Prenatal and postpartum care in Hawaii: a community-based approach.
Given the problems of access, retention, and relevant prenatal care content, supplements to existing programs for health-care delivery during pregnancy and after birth are necessary. This article describes a community-based approach to prenatal and postpartum care that has been developed to address these issues. Culturally sensitive strategies were created for use with Hawaiian, Filipino, and Japanese women living on the island of Hawaii. Six nursing care and community outreach interventions were used. Local public health nurses assisted in developing the program and are responsible for its coordination and implementation.
Affonso
D D
DD
Department of Family Health Nursing, School of Nursing, University of California, San Francisco 94143-0606.
Mayberry
L J
LJ
Graham
K
K
Shibuya
J
J
Kunimoto
J
J
D003256:Community Participation; D005006:Ethnicity; D005260:Female; D006254:Hawaii; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006303:Health Services, Indigenous / Q000458:organization & administration; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007564:Japan / Q000208:ethnology; D008019:Life Style; D008427:Maternal Health Services / Q000458:organization & administration*; D010679:Philippines / Q000208:ethnology; D010865:Pilot Projects; D011181:Postnatal Care / Q000458:organization & administration*; D011295:Prenatal Care / Q000458:organization & administration*; D016730:Program Development; D011637:Public Health Nursing / Q000458:organization & administration*; D016746:Transcultural Nursing