Abstract
Early and consistent prenatal care (PNC) is essential to preventing adverse maternal and neonatal outcomes. Despite the recommendations made by the World Health Organization and the American College of Obstetricians and Gynecologists, childbearing women with health disparities living in rural settings are at an increased risk of experiencing inadequate PNC compared to their urban counterparts. The literature search suggests that limited access to PNC, childcare during the PNC visit, health care provider's perceptions of patients, and provider mistrust are barriers to early and consistent PNC. Growing research is placing a call to health care providers to implement interventions that are culturally sensitive using health literacy. Navajo childbearing women with health disparities living in rural Arizona are reflective of the childbearing women with health disparities globally. A quality improvement project using an eight week community based education campaign was conducted focusing on improving patient health literacy regarding early and consistent PNC, increasing the number of PNC visits, and reducing preventable harm to Navajo women receiving PNC services in a rural Northern Arizona health care setting. The results demonstrate the need for improved culturally-based health literacy regarding preventative health seeking behaviors. The eight week community based education campaign did not have a significant impact on the number of PNC visits. Future research is needed in order to determine the correlation between health literacy and the number of PNC visits. Keywords: prenatal care, health disparities, rural setting
Sigma Membership
Lambda Omicron
Lead Author Affiliation
Northern Arizona University, Flagstaff, Arizona, USA
Type
DNP Capstone Project
Format Type
Text-based Document
Study Design/Type
Descriptive/Correlational
Research Approach
Mixed/Multi Method Research
Keywords:
Prenatal Care for Underserved Population, Health Disparities, Rural Setting
Advisor
Doshier, Sally
Second Advisor
Eddie, Regina
Degree
DNP
Degree Grantor
Northern Arizona University
Degree Year
2019
Recommended Citation
Gupton, Adrien J., "Implementing a community education campaign to improve prenatal care among Navajo women" (2024). Group: Northern Arizona University School of Nursing, DNP Doctoral Papers. 14.
https://www.sigmarepository.org/group_nausn_dnp/14
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Review Type
Faculty Approved: Degree-based Submission
Acquisition
Self-submission
Full Text of Presentation
wf_yes
Description
A community education campaign was developed and implemented in an off reservation community that focused on the promotion of early and consistent prenatal care to Navajo women. Concepts from The Navajo Wellness Model were combined with evidence-based practice guidelines associated with the advantages of early and consistent prenatal care in creating an educational modality addressing key barriers to early and consistent prenatal care. The educational modality was distributed throughout the off-reservation community.