scholarly journals Evaluating the Effect of Community Engagement on the Birth Preparedness and Complication Readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in Northern Karnataka, India

2021 ◽  
Author(s):  
Avinash Kavi ◽  
Mai-Lei Woo Kinshella ◽  
Umesh Y Ramadurg ◽  
Umesh S Charantimath ◽  
Geetanjali M Katageri ◽  
...  
Keyword(s):  
Health Services ◽  
Pregnant Women ◽  
Community Engagement ◽  
Health Workers ◽  
Community Level ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Care Seeking ◽  
Complication Readiness ◽  
Community Stakeholders

Abstract Background: Increased birth preparedness and complication readiness can promote timely identification of the need for seeking skilled care and arrival at the appropriate facility for pregnancy complications. Engaging communities can support effective usage of local health services, yet implementation of community engagement programs can be challenging. The objective of the paper is to describe the process of community engagement in northern Karnataka, India and its impact on pre-eclampsia knowledge, birth preparedness and complication readiness, pregnancy-related care seeking and maternal morbidity.Methods: Community engagement was conducted in intervention clusters within the “Community-Level Interventions for Pre-eclampsia” (CLIP) trial in Belagavi and Bagalkote districts in rural Karnataka, India. Community engagement attendance was summarized according to participant group (pregnant women and women of reproductive age, mothers and mothers-in-law, community stakeholders, health workers and others). Pre-eclampsia knowledge, birth preparedness, health services engagement and perinatal outcomes was evaluated within trial surveillance. Outcomes were compared between trial arms using a mixed effects logistic regression model on RStudio (RStudio Inc, Boston, United States). Community feedback notes were thematically analysed on NVivo12 (QSR International, Melbourne, Australia).Results: A total of 1,379 community engagement meetings were conducted with 39,362 participants between November 2014 and October 2016. Community engagement activities may have had an effect on modifying community attitudes towards hypertension in pregnancy and its complications. However, rates of pre-eclampsia knowledge, birth preparedness, health services engagement and maternal morbidities among individual pregnant women were not significantly impacted by community engagement activities in their area.Conclusion: Evaluation of our community engagement program in India demonstrates the feasibility of reaching pregnant women alongside household decision-makers, community stakeholders and health workers. More research is needed to explore the pathways of impact between broad community mobilization to strengthen support for maternal care-seeking and clinical outcomes of individual pregnant women. Trial registration: Clinical Trials.gov, NCT01911494. Registered 30 July 2013, https://clinicaltrials.gov/ct2/show/NCT01911494.

scholarly journals Unlocking community capabilities for addressing social norms/practices: Behavioural change intervention study to improve birth preparedness and complication readiness among pregnant women in rural Nigeria

2020 ◽  
Author(s):  
Irene Ifeyinwa Eze ◽  
Chinyere Ojiugo Mbachu ◽  
Edmund Ndudi Ossai ◽  
Celestina Adaeze Nweze ◽  
Chigozie Jesse Uneke
Keyword(s):  
Health Services ◽  
Pregnant Women ◽  
Intervention Study ◽  
Statistical Tests ◽  
Behavioural Change ◽  
Male Partner ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Danger Signs ◽  
Rural Nigeria

Abstract Background Maternal mortality is attributed to combination of contextual factors that cause delay in seeking care, leading to poor utilization of skilled health services. Community participation is one of the acknowledged strategies to improve health services utilization amongst the poor and rural communities. The study aimed at assessing the potentials of improving birth preparedness and complication readiness (BP/CR) using community-driven behavioural change intervention among pregnant women in rural Nigeria. Methods A pre-post intervention study was conducted from June 2018 to October 2019 on 158 pregnant women selected through multi-stage sampling technique from 10 villages. Data on knowledge and practices of birth preparedness and utilization of facility health services were collected through interviewer-administered pre-tested structured questionnaire. Behavioural change intervention comprising of stakeholders’ engagement, health education, facilitation of emergency transport and fund saving system, and distribution of educational leaflets/posters were delivered by twenty trained volunteer community health workers. The intervention activities focused on sensitization on danger signs of pregnancy, birth preparedness and complication readiness practices and emergency response. Means, standard deviations, and percentages were calculated for descriptive statistics; and T-test and Chi square statistical tests were carried out to determine associations between variables. Statistical significance was set at p-value < 0.05 Results The result showed that after the intervention, mean knowledge score of danger signs of pregnancy increased by 0.37 from baseline value of 3.94 (p < 0.001), and BP/CR elements increased by 0.27 from baseline value of 4.00 (p < 0.001). Mean score for BP/CR practices increased significantly by 0.22 for saving money. The proportion that attended ANC (76.6%) and had facility delivery (60.0%) increased significantly by 8.2% and 8.3% respectively. Participation in Community-related BP/CR activities increased by 11.6% (p = 0.012). Conclusion With the improvements recorded in the community-participatory intervention, birth preparedness and complication readiness should be promoted through community, household and male-partner inclusive strategies. Further evaluation will be required to ascertain the sustainability and impact of the programme.

scholarly journals Knowledge and Practice on Birth Preparedness and Complication Readiness among Pregnant Women in Selected Ward of Biratnager Municipality, Nepal

2019 ◽  
Vol 33 (1) ◽  
pp. 53-66
Author(s):  
Sabitra Subedi
Keyword(s):  
Pregnant Women ◽  
Birth Preparedness ◽  
Care Seeking ◽  
Chi Square ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Danger Signs ◽  
Adequate Knowledge ◽  
Knowledge And Practice ◽  
The Government

 Birth preparedness and complication readiness is the process planning for normal birth and anticipating the action needed in case of an emergency. Promoting birth and emergency planning helps to improve preventive behavior, increase awareness of mothers about danger signs and improvement in care seeking behavior in the case of obstetric complication. A cross sectional descriptive quantitative community-based study was conducted to assess knowledge and practice on birth preparedness and complication readiness among 150 pregnant women of 24 weeks gestation and above in selected wards of Biratnagar with non- probability purposive sampling. The findings of the study showed that 22.7% of the respondents had adequate knowledge on the birth preparedness and complication readiness and 19.8% of respondents had adequate practice. However, the only 9.3% of respondents were prepared for birth complications. Analysis using chi square test identified statistically significant association between knowledge and practice. The study found significant association of knowledge with gravida and weeks of gestation. It seemed there is significant association of practice level with occupation and weeks of gestation and weeks of gestation. The study identified inadequate knowledge and practices on birth preparedness and complication readiness. Thus, the government office, policy makers and partner that are working in maternal health should give due emphasis to preparation for birth and its complication and provide information and education to all pregnant women at community level.

scholarly journals Birth preparedness and complication readiness among pregnant and recently delivered women in villages of a block of Ganjam, Odisha, India: a community based cross-sectional study

2019 ◽  
Vol 8 (5) ◽  
pp. 2003
Author(s):  
Monali Kar ◽  
Nivedita Karmee ◽  
Durga M. Satapathy
Keyword(s):  
Pregnant Women ◽  
Maternal Education ◽  
Health Workers ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness

Background: Globally approximately 830 women die from pregnancy and child birth every day. Most of deaths can be prevented by proper planning like birth preparedness and complication readiness (BPCR). The aim of study was to assess awareness and practice regarding BPCR among pregnant women and recently delivered women and to identify socio-demographic factors affecting it.Methods: A community based cross sectional study was conducted from September to December 2018 in villages of Chhatrapur block of Ganjam District among pregnant women (completed 24 weeks) and recently delivered women (12 months) regardless of newborn outcome. Sample size was calculated to be 96. Multi stage random sampling was adopted and PPS (Probability proportional to size) method was used. A questionnaire was used which contained socio-demographic information and set of 11 indicators to determine BPCR index. All data were analysed in SPSS.Results: BPCR index was 44.6% and it was higher (61%) in recently delivered women. 26% can be said to be well prepared and 45.8%, 27%, 32.3%, 37.5% knew at least one key danger sign in pregnancy, delivery, post partum and about new born respectively. A significant association was found between maternal education, age and pregnancy with awareness regarding BPCR.Conclusions: BPCR index in study area was low and a low proportion of participants were well prepared. Awareness about danger signs was quite low. So health workers at grassroots level should be encouraged to explain BPCR components to women and educational activities should be carried out to promote women to make plan a priori.

scholarly journals “He lets me go although he does not go with me.”: Rwandan women’s perceptions of men’s roles in maternal health

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Germaine Tuyisenge ◽  
Valorie A. Crooks ◽  
Nicole S. Berry
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health Outcomes ◽  
Pregnant Women ◽  
Critical Time ◽  
Maternal Health Services ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Maternal Health Outcomes ◽  
Men’S Involvement

Abstract Background Increasing men’s involvement in their pregnant partners’ wellness has been reported as one of the ways to improve access to and utilization of maternal health services, including birth preparedness and complication readiness. Men can play meaningful roles in the support systems that pregnant women need to achieve better maternal health outcomes. In Rwanda, the roles that men take vary, resulting in diverse expectations and responsibilities to support the health of women during this critical time. In this study, we aimed to examine the views, perspectives, and experiences of women on men’s involvement in maternal health and how this impacts access and utilization of maternal health services. Methods We conducted 21 interviews with pregnant and recently-pregnant women to gain an understanding of their views on men’s involvement in facilitating their partners’ health during pregnancy. Interviews were conducted across five Rwandan districts in both rural and urban settings of the country. Data analysis was guided by a thematic analysis approach. This started with independent transcript review by the investigators, after which a meeting was held to discuss emergent themes and to identify potential codes. A coding scheme was created and transcripts were coded in NVIVO™ software according to conceptual and practical topics that formed an understanding of men’s involvement in maternal care. Results Three key themes emerged during the analytic process that categorize the specific roles that men play in maternal health: 1) facilitating access to maternal health services, which involves assisting women with getting and or attending appointments jointly with men; 2) supporting women’s decisions, wherein men can support the decisions women make with regard to their maternal healthcare in a number of ways; and 3) evaluating information, including gathering information from multiple sources, especially from community health workers, to assist women with making informed decisions. Conclusion Rwandan men take on three types of roles in supporting women’s maternal health, and their responsibilities are experienced differently by women. Interventions involving men are encouraged to increase their understanding of the implications of their involvement in maternal health without compromising women’s autonomy in decision-making and to promote positive maternal health outcomes.

scholarly journals A multilevel analysis of overweight and obesity among non-pregnant women of reproductive age in Malawi: evidence from the 2015–16 Malawi Demographic and Health Survey

2018 ◽  
Vol 11 (6) ◽  
pp. 496-506 ◽  
Author(s):  
Peter Austin Morton Ntenda ◽  
Jane Flora Kazambwe
Keyword(s):  
Pregnant Women ◽  
Health Survey ◽  
Media Coverage ◽  
White Collar ◽  
Overweight And Obesity ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Reproductive Age ◽  
The Individual ◽  
Maternal Overweight

Abstract Background Overweight and obesity are well-known risk factors for non-communicable diseases such as cardiovascular disease, diabetes, some cancers and musculoskeletal disorders. In Malawi, the proportion of women who are overweight/obese has doubled, from 10% in 1992 to 21% in 2015–16. Therefore we aimed to explore the individual- and community-level factors associated with overweight and obesity among non-pregnant women of child-bearing age. Methods Secondary analysis of the 2015–16 Malawi Demographic and Health Survey was conducted. Overweight was defined as a body mass index (BMI) of 25 to &lt;30 kg/m2, while obesity was defined as a BMI ≥30 kg/m2. Two-level multilevel multivariable logistic regression models were constructed using a logit-link function with a binomial distribution on 7326 women living in 850 different communities. Results At the individual level, the adjusted multilevel regression results showed that women 15–19 y of age as well as women from the poorest households had reduced odds of being overweight/obese. However, women with white collar jobs and women who were affiliated with the Church of Central Africa Presbyterian and the Roman Catholic church had increased odds of being overweight/obese. At the community level, women from urban areas and women who resided in communities with a low percentage of media exposure had increased odds of being overweight or obese. While women from poor communities had reduced odds of being overweight and obese, the proportion change in variance showed that 56, 77 and 78% of total variations in the odds of overweight, obese and overweight/obese across the communities were explained by both individual- and community-level factors. The median odds ratio showed that the likelihood of maternal overweight, obese and overweight/obese increased by 63, 39 and 84% when the women moved from low- to high-risk neighbourhoods. Conclusions Older women, Christian women, women with white collar jobs and women from the richest households should be targeted during policy formulation. At the community level, media coverage should be spread evenly so that health awareness messages, consequences and means of overweight and obesity prevention are getting to the targeted women. Our study revealed evidence of clustering effects of overweight and obesity at the community level, hence neighbourhood variations with respect to maternal overweight and obesity should be taken into account when designing nutritional policies.

scholarly journals Birth preparedness and complication readiness among pregnant women in resource-limited setting in rural Northern Ghana

2021 ◽  
Vol 6 ◽  
Author(s):  
Alex Bapula Kassim ◽  
Sam Kofi Newton ◽  
William Dormechele ◽  
Beatrice Baah Rahinatu ◽  
Easmon Otupiri
Keyword(s):  
Pregnant Women ◽  
Resource Limited Setting ◽  
Northern Ghana ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Resource Limited ◽  
Limited Setting

scholarly journals Effect of Awareness Programme on Knowledge and Practice Regarding Birth Preparedness and Complication Readiness among Pregnant Women at Panchla Block, Howrah District

2020 ◽  
Vol 2 (2) ◽  
pp. 127-140
Author(s):  
Reba Sarkar ◽  
Smritikana Mani
Keyword(s):  
Pregnant Women ◽  
Tracking System ◽  
Intervention Group ◽  
Positive Association ◽  
Control Group ◽  
Birth Preparedness ◽  
Chi Square ◽  
Complication Readiness ◽  
Knowledge And Practice ◽  
Awareness Programme

Birth preparedness and complication readiness or BP/ CR of pregnant women enable maternal and newborn survival. A quasi-experimental study was conducted to know the effect of awareness programme on knowledge and practice regarding BP/ CR among pregnant women in Panchla Block, Howrah District , West Bengal. Using the Mother and Child tracking system register 72 mothers with gestational age ≥ 36 weeks selected randomly from 12 sub-centers. Intervention was done through individual and group instructions and data were collected before and after intervention. The intervention through awareness programme to the pregnant women significantly raised the awareness level regarding BP/ CR, as the mean score was higher in the intervention group regarding birth preparedness ((17.1 after intervention versus 13.5 before intervention, t value 12.73 with 35 df ,  p<0.05) and complication readiness (13.8 after intervention versus 6.1 before intervention, t value 25.31 with 35 df , p<0.05). However, there is no significant improvement in mean score in the control group regarding birth preparedness. There is also, strong positive association between knowledge and practice (chi-square value 16.99 with 1 df and p<0.01). Keyword: birth preparedness; complication readiness

Determinant of Practice of Birth Preparedness and Complication Readiness Plan Among Pregnant Women at Debretabor, North west Ethiopia: A Community Based Cross Sectional Study.

2020 ◽  
Author(s):  
Berhan Tsegaye Negash
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Preparedness Plan ◽  
Education Status ◽  
Partner Involvement

Abstract Background: Nearly all of maternal deaths in the world occurred in sub-Saharan African countries. As Ethiopian demographic health survey report, there were 412 maternal deaths per 100,000 live births in 2016. Delays in decision to seek and receive care are the main causes of these deaths. Birth preparedness and complication readiness plan has been globally endorsed pivotal strategy to decrease these delays. Therefore, this study was aimed to assess the level of practice and factors associated with practice of birth preparedness plan among pregnant women. Methods: Community based cross-sectional study was done among 356 pregnant women selected by simple random sampling technique from July 1-30/2017 in Debretabor town. We selected samples by simple random sampling technique. Data were collected using interview administered questionnaire. Then, we coded, cleaned and entered data through Epidata version 3.1. Finally, exported and analyzed by SPSS. Logistic regression analysis was done to identify association between explanatory variables and practice of birth preparedness and complication plan. An adjusted odds ratio with 95% confidence interval and p-value less than 0.05 was computed to determine the level of significance in multi-variable logistic regression model.Results: Prevalence of birth preparedness and complication readiness plan was 73.9% in this study. primary education status (AOR=3.2,95%CI,1.3-7.8) and secondary educational status (AOR=4.1,95%CI,1.6-10.3), Primigravida (AOR=4.7,95%CI,1.9-11.3), partner involvement in birth preparedness and complication readiness plan (AOR=3.4,95%CI,1.9-6.1), initiating antenatal care in first trimester and media exposure (AOR=1.9,95%CI,1.0-3.3) were significantly associated factors with birth preparedness and complication readiness plan in this study. Conclusions: Level of practice of birth preparedness and complication readiness plan was high in the current study. Higher education status, early ante-natal care initiation, partner involvement in birth preparedness and exposure to media were the factors associated with practice of birth preparedness and complication readiness. Therefore, emphasize on continues education through media, design educational curriculum which should include birth preparedness plan, increase partner participation in birth preparedness and complication readiness plan. Furthermore, early initiation of antenatal care is mandatory.

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