scholarly journals Can people-centered community-oriented interventions improve skilled birth attendance? Evidence from a quasi-experimental study in rural communities of Cambodia, Kenya, and Zambia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anbrasi Edward ◽  
Aparna Krishnan ◽  
Grace Ettyang ◽  
Younghee Jung ◽  
Henry B. Perry ◽  
...  
Keyword(s):  
Experimental Study ◽  
Rural Communities ◽  
Skilled Birth Attendance ◽  
Birth Attendance ◽  
Quasi Experimental

scholarly journals Can people-centered community-oriented interventions improve skilled birth attendance? Evidence from a quasi-experimental study in rural communities of Cambodia, Kenya, and Zambia

2020 ◽  
Author(s):  
Anbrasi Edward ◽  
Aparna Krishnan ◽  
Grace Ettyang ◽  
Younghee Jung ◽  
Henry B Perry ◽  
...  
Keyword(s):  
Experimental Study ◽  
Health Promotion ◽  
Secondary Education ◽  
Rural Communities ◽  
Newborn Health ◽  
Skilled Birth Attendance ◽  
Social Accountability ◽  
Birth Attendance ◽  
Quasi Experimental ◽  
Matched Comparison

Abstract Background Skilled attendance at delivery is a key marker for reducing maternal mortality. Effective community engagement strategies complemented by community health worker (CHW) services can improve access to maternal health services in areas with limited health infrastructure or workforce. Methods A quasi-experimental study with matched comparison groups was conducted in Cambodia, Kenya and Zambia to determine the effect of integrated community investments on skilled birth attendance (SBA). In each country, communities in two districts/sub-districts received a package of community-oriented interventions comprised of timed CHW household health promotion for maternal, newborn and child health complemented by social accountability mechanisms using community scorecards. Two matched comparison districts/sub-districts received ongoing routine interventions. Data from the final evaluation were examined to determine the effect of timed CHW services and community-oriented interventions on SBA. Results Over 80% of the 3,037 women in Cambodia, 2,805 women in Kenya and 1,171 women in Zambia reported SBA. Women in intervention sites who received timely CHW health promotion and social accountability mechanisms in Cambodia showed significantly higher odds of SBA (aOR=7.48; 95% CI: 3.87, 14.5). The findings also indicated that women over the age of 24 in Cambodia, women with primary or secondary education in Cambodia and secondary education in Kenya, women from higher wealth quintiles in Cambodia, and women with four or more antenatal care (ANC) visits in all countries reported significantly higher odds of SBA. Inclusion of family members in pregnancy-related discussions in Kenya (aOR=2.12; 95% CI: 1.06, 4.26) and Zambia (aOR=6.78; 95% CI: 1.15, 13.9) and follow up CHW visits after a referral or health facility visit (aOR=2.44; 95% CI: 1.30, 4.60 in Cambodia; aOR=2.17; 95% CI 1.25, 3.75 in Kenya; aOR=1.89; 95% CI: 1.05, 2.02 in Zambia) also showed significantly greater odds of SBA.Conclusions Enhancing people-centered care through culturally appropriate community-oriented strategies integrating timely CHW health promotion and social accountability mechanisms shows some evidence for improving SBA during delivery. These strategies can accelerate the achievement of the sustainable development goals for maternal child and newborn health.

scholarly journals Can people-centered community-oriented interventions improve skilled birth attendance? Evidence from a quasi-experimental study in rural communities of Cambodia, Kenya, and Zambia

2019 ◽  
Author(s):  
Anbrasi Edward ◽  
Aparna Krishnan ◽  
Grace Ettyang ◽  
Younghee Jung ◽  
Henry B Perry ◽  
...  
Keyword(s):  
Experimental Study ◽  
Health Promotion ◽  
Rural Communities ◽  
Newborn Health ◽  
Skilled Birth Attendance ◽  
Maternal Health Services ◽  
Social Accountability ◽  
Engagement Strategies ◽  
Birth Attendance ◽  
Quasi Experimental

Abstract Background Skilled attendance at delivery is a key marker for reducing maternal mortality. Effective community engagement strategies complemented by community health worker (CHW) services can improve access to maternal health services in areas with limited health infrastructure or workforce. Methods A quasi-experimental study with matched comparison groups was conducted in Cambodia, Kenya and Zambia to determine the effect of integrated community investments on SBA. In each country, communities in two districts/sub-districts received a package of community-oriented interventions comprised of timed CHW household health promotion for maternal, newborn and child health complemented by social accountability mechanisms using community scorecards. Two comparison districts/sub-districts received ongoing routine interventions. Data from the final evaluation were examined to determine the effect of community-oriented interventions including timed CHW services and SBA. Results Over 90% of the 3,037 women in Cambodia, 2,805 women in Kenya and 1,171 women in Zambia reported SBA. Women in intervention sites who received timely CHW health promotion and social accountability mechanisms in Cambodia and Kenya showed significantly higher odds of SBA (Cambodia, aOR=7.48; 95% CI: 3.87, 14.5, Kenya, aOR=0.60; 95% CI: 0.41, 0.85). The findings also indicated that older women (>24 years), in Cambodia, women with primary or secondary education in Cambodia and Kenya, women from higher wealth quintiles in Cambodia, and women with four or more ANC visits in all countries reported significantly higher odds of SBA. Inclusion of family members in pregnancy-related discussions (aOR=1.69; 95% CI: 0.92, 3.13 in Cambodia; aOR=2.12; 95% CI: 1.06, 4.26 in Kenya; aOR=6.78; 95% CI: 1.15, 13.9 in Zambia), follow up visits from the CHW following a referral or health facility visit (aOR=2.44; 95% CI: 1.30, 4.60 in Cambodia; aOR=2.17; 95% CI 1.25, 3.75 in Kenya; aOR=1.89; 95% CI: 1.05, 2.02 in Zambia) also showed significantly greater odds of SBA. Conclusions Enhancing people-centered care through culturally appropriate community-oriented strategies integrating timely CHW health promotion and social accountability mechanisms shows some evidence for improving SBA during delivery and accelerating the sustainable development goals for maternal child and newborn health.

scholarly journals Can people-centered community-oriented interventions improve skilled birth attendance? Evidence from a quasi-experimental study in rural communities of Cambodia, Kenya, and Zambia

2020 ◽  
Author(s):  
Anbrasi Edward ◽  
Aparna Krishnan ◽  
Grace Ettyang ◽  
Younghee Jung ◽  
Henry B Perry ◽  
...  
Keyword(s):  
Experimental Study ◽  
Health Promotion ◽  
Secondary Education ◽  
Rural Communities ◽  
Newborn Health ◽  
Skilled Birth Attendance ◽  
Social Accountability ◽  
Birth Attendance ◽  
Quasi Experimental ◽  
Matched Comparison

Abstract Background Skilled attendance at delivery is a key marker for reducing maternal mortality. Effective community engagement strategies complemented by community health worker (CHW) services can improve access to maternal health services in areas with limited health infrastructure or workforce. Methods A quasi-experimental study with matched comparison groups was conducted in Cambodia, Kenya and Zambia to determine the effect of integrated community investments on skilled birth attendance (SBA). In each country, communities in two districts/sub-districts received a package of community-oriented interventions comprised of timed CHW household health promotion for maternal, newborn and child health complemented by social accountability mechanisms using community scorecards. Two matched comparison districts/sub-districts received ongoing routine interventions. Data from the final evaluation were examined to determine the effect of timed CHW services and community-oriented interventions on SBA. Results Over 80% of the 3,037 women in Cambodia, 2,805 women in Kenya and 1,171 women in Zambia reported SBA. Women in intervention sites who received timely CHW health promotion and social accountability mechanisms in Cambodia showed significantly higher odds of SBA (aOR=7.48; 95% CI: 3.87, 14.5). The findings also indicated that women over the age of 24 in Cambodia, women with primary or secondary education in Cambodia and secondary education in Kenya, women from higher wealth quintiles in Cambodia, and women with four or more antenatal care (ANC) visits in all countries reported significantly higher odds of SBA. Inclusion of family members in pregnancy-related discussions in Kenya (aOR=2.12; 95% CI: 1.06, 4.26) and Zambia (aOR=6.78; 95% CI: 1.15, 13.9) and follow up CHW visits after a referral or health facility visit (aOR=2.44; 95% CI: 1.30, 4.60 in Cambodia; aOR=2.17; 95% CI 1.25, 3.75 in Kenya; aOR=1.89; 95% CI: 1.05, 2.02 in Zambia) also showed significantly greater odds of SBA.Conclusions Enhancing people-centered care through culturally appropriate community-oriented strategies integrating timely CHW health promotion and social accountability mechanisms shows some evidence for improving SBA during delivery. These strategies can accelerate the achievement of the sustainable development goals for maternal child and newborn health.

scholarly journals Access to Facility-Based Childbirth: Women’s Experience on Enablers and Obstacles to the Utilisation of Waiting Mothers’ Shelters in Rural Zimbabwe

2021 ◽  
Author(s):  
Brenda Muchabveyo
Keyword(s):  
Rural Communities ◽  
Maternal Health ◽  
Health Outcomes ◽  
Skilled Birth Attendance ◽  
Birth Attendants ◽  
Qualitative Research Design ◽  
Birth Attendance ◽  
Maternal Health Outcomes ◽  
Multi Stakeholder ◽  
Depth Interviews

Abstract This article explores experiences and perceptions of women concerning the utilising a waiting mothers’ shelter at Bonda Mission Hospital in the Manicaland province of Zimbabwe. It draws on a phenomenological qualitative research design. This incorporated in-depth interviews and key informant interviews with purposively selected fifteen women who have used the waiting mothers’ shelter since 2015 and eight healthcare practitioners respectively. The paper is guided by Alfred Schutz’s (1972) social phenomenology. While the findings reveal that most women acknowledged the importance of waiting mothers’ shelters in improving access to skilled birth attendance and maternal health outcomes, there are still factors that militate the use of such innovations. Several socio-cultural and economic factors such as constrained decision making among women, mistreatment and lack of privacy in the shelters are some of the deterrent factors. The article concludes that, although waiting mothers’ shelters are facilities proven to be beneficial in rural communities, they continually face the risk of not being used. There is a need for a multi-stakeholder approach to address the barriers that deter women from utilising the waiting mothers’ shelters and improve access to facility-based delivery, access to skilled birth attendants and enhance the maternal health outcomes in rural communities in Zimbabwe.

scholarly journals A comparative study of adult and adolescent maternal care continuum following community-oriented interventions in Cambodia, Guatemala, Kenya, and Zambia

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261161
Author(s):  
Anbrasi Edward ◽  
Younghee Jung ◽  
Grace Ettyang ◽  
Chhea Chhorvann ◽  
Casey Risko ◽  
...  
Keyword(s):  
Low Income ◽  
Healthcare Services ◽  
Skilled Birth Attendance ◽  
Adult Women ◽  
Care Seeking ◽  
Care Continuum ◽  
Birth Attendance ◽  
Maternal Morbidity And Mortality ◽  
Adolescents And Adults ◽  
Quasi Experimental

Background The coverage for reproductive care continuum is a growing concern for communities in low- income economies. Adolescents (15–19 years) are often at higher odds of maternal morbidity and mortality due to other underlying factors including biological immaturity, social, and economic differences. The aim of the study was to examine a) differences in care-seeking and continuum of care (4 antenatal care (ANC4+), skilled birth attendance (SBA) and postnatal care (PNC) within 24h) between adult (20–49 Years) and adolescents and b) the effect of multilevel community-oriented interventions on adolescent and adult reproductive care-seeking in Cambodia, Guatemala, Kenya, and Zambia using a quasi-experimental study design. Methods In each country, communities in two districts/sub-districts received timed community health worker (CHW) household health promotion and social accountability interventions with community scorecards. Two matched districts/sub-districts were selected for comparison and received routine healthcare services. Results Results from the final evaluation showed that there were no significant differences in the care continuum for adolescents and adults except for Kenya (26.1% vs 18.8%, p<0.05). SBA was significantly higher for adolescents compared to adult women for Guatemala (64% vs 55.5%, p<0.05). Adolescents in the intervention sites showed significantly higher ANC utilization for Kenya (95.3% vs 84.8%, p<0.01) and Zambia (87% vs 72.7%, p<0.05), ANC4 for Cambodia (83.7% vs 43.2%, p<0.001) and Kenya (65.9% vs 48.1%, p<0.05), SBA for Cambodia (100% vs 88.9%, p<0.05), early PNC for Cambodia (91.8% vs 72.8%, p<0.01) and Zambia (56.5% vs 16.9%, p<0.001) compared to the comparison sites. However, the findings from Guatemala illustrated significantly lower care continuum for intervention sites (aOR:0.34, 95% CI 0.28–0.42, p<0.001). The study provides some evidence on the potential of multilevel community-oriented interventions to improve adolescent healthcare seeking in rural contexts. The predictors of care continuum varied across countries, indicating the importance of contextual factors in designing interventions.

DESAIN PEMBELAJARAN BAHASA INDONESIA BERBASIS PEMAHAMAN NILAI SIKAP GOTONG ROYONG

2020 ◽  
Vol 13 (2) ◽  
pp. 01-10
Author(s):  
Alpansyah Alpansyah ◽  
Abdul Talib Hasim
Keyword(s):  
Experimental Study ◽  
Language Learning ◽  
Reader Response ◽  
Female Students ◽  
Male Students ◽  
Mutual Cooperation ◽  
Male And Female ◽  
Quasi Experimental ◽  
Bahasa Indonesia ◽  
Better Than

The aims of this study were: (1) to identify an increase in students' understanding of the value of mutual cooperation through the use of reader response rules in Indonesian Language Learning (KRPDPBI); (2) identifying the use of the reader response principle in Indonesian Language learning (KRPDPBI) there are differences between male and female students. The design of this study used a quasi-experimental study with two different methods. The results showed that (1) the achievement of the score of understanding the value of mutual cooperation for students taught by KRPDPBI was better than for students taught by regular learning according to the curriculum; (2) the achievement of the understanding of the value of male students' mutual cooperation is no better than that of female students.

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