"Love me, parents!": impact evaluation of a national social and behavioral change communication campaign on maternal health outcomes in Tanzania.
"Love me, parents!": impact evaluation of a national social and behavioral change communication campaign on maternal health outcomes in Tanzania.
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DOI：
10.1186/s12884-017-1470-x
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发表时间：
2017-09-15
影响因子：
3.1
通讯作者：
Ainslie R
中科院分区：
文献类型：
--
作者：
Kaufman MR;Harman JJ;Smelyanskaya M;Orkis J;Ainslie R
尽管在过去几十年里取得了显著的改善，但坦桑尼亚的产妇死亡率仍然是世界上最高的，每10万活产454名产妇死亡。造成这一差距的因素很多，例如缺乏产前保健服务以及在有熟练提供者的保健设施中分娩的比率低。2012年在坦桑尼亚发起了“爱我，父母”社会和行为改变宣传运动，以改善一系列孕产妇保健成果，包括个人生育计划、及时参加产前护理和在医疗机构分娩。为了确定全国“Wazazi Nipendeni”运动的影响，在坦桑尼亚五个有目的地选择的地区进行了一项评估，在结束时与在非洲人国民大会诊所就诊的孕妇和产后妇女进行了面谈。总共采访了1708名妇女，内容涉及竞选活动、ANC出席情况和个人生育计划。超过三分之一的受访女性（35.1%）表示在上个月接触了该活动。女性报告听到Wazazi Nipendeni信息的来源越多，她们就越计划生孩子（β = 0.08, p = 0.001）。更多类型的暴露于Wazazi Nipendeni信息与ANC访问的增加相关（β = 0.05, p = 0.004）。在调整后的模型中，干预暴露并不能显著预测第一次产前检查或艾滋病毒检测的时间，然而，研究结果表明，在未调整的模型中，干预暴露确实可以预测妇女是否在医疗机构分娩（或不在医疗机构分娩）以及她们是否与伴侣一起进行艾滋病毒检测。Wazazi Nipendeni活动表明，这种行为改变沟通干预可以为资源匮乏的妇女带来更好的怀孕和分娩结果。对于艾滋病毒检测等结果，信息暴露显示出一些有希望的效果，但年龄和社会经济地位等人口统计学变量似乎也很重要。
Despite marked improvements over the last few decades, maternal mortality in Tanzania remains among the world’s highest at 454 maternal deaths per 100,000 live births. Many factors contribute to this disparity, such as a lack of attendance at antenatal care (ANC) services and low rates of delivery at a health facility with a skilled provider. The Wazazi Nipendeni (Love me, parents) social and behavioral change communication campaign was launched in Tanzania in 2012 to improve a range of maternal health outcomes, including individual birth planning, timely ANC attendance, and giving birth in a healthcare facility. An evaluation to determine the impact of the national Wazazi Nipendeni campaign was conducted in five purposively selected regions of Tanzania using exit interviews with pregnant and post-natal women attending ANC clinics. A total of 1708 women were interviewed regarding campaign exposure, ANC attendance, and individual birth planning. Over one third of interviewed women (35.1%) reported exposure to the campaign in the last month. The more sources from which women reported hearing the Wazazi Nipendeni message, the more they planned for the birth of their child (β = 0.08, p = .001). Greater numbers of types of exposure to the Wazazi Nipendeni message was associated with an increase in ANC visits (β = 0.05, p = .004). Intervention exposure did not significantly predict the timing of the first ANC visit or HIV testing in the adjusted model, however, findings showed that exposure did predict whether women delivered at a health care facility (or not) and whether they tested for HIV with a partner in the unadjusted models. The Wazazi Nipendeni campaign shows promise that such a behavior change communication intervention could lead to better pregnancy and childbirth outcomes for women in low resource settings. For outcomes such as HIV testing, message exposure showed some promising effects, but demographic variables such as age and socioeconomic status appear to be important as well.
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影响因子：
4.4
作者：
Hutchinson, Paul;Lance, Peter;Haque, Shahida
通讯作者：
Haque, Shahida
DOI：
10.1007/978-94-007-6778-2_12
发表时间：
2014-01-01
期刊：
ADVANCED TECHNIQUES FOR MODELLING MATERNAL AND CHILD HEALTH IN AFRICA
影响因子：
--
作者：
Manda, Samuel O. M.;Meyer, Renate;Cai, Bo
通讯作者：
Cai, Bo
影响因子：
3.1
作者：
Pembe, Andrea B.;Paulo, Chetto;van Roosmalen, Jos
通讯作者：
van Roosmalen, Jos
影响因子：
168.9
作者：
Campbell, Oona M. R.;Graham, Wendy J.
通讯作者：
Graham, Wendy J.
影响因子：
168.9
作者：
Wakefield, Melanie A.;Loken, Barbara;Hornik, Robert C.
通讯作者：
Hornik, Robert C.