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

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 SCHOOL HEALTH PROMOTION: A QUASI-EXPERIMENTAL STUDY ON CLEAN AND HEALTHY LIVING BEHAVIOR AMONG ELEMENTARY STUDENTS IN JAYAPURA, PAPUA, INDONESIA

2020 ◽  
Vol 6 (6) ◽  
pp. 220-225
Author(s):  
Ellen Rosawita Veronica Purba ◽  
Lely Lusmilasari ◽  
Janatin Hastuti
Keyword(s):  
Experimental Study ◽  
Health Promotion ◽  
Elementary Students ◽  
School Health ◽  
Comparison Group ◽  
School Health Promotion ◽  
Healthy Living ◽  
Knowledge And Attitudes ◽  
Quasi Experimental ◽  
Experimental Group

Background: The Indonesian government has launched a clean and healthy living behavior program as one of the efforts for school health promotion. However, the healthy behaviors of the elementary students remain low. Objectives: This study aimed to examine the effect of audiovisual-based education on the knowledge and attitudes of clean and healthy behavior in elementary students.Methods: This was a quasi-experimental study with a pretest-posttest comparison group design conducted from 1 October to 17 October 2018. A total sample of 272 students was selected using purposive sampling, with 136 assigned in an experimental group (audiovisual group) and a comparison group (poster only group). Knowledge and attitudes of clean and healthy living behavior were measured using validated questionnaires. Data were analyzed using a paired t-test and independent t-test.Results: There was a significant effect of the interventions given in the experimental and comparison group on knowledge and attitude of clean and healthy living behavior (p<0.05). However, the experimental group showed a higher mean score compared to the comparison group in knowledge and attitudes, which indicated that the use of audiovisual-based education was more effective than the use of poster alone in improving the knowledge and attitudes of clean and healthy living behavior.Conclusion: The students who received audiovisual-based education had higher knowledge and attitudes of clean and healthy living behavior than those who only received poster-based education. This study provides input for pediatric and community nurses to provide better health education for the community, specifically for school health promotion.

scholarly journals Has untargeted sexual health promotion for young people reached its limit? A quasi-experimental study

2013 ◽  
Vol 67 (5) ◽  
pp. 398-404 ◽  
Author(s):  
Lawrie Elliott ◽  
Marion Henderson ◽  
Catherine Nixon ◽  
Daniel Wight
Keyword(s):  
Experimental Study ◽  
Health Promotion ◽  
Young People ◽  
Sexual Health ◽  
Quasi Experimental

scholarly journals The Effects of Health Promotion Model on Preventive Behaviors of Osteoporosis during Premenopausal Period in Employed Women: A Quasi-experimental Study

2018 ◽  
Vol 7 (3) ◽  
pp. 324-330
Author(s):  
Mahsa Askarian ◽  
Iran Jahanbin ◽  
Fatemeh Vizeshfar ◽  
Zahra Yazdanpanahi ◽  
Hamideh Mohseni
Keyword(s):  
Experimental Study ◽  
Health Promotion ◽  
Block Size ◽  
Preventive Behaviors ◽  
Health Promotion Model ◽  
Wide Range ◽  
Quasi Experimental ◽  
The Mean ◽  
Pender's Health Promotion Model ◽  
Experimental Group

Objectives: Osteoporosis is one of the major problems of the healthcare system and is a common debilitating metabolic disease among women. Pender’s health promotion model which is a conceptual framework and describes a wide range of health behavior was selected to assess the behavioral changes in this study. Materials and Methods: A total of 122 women aged between 30 and 45 were selected to take part in this quasi-experimental study. The samples were split into experimental and control groups using the block randomization method (block size of 4). The educational program, based on Pender’s model, was performed weekly. Pender’s questionnaire on preventive behaviors of osteoporosis was filled out before and two months after interventions by both groups. SPSS software version 18.0 was used for data analysis. Results: In terms of qualitative and quantitative data (demographic characteristics), there was no meaningful difference between the two groups (P>0.05). The mean difference (MD) in the score of the perceived benefits and barriers, perceived self-efficacy, programming, competing demand, and their commitment to a plan of actions increased in the experimental group after the intervention (P<0.001). However, there was no significant increase in the mean score of social support in the experimental group after the intervention (P>0.05). Conclusions: It can be assumed that teaching preventive behaviors of osteoporosis through Pender’s health promotion model was effective. Considering the findings, it is obvious that continuing this program can maintain and consolidate the changes which have been made in behaviors.

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.

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