The Effectiveness of Nurse-Led Home Visits in Improving Postnatal Care Compliance Among Mothers in Kano State
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Background of the Study
Postnatal care (PNC) is crucial for the health and well-being of both mothers and their newborns, helping to detect and address complications early and promoting long-term health outcomes. Despite the recognized benefits of PNC, many mothers, especially in rural areas such as Kano State, fail to adhere to postnatal care guidelines, resulting in preventable maternal and neonatal morbidity and mortality. Key barriers to PNC compliance in Kano State include a lack of knowledge, inadequate access to healthcare facilities, financial constraints, and cultural factors (Abubakar et al., 2023).
Nurses, particularly those working in community health settings, play a critical role in addressing these barriers. Nurse-led home visits are an effective intervention for improving postnatal care compliance, as they offer personalized, culturally sensitive, and convenient care to mothers in the comfort of their homes. During these visits, nurses can provide vital education on newborn care, breastfeeding, family planning, and the importance of routine check-ups for both mother and child. These visits also help nurses identify health issues early and provide timely interventions, which are often more difficult to achieve through traditional clinic visits alone (Yakubu et al., 2024).
Despite the promise of nurse-led home visits, there is limited research on their effectiveness in improving postnatal care compliance in Kano State. This study aims to evaluate how nurse-led home visits influence mothers' adherence to postnatal care guidelines and identify factors that affect the success of such interventions.
Statement of the Problem
In Kano State, postnatal care compliance remains low, with many mothers failing to access recommended care in the critical first few weeks after childbirth. Nurse-led home visits have been suggested as a solution to address this issue, but their effectiveness in improving compliance with postnatal care guidelines has not been adequately studied.
Objectives of the Study
1. To evaluate the effectiveness of nurse-led home visits in improving postnatal care compliance among mothers in Kano State.
2. To assess the impact of nurse-led home visits on maternal and neonatal health outcomes in Kano State.
3. To identify the barriers and facilitators to successful nurse-led home visits in improving postnatal care compliance.
Research Questions
1. How effective are nurse-led home visits in improving postnatal care compliance among mothers in Kano State?
2. What impact do nurse-led home visits have on maternal and neonatal health outcomes?
3. What challenges and barriers affect the effectiveness of nurse-led home visits in improving postnatal care compliance in Kano State?
Research Hypotheses
1. Nurse-led home visits significantly improve postnatal care compliance among mothers in Kano State.
2. Nurse-led home visits result in better maternal and neonatal health outcomes, including lower rates of postpartum complications and improved infant health.
3. Barriers such as distance, cultural beliefs, and inadequate nurse training hinder the effectiveness of nurse-led home visits in improving postnatal care compliance in Kano State.
Scope and Limitations of the Study
The study will focus on assessing the impact of nurse-led home visits on postnatal care compliance among mothers in Kano State. Limitations include challenges in tracking long-term outcomes, variability in the implementation of home visit programs, and difficulties in ensuring a representative sample of mothers.
Definitions of Terms
• Postnatal Care (PNC): Medical care provided to mothers and newborns after childbirth, including monitoring for complications, family planning advice, and newborn care.
• Nurse-Led Home Visits: Home-based healthcare services provided by nurses, typically focusing on maternal and child health, to promote compliance with postnatal care guidelines.
• Postnatal Care Compliance: The degree to which mothers follow recommended healthcare guidelines after childbirth, including follow-up visits, immunizations, and health advice.
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