Publications by authors named "D Gishoma"
Introduction: The World Health Organization (WHO) has emphasized the importance of ensuring respectful and dignified childbirth experiences. However, many countries, including Rwanda, have documented negative experiences during childbirth. Identifying best practices can help uncover sustainable solutions for resource-limited settings rather than focusing solely on the challenges and negative aspects.
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- The study focuses on the family planning knowledge and services for women with mental illnesses and epilepsy, who are at higher risk for sexual violence and unwanted pregnancies.
- Conducted between October 2022 and February 2023, researchers surveyed 289 women at Ndera Neuropsychiatric Hospital using structured questionnaires to gather data on their family planning knowledge and usage.
- Results showed that while 96.9% were aware of family planning methods, only 51.9% were actively using them, with injectables and oral contraceptives being the most common methods used; factors influencing usage included marital status and educational level.
Article Synopsis
- Adolescent mothers often face trauma and violence during pregnancy, necessitating specialized care from healthcare professionals, particularly nurses and midwives in Rwanda's primary healthcare settings.
- A qualitative study explored the experiences of 12 nurses and midwives, revealing themes such as the importance of relational practice, challenges in providing care, factors leading to workarounds, and the impact of vicarious trauma on healthcare providers.
- The findings suggest that healthcare practitioners need to be adaptable and attentive in their care approach, while also highlighting the gaps in knowledge and training related to gender-based violence that hinder effective support for adolescent mothers.
The concept of successful living in the context of adolescents with HIV lacks clarity and is unexplored. Without a common understanding of successful living among adolescents with HIV (AWH) in Sub-Saharan Africa (SSA), health care interventions focusing on this population may continue to fall short, resulting in avoidable morbidity and mortality. Therefore, this analysis used Rodgers Evolutionary Concept Analysis method to identify attributes, antecedents, consequences, and related concepts of successful living among AWH in SSA.
View Article and Find Full Text PDFIntroduction: In Rwanda, maternal community health workers play a critical role to improving maternal, newborn and child health, but little is known about their specific experiences with adolescent mothers, who face unique challenges, including trauma, ongoing violence, stigma, ostracism, mental health issues, barriers within the healthcare system, and lack of access to the social determinants of health. This study explored the experiences of maternal community health workers when caring for adolescent mothers in Rwanda to inform the delivery of trauma- and violence-informed care in community maternal services.
Methods: Interpretive Description methodology was used to understand the experiences of 12 community health workers purposively recruited for interviews due to their management roles.