothers' folk beliefs, and concerns about childbirth in the mother's home. Consistent with cultural brokerage (Tripp-Reimer, Brink, Pinkham, 1999), informants sorted mothers' cultural beliefs as beneficial, harmless, and harmful. Due to new regulations in the Philippines requiring the presence of a professional birth attendant, this study provides a basis for cultural brokerage between lower socioeconomic mothers and professional birth attendants.
Department of Health, Republic of the Philippines. (DHRP; 1999). 1998 National demographic and health survey. Retrieved August 15, 2008, at http://www.census.gov.ph/hhld/ndhs9804.html DHRP. (2003). Philippines 2003 NDHS Facts and Figures Retrieved August 15, 2008 at http://doh.gov.ph/data_stat/html/ndhs2003.htm Hsieh, H-F., & Shannon, S.E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277-1288. Tripp-Reimer, T., Brink, P.J., & Pinkham, C.S. (1999). Culture brokerage. In G.M. Bulechek & J.C. McCloskey's (Eds.) Nursing interventions: Effective nursing treatments (pp. 637-649). Philadelphia: W.B. Saunders.
- ItemSecondary analysis of cultural domains among Filipino nursing students(2016-03-21) Hadwiger, Stephen C.; Hadwiger, Mariquit C.; Rho Omega
Session presented on Monday, November 9, 2015:
The purpose of this study was to describe the commonality and variability within cultural domains of communication, family roles & organization, pregnancy & childbearing, spirituality, death rituals, and health practices according to cultural assessments completed on Filipino nursing students during a study-abroad program in the Philippines. During a study-abroad nursing program in the Philippines, nursing students from the United States were required to complete a cultural assessment of a Filipino based on questions from Purnell's Model of Cultural Competence. Being paired with Filipino nursing students, all American students completed their assignments interviewing their Filipino partners. Having reviewed these narrative cultural assessments from the past two years, the authors requested IRB permission from Truman State University to conduct a qualitative secondary analysis, using a template approach based on the cultural domains from Purnell's Model of Cultural Competence. From cultural assessments of 25 Filipino nursing students representing the Visayan culture around Iloilo City, the authors mapped out commonalities and variations in cultural beliefs and practices according to categories constructed from Purnell's domains of communication, family roles & organization, pregnancy & childbearing practices, death rituals, spirituality, and health practices. Comparisons between informants' primary characteristics of culture for gender and religious affiliation were made of the variations in cultural beliefs and practices. The authors concluded that variability of cultural beliefs and practices existed in these domains among a fairly homogeneous sampling of Filipinos (young, educated, nursing students, Visayan).