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The global complexity in health and life of the modern population often enforces the healthcare practitioners in being health advocates for the general population. As per the definition of WHO, it is proved that advocacy can be considered as one of the critical three health promotion strategies, which can be performed by using different types of promotional channels and attributes. Based on the previous campaigning strategies, it can be stated that health advocacy is a combined approach, for gaining policy support, system support, social acceptance, and political commitment. Therefore, in order to cater to the unexpected event of a miscarriage, it is necessary to design a social media-based advocacy campaign, for supporting, the women experienced the adversities of miscarriage. The current assignment sheds light on a social media campaign; named #IHadMiscarriage, along with it’s all over the structure, ethics, policies, and reflective actions.
From the evidence collected from the previous health advocacy campaigns, it can be assumed that it is necessary for supporting the people suffering from different adverse health status, for assessing their concerns, service information, choices, and rights. On the other hand, Johnson & Langford (2015) mentioned that advocacy in health practices is fundamentally taken for enacting notable changes and modifications over a larger scale. During the preparation of my first assignment, I have understood that the concerns of modern healthcare practitioners about miscarriage are extremely lower and therefore, the areas of nursing interventions regarding miscarriage are required to be implemented through an effective way.
The health advocacy campaigning supports in providing attention to each of the issues associated with miscarriage, understanding the negative points faced by the women, and designing various health promotion or intervention strategies for them. The benefit of using social media campaigning is it does not require high-cost structure and the concerned message about miscarriage would reach to the entire target audiences within a specific time (Ipas | Health. Access. Rights, 2019). Therefore, from the designed concern I have explained in my first assignment about miscarriage, I think that a social media advocacy plan would be beneficial for improving awareness about the event.
As mentioned earlier, the name of the campaign would be #IHadMiscarriage, and the campaigning would be performed through different popular social media channels. The structure of the advocacy campaign are as below: Campaign goals and tracking: The primary purpose of the campaign is to explore the health supports required after the event of a miscarriage, for regaining the strength of living a healthy life. Apart from this, the campaigners would also focus on encouraging the unfortunate women for voluntarily accepting this state of living. Supporting the women in overcoming the stage of grief and bereavement is also a potential aim of this advocacy campaigning program. Apart from this, the mothers would also be encouraged for living with a definite sense and preparing for their future motherhood. As influenced by the viewpoint of Karen Gill (2018), the campaigners would measure the perspectives of the affected mothers, towards living healthy lives, through which the success or failure percentage would be identified.
Campaign targeting and insight: The campaigners would try to reach to the unfortunate mothers, who have suffered from the phase of miscarriage and still living under the depressed and anxious mental condition. Apart from this, the campaigners also would try to influence the mothers along with the other family members in regaining their spontaneous nature of lives. However, this media campaign would not be only for the unfortunate women; this would also target the men, or especially the fathers, who have lost their children. Ockhuijsen, van den Hoogen, Boivin, Macklon, & de Boer (2015) mentioned that it is necessary to incorporate fathers in the health advocacy campaigning, as they need to perform more critical role after the incident, as supporting their wives, other family members, and dealing with self-mindset.
Key campaign message: The campaigners would focus on explaining different advocacy strategies regarding miscarriage, for supporting the women in overcoming the physical and mental stages. (All the advocacy strategies are discussed in the following section after completing the campaign structure.) Additional to that, the campaigners would also promote that they will conduct some periodic face-to-face interview sessions, for understanding the distinctive experiences of the women and try to support them both physically and mentally (Miscarriage, 2019).
Campaign media budget and plan: Since it would be a social media campaigning, therefore, the campaigners would target the most popular social media channels for promoting the health advocacy strategies of miscarriage. The primary campaigning channels would be FaceBook, YouTube, Twitter, and Instagram. Apart from this, the campaigners would try to tie up different health websites and organisations, for promoting their message through their official websites. Incorporation of such social media platforms would help in reaching the word to a broader audience group. The budget allocated for the entire campaigning program is approximate $300-$350.
Campaign asset production: The main assets of the campaign would be the advocacy strategies, the concept and content of the social media campaigns, the physical and the human resources involved with the campaign program. It is evident that for dealing with such adversities of life, efficient advocacy strategies would be made by the healthcare practitioners, through which the affected population can regain their strength and desire of living. Apart from the care experts, it is also required to include some social media experts for developing the concept-based contents. The campaigners would also contact with the investors, who would provide monetary support to this program.
Campaign execution: The campaigners need to recheck all the deliverables, such as the advocacy strategies, the campaigning contents, and many other elements, before initiating the process of the campaign through their chosen social media platforms. Additional to this, the campaigners would also provide attention to maintaining the social media policies and ethics before the initiation of campaigning program.
As mentioned in the above table, through the social media campaign, the campaigners would explain different advocacy strategies for the affected population, by which they can understand that an event of miscarriage is not the end of hope in life. They can live adequately and healthy life by combining a little self-effort and a short amount of external support. However, the advocacy strategies reflected through the social media campaign would be as follows:
Ensuring about next period data: during the advocacy program, the healthcare experts would explain that after the miscarriage, the woman would experience her first period after about 4-6 weeks. Therefore, it is necessary to follow the periodic check-up routine for consulting with the healthcare experts about the stage of the uterus after six weeks.
Impacts of miscarriage on the next pregnancy: It is necessary to understand that, miscarriage does not enhance the possibility of second-time risk, as there is no apparent connection between these two periods. However, Saccone, Schoen, Franasiak, Scott Jr, & Berghella (2017) mentioned that there would be life risk for the women suffering from three consecutive incidents of miscarriage, and in these cases, the couples need to consult with their doctors before planning about the fourth baby.
Preparing for another pregnancy: There is no obstacle in planning for the next pregnancy after a miscarriage; however, most of the doctor state that couples at least need to wait for six weeks, until the occurrence of the first period. However, Wahabi, Fayed, Esmaeil & Bahkali (2018) reported that some couples want to take some times for overcoming the physical and mental adversities after the incident. Additional to this, it can be stated that although the exact reason behind miscarriage is not still invented, the couples need to focus on some specific aspects for ensuring the chances of successful and long-term fertility, which are as follows-
- Eliminating the habits of smoking
- Having an exercise regimen along with a balanced diet
- Reducing the level of depression and stress
Maintaining body weight (Health Promotion Strategies, 2019)
RH negative women: In many cases, if women retain RH-negative blood group, therefore, they need to consult with their physicians or gynaecologists, regarding taking the Anti-D Immunoglobulin injection, especially after a miscarriage. Through following this clinical strategy, the chance of Ectopic Pregnancy would become lower, and the possibilities of other complications would also be reduced.
Consumption of folic acid: The women planning next pregnancy should take Folic acid daily, for promoting the intellectual and functional development of their offspring’s nervous system. Woods‐Giscombé, Lobel & Crandell (2010) mentioned that it is necessary to take 0.5 mg Folic acid per day from 1 month before pregnancy initiation to 12 weeks during the gestation period
Nutritious requirements for preparing the body: In order to build the lost immunity level of body, the affected women require focusing on implementation of efficient diet plan, by including range of iron-rich, calcium-rich food, feel-good grains, fruits and lots of green vegetables, for example, beans, nuts, milk, dairy products, raisins, soybeans, brown rice, molasses, and so on (Miscarriage. 2019).
Attending counselling session: According to the report of WHO, since the affected mothers often undergo some transition mental phases; therefore, they become stressed, depressed, and anxious about their next pregnancy and other post-miscarriage stages. Consequently, it is required to participate in weekly counselling session arranged by different local healthcare organisations or community experts (HTSP 101, 2019).
Although the program does not include any direct personal involvement, however, it is necessary to provide attention to maintain the ethical considerations, before, during, and after the conduction of campaigning program. For example, the campaigners should maintain the privacy and confidentiality of the information shared by a different audience, who represent their interest after seeing the approaches of the social media campaign. Balogun et al. (2016) mentioned that the campaigners might require assessing the social media profiles of the different target audience; however, they would maintain the privacy and dignity, such as not posting any comment or another element on their social media pages, not disclosing any information without obtaining their permission and so on. If they acquire some information about the experiences of a miscarriage of some affected people and want to represent them on their campaigning page, proper informed consent would be positively sent to them. Gülmezoglu et al. (2017) reported that they would incorporate the policy of reporting and blocking, as if any one of the targeted population would find any disturbing element in their contents, they would have the rights of immediate reporting and blocking the page.
While preparing my first assignment, I have gathered ranges of information about miscarriage and its global prevalence statistics. The current Australian Health Department reflects that around 103,000 Australian families suffer from the adversities of Miscarriage each year, which become a form of silent trauma for all of them (Brancatisano, 2019). The reasons behind Miscarriage are still not clear, as there are ranges of causative agents or elements. For example, in most of the cases, women face spontaneous Miscarriage due to the chromosomal abnormalities. Additionally, as per the statement of Brancatisano (2019), stress factors, genetic condition, uterine and cervical conditions, internal infection, molar pregnancy, amniocentesis, and many others reasons might be associated with this unfortunate event.
As per the clinical evidence, it is evident that the highest risk of Miscarriage is associated with the 4-6 weeks of pregnancy, and this risk remains until the 8th week of pregnancy. After the 8th or 9th week, from when the heartbeat of the baby can be observed or measured, the risk of Miscarriage reduces to 4% to 5%. It is evident that in around 85% cases (Tommy’s – How common is Miscarriage?, 2019). Therefore, I think that planning and organising a health advocacy campaign becomes essential for dealing with such adverse health statistics regarding miscarriage.
Through considering the above deconstructive facts about Miscarriage, it can be stated that health department of Australia does not have any adequate precaution or intervention strategies, by which they can support the mothers in coping up this stressful condition. According to the statement of Bailey et al. (2015), Miscarriage is one of the most painful and stressful situations for the would-be mothers, as they suffer from both physical and mental deterioration and unexplained pain factors in most of the cases. The stressful condition might often spread among the other family members; therefore, sometimes this becomes a stressed condition for the entire family. Consequently, I have decided to achieve the following objectives through the health advocacy campaigning-
- To explain the consequences related to pre and post-miscarriage stages
- To identify the care services acquired by the majority of the women population after post-miscarriage
- To understand the physical and mental health requirements of the women after experiencing stages of a miscarriage
- To explore the significance of routine check-up and follow the instructions of care experts for preventing the chances of a further incident
- To evaluate the facts regarding miscarriage and eliminate the myths
I have designed the advocacy strategies based on some collective evidence obtained from some women, who have practical experience regarding miscarriage. They can effectively demonstrate their feelings, opinions, and post-miscarriage supports they require. The participants were chosen from different local hospitals’ patient list, and my project team and I had obtained permissions from the selected hospital authorities for this study. Before initiating the interview protocol, I had given consent forms to each of the participants, in which the original purpose, objectives, and possible outcomes were mentioned appropriately. The inclusion criterion for the sampling process was women lose their baby in the past five years.
However, during the first meeting with the women participants, I had analysed that around 7 out of the 10 participants had an inadequate conception about the process and reasons regarding Miscarriage; therefore, they also did not have much idea about the post-miscarriage issues. I included the questionnaire-based data collection process, in which I had a set of 10 questionnaires, and followed the principle of the face-to-face interview process. However, as per my evaluation ability, I understood that all of the participants had unique types of experiences after the occurrence of the unfortunate event. For example, participant 1 had experienced unsupportive clinical process, as the incident occurred on holiday; therefore, she did not get any emergency precaution during that time. On the other hand, participant 5 explained that she had experienced incomplete pregnancy, and due to this reason, she got into mental trauma for one year.
After designing the advocacy strategies in the campaigning program, I think it is necessary to measure the impacts of the applications over the affected group of women and the rest family members. In order to measure the effectiveness, the care practitioners would provide attention to the changed perceptions of the affected population after the successful campaigning conduction. Apart from this, I think that we always reflect the do’s and don’ts of women after the miscarriage; however, it is also necessary to explain the roles of other family members, whose support is extremely required in such cases (Miscarriage and loss, 2019).
Therefore, based on the entire discussion, it can be stated that although Miscarriage is not new and not dangerous as several other life-threatening illnesses, however, avoiding the consequences, symptoms, signs, and other issues related with Miscarriage might cause complications for the women, which might often lead to death. On the other hand, families often could not cope up such an unfortunate event, and became utterly depressed or mentally challenged until and unless they obtain proper supportive care. Therefore, the advocacy strategies can be implemented in the future intervention protocols, through which women can survive the physical and emotional stress level and achieve a better future in their lives.
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