scholarly journals Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: A Quasi-experimental study

2019 ◽  
Author(s):  
Ramesh Kumar ◽  
Midhat Farzeen ◽  
Assad Hafeez ◽  
Baseer Khan Achakzai ◽  
Muskan Vankwani ◽  
...  

Abstract Background: Malaria being a pressing public health issue in Pakistan can be prevented if long lasting insecticides are made freely available in the country. However, the success of this prevention strategy depends upon usage of long-lasting insecticide treated nets (LLINs) by community. Hence the focus of present study was to determine the effectiveness of health education on adoption of LLINs among pregnant women living in remote district Tharparkar Sindh Pakistan. Methods: A Quasi-experimental study design with control and intervention group was conducted with 200 pregnant women (100in each group). Women in intervention group were provided with health education sessions on malaria for 12 weeks while those in control group obtained routine information by lady health workers (LHWs). Pre and post intervention assessment was done for use of LLINs; and was statistically analyzed using independent sample t-test, chi-square with p values, and mean scores. Results: Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups except for age, education, income, type of latrine and source of drinking water. After intervention, as compared to baseline, knowledge of participants increased two-fold in intervention group whereas it remained unchanged in control group. Furthermore, statistically significance difference (<0.05) between intervention and control groups on use of LLINs was found with increase in LLINs usage among intervention group. Conclusions: Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for preventing malaria. Therefore, such educational interventions have a potential to be implemented at scale by incorporating them into routine health sessions provided by health workers to pregnant women so that maternal and child morbidity and mortality due to malaria can be prevented.

2020 ◽  
Author(s):  
Ramesh Kumar ◽  
Midhat Farzeen ◽  
Assad Hafeez ◽  
Baseer Khan Achakzai ◽  
Muskan Vankwani ◽  
...  

Abstract Background About one quarter of pregnant women in the population of Pakistan are using long-lasting insecticide-treated bed nets (LLINs) for prevention of malaria. Past research reported that adequate information and education would act as mediator to change behaviour among patients for prevention of malaria infection. The effective use of LLINs would contribute to reduction of disease burden caused by malaria. The aim of this study was to determine the effectiveness of health education on the adoption of LLINs among pregnant women living in Tharparkar, a remote district in Sindh Province, Pakistan.Methods A quasi-experimental study design with control and intervention groups was conducted with 200 pregnant women (100 in each group). Women in the intervention group were provided with health education sessions on malaria for 12 weeks, while those in the control group obtained routine information from lady health workers (LHWs). Pre- and post-intervention assessment was done of knowledge about malaria and use of LLIN, which was statistically analysed using descriptive statistics and difference in difference (DID) multivariable regression analysis to test effectiveness of the intervention.Results Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups with slight differences in age, education, income, type of latrine, and source of drinking water. There were no significant differences between mean knowledge and use of LLINs scores between groups at baseline. However, the estimated DID value after the intervention was 4.170 (p <0.01) and represents an increase in scores of knowledge in the intervention group compared to control. Similarly DID value of 3.360 (p <0.05) showed an increase in use of LLINs score after the intervention which was significant, showing that the intervention had a positive effect.Conclusions Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for the prevention of malaria. Such educational interventions have a positive potential to be implemented at larger scale by incorporating them into routine health sessions provided by health workers.


2020 ◽  
Author(s):  
Ramesh Kumar ◽  
Midhat Farzeen ◽  
Assad Hafeez ◽  
Baseer Khan Achakzai ◽  
Muskan Vankwani ◽  
...  

Abstract Background: About one quarter pregnant women population were using long lasting insecticides treated bed nets in Pakistan for prevention of malaria.. Past research has reported that adequate information and education could act as mediator to change the behavior among patients for prevention of malaria infection. Hence, the effective use of LLINs could contribute in reduction of disease burden caused by malaria. Aim of this study was to determine the effectiveness of health education on adoption of LLINs among pregnant women living in a remote district Tharparkar Sindh Pakistan. Methods: A Quasi-experimental study design with control and intervention group was conducted with 200 pregnant women (100in each group). Women in intervention group were provided with health education sessions on malaria for 12 weeks while those in control group obtained routine information by lady health workers (LHWs). Pre and post intervention assessment was done for knowledge about malaria and use of LLINs; and was statistically analyzed using descriptive statistics and difference in difference (DID) multivariable regression analysis to test the effectiveness of intervention. Results: Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups with slight differences in age, education, income, type of latrine and source of drinking water. There were no significant differences between the mean knowledge and use of LLINs scores between groups at baseline. However, the estimated difference-in-difference value after the intervention was 4.170 (p <0.01) represents an increase in scores of knowledge in the intervention group as compared to control. Similarly difference-in-difference value of 3.360 (p <0.05) showed an increase in use of LLINs score after the intervention which was significant therefore showing that the intervention had a positive effect. Conclusions: Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for prevention of malaria. Therefore, such educational interventions have a positive potential to be implemented at larger scale by incorporating them into routine health sessions provided by health workers.


2020 ◽  
Vol 11 (3) ◽  
pp. 197-200
Author(s):  
Rosmaria . ◽  
Sri Yun Utama ◽  
Titik Hindriati ◽  
Diniyati .

Background: The consumption of Fe tablets needs to be the attention of midwives as one of the spearheads in providing antenatal care services. Due to the low level of compliance of pregnant women to consume Fe tablets, it is necessary to provide appropriate counseling as an effort to increase compliance with Fe tablets. Objective: This study aimed to determine the effectiveness of the application model (Sumiferos) for preventing anemia with pregnant women compliance in consuming Fe tablets at Putri Ayu Health Center in Jambi city. Materials and methods: This study used a quasi-experimental research design with a post-test design by involving an intervention group and a control group (post-test), two group designs. With the total of 70 subjects;the intervention group, 35 respondents were given a website application (sumiferos), and a control group 35 respondents were given a leflet. After a month, the number of Fe tablets that have been consumed was monitored. Compliance of pregnant women in consuming Fe tablets required a monitoring or supervisioncarried out by health workers. Therefore, an intervention was given by using a website-based application (sumiferos) for pregnant women as a communication tool that has been created and designed previously by researchers. Results: Posttest statistical analysis showed that pregnant women who were given a website application (sumiferos) in the intervention group showed better compliance than pregnant women in the control group given lefket. Conclusion: Based on the results,a website application (sumiferos) is more effective than leaflets in improving maternal compliance to consume Fe tablets given by health workers.


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Christopher Vunni Draiko ◽  
Khemika Yamarat ◽  
Alessio Panza ◽  
Judith Draleru ◽  
Martin Taban ◽  
...  

This study aimed to examine the effects of the Helping Babies Breathe (HBB) training interventions program on the knowledge, psychomotor skills, and competency of health workers in managing birth asphyxia and reducing mortality of newborns experiencing asphyxia within 24 hours. This study used pre- and post-test design (quasi experimental study). Purposive sampling was employed, and a computer-generated number was used to select the participants. Health workers from Juba Teaching Hospital comprised the intervention group. They were evaluated before and after the training from February to June 2017. A post training skill and competency evaluation was performed using a NeoNatalie newborn simulator and was repeated after three months of implementation for intervention and control group. Seventy health workers were enrolled; 40 were in the intervention group and 30 in the control group. Early newborn mortality due to asphyxia within 24 hours in intervention and control measure at pre and post implementation showed a significant reduction within the intervention than the control. Knowledge, psychomotor and competency of health care workers improved immediately after training and early newborn mortality reduced by half at the end of three months. It is recommended that training of health workers on HBB should be scaled up in most of the health facilities in South Sudan.


Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 832
Author(s):  
María Begoña Martos-Cabrera ◽  
José Luis Gómez-Urquiza ◽  
Guillermo Cañadas-González ◽  
José Luis Romero-Bejar ◽  
Nora Suleiman-Martos ◽  
...  

Type 2 diabetes mellitus (DM2) is a highly prevalent disease, the progression of which depends on high blood glucose levels, which are reflected in the level of glycosylated haemoglobin (HbA1c). Appropriate health education equips patients with the knowledge and skills to control their glucose and HbA1c levels to avoid long-term complications. This study was set up to compare the results of an intensive (360 min) educational intervention to improve HbA1c parameters in patients with DM2 with those of a usual 90 min intervention. For this purpose, healthcare personnel led a quasi-experimental study of 249 diabetics: 171 in the control group, and 78 in the intervention group. In the control group, the mean HbA1c value decreased from 6.97 to 6.75, while in intervention group it fell from 8.97 to 8.06. The before and after mean difference between both groups was compared with a Wilcoxon test, and the results statistically significant (W = 4530; p < 0.001), indicating a higher reduction of HbA1c in the intervention group. We concluded that the intensive health education provided by nurses during the consultation helped improve HBA1c levels in persons with DM2.


2020 ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Fauza Rizqiya ◽  
Walliyana Kusumaningati ◽  
Inne Indraaryani Suryaalamsah ◽  
Zahrofa Hermiwahyoeni

Abstract Background: Almost one-third of children under five suffer from stunting in Indonesia. Stunting can be prevented optimally since the period of pregnancy as the initial phase of the first 1000 days of life. This study aims to determine the effect of nutrition education and reproductive health on pregnant women in Bogor Regency, Indonesia.Methods: A quasi-experimental study was conducted among 194 pregnant women from August to November 2019. The pregnant women were randomly selected from two different villages that were the stunting locus in Bogor Regency. The intervention group (n=97) received two hours of nutrition and reproductive health education in small groups (4-5 mothers per group) every two weeks for three consecutive months. This interactive education had been given by a facilitator using some techniques such as role-playing, lectures, simulation, and games. The control group (n=97) were to obtain regular health care services. A structured questionnaire was applied to collect data consisting of maternal characteristics, nutritional and reproductive health knowledge, attitudes, and practices in the intervention and control groups. Data were analyzed using t-test and chi-square analysis.Results: Pregnant women in the intervention group indicate a significant increase in knowledge, attitudes, and practices regarding nutrition and health reproductive after being given an education. The pretest and posttest mean scores in the intervention group were 55.1 and 83.1; 40.2 and 49.0; and 36.2 and 40.2, for the overall mother's knowledge, attitudes, and practices, respectively. Whereas in the control group, there was no significance between the pretest and posttest mean for these three variables. There was a significant difference (p<0.05) in the posttest mean between the intervention group and the control group, but the difference was not significant (p>0.05) at the pretest.Conclusion: Providing nutrition and reproductive health education through small groups with interactive methods improves the knowledge, attitudes, and practices of pregnant women. This intervention has the potential to be replicated and developed into large-scale implementation by optimizing collaboration between government, non-governmental organizations, and maternal and child health service providers.


2019 ◽  
Vol 7 (5) ◽  
Author(s):  
Diana Hartaty Angraini ◽  
Fauziah, Erika Yulita Ichwan

Background: Breast milk is a complex food because it contains complete nutrients. The average exclusive breastfeeding mother is only up to two months. This is influenced by a lack of mother's knowledge, support from health workers, sick mothers and promotion of formula milk. Mothers must be prepared for the process of breastfeeding their babies. Therefore, reliable media must be created to increase maternal knowledge so that it can support the success of breastfeeding. The aim of this study was to determine the effect of educational interventions through the android application media "Ayo ASI" on increasing maternal knowledge about breast milkMethods: This study uses a quasi-experimental approach. the sample in this study were 35 respondents in the intervention group and 35 respondents for the group taken with the control of the purposive sampling method.Results: Based on the Wilcoxon test at getting p-value 0,000, there is an effect of giving education through the Android application "AYO ASI" there is an increase in knowledge. Based on the results of the mann whithney test obtained p-value 0,000 so it can be concluded that there is a difference in increasing knowledge about ASI between the intervention group and the control group


2019 ◽  
Vol 1 (2) ◽  
pp. 89-101
Author(s):  
Yuni Sandra Pratiwi ◽  
Siti Rofiqoh ◽  
Herni Rejeki

The low milk supply to infants is a very serious threat to the growth and development of infants as the next generation of the nation. Good motivation and ability will increase the role of mothers in giving milk to babies, so that breastfeeding to babies will increase. This study aims to identify the effect of the education package for maternal affection towards maternal motivation in exclusive breastfeeding. A quasi-experimental research method with a non-equivalent control group pre and post test approach. The research site is in the work area of ​​Buaran and Wonokerto 2 Public Health Centers in Pekalongan Regency with three trimester primigravida respondents. The sampling technique used consecutive sampling consisting of 38 respondents. Statistical tests using the Chi Square Test. The results of the study showed that there was an influence of the mother's love education package on mother's motivation in breastfeeding in the intervention group (p <0.05). Health workers are expected to be more active in health promotion programs, especially the education package for mothers to love pregnant women in order to increase the motivation of pregnant women in breastfeeding their babies.   Keywords: ASI, Education, Motivation.


2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Siti Saidah Nasution ◽  
Erniyati Erniyati ◽  
Hariati Hariati

<p>Adolescence is an unstable period which often makes teenagers fall into free sex. Free sex generally occurs not only because of adolescent’s desire or willingness, but also by the influence of environment and the insufficient and incorrect health information. This research was part of community service with quantitative quasi-experimental research type. The sample in this study was 300 teenagers in the city of Medan which then divided into intervention group (n=150) and control group (n=150). The intervention was health education about reproduction and sexual development in adolescents by involving counseling teachers, and the establishment of reproductive and sexual health counseling team in school. Statistical test was performed with Mann-Whitney. The results showed that health education was effective in increasing knowledge (p = 0,000) and attitudes (p =0,000) of students towards free sex behavior in Medan. Adolescent’s knowledge and attitudes toward sexual behavior can be improved through counseling and education. Health workers must be able to optimize their role in providing health education and counseling especially about the adolescent’s sexual development by involving the role of family and school.</p>


Author(s):  
Piyathida KUHIRUNYARATN ◽  
Prasert PRASOMRAK ◽  
Bangonsri JINDAWONG

Background: Elderly falls increase dramatically with age and are a leading cause of injury, carrying a risk of loss of independence and death. We studied the effects of a health education program on fall-risk prevention among urban elderly persons in the municipality of Khon Kaen, Thailand. Methods: A quasi-experimental study was conducted in 2 communities. The calculated sample size was 216 individuals: 108 for intervention and 108 for control, all of whom were 60 or older, and registered at the Samlium Primary Care Unit (SPCU). The educational intervention was a fall risk intervention program by an elderly buddy. A structured questionnaire that incorporated questions from the Thai Fall Risk Assessment Tool (Thai-FRAT) was used to collect general and specific information. Data were analyzed using the independent sample t-test and c2, with P<0.05 being statistically significant. Results: The response rate was 94.4%. More than half of the respondents were at risk of a fall. The prevalence of risk of a fall among the intervention group was slightly less than that for those within the control group [Intervention group=52.9% (95%CI: 42.85, 62.81, P<0.001); Control group=60.8% (95%CI: 50.59, 70.15, P=0.016)]. After 6 months of intervention, the balance impairment, medicine usage, and overall proportion with risk of fall were decreased. The difference between the intervention and control groups was statistically significant (P<0.05). Conclusion: The provision of a health education program designed for fall risk prevention among the elderly would be a useful public health initiative.


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