Knowledge, attitude and practices: assessing maternal and child health care handbook intervention in Vietnam.
Knowledge, attitude and practices: assessing maternal and child health care handbook intervention in Vietnam.
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DOI：
10.1186/s12889-016-2788-4
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发表时间：
2016-02-09
影响因子：
4.5
通讯作者：
Nguyen LT
中科院分区：
文献类型：
--
作者：
Aiga H;Nguyen VD;Nguyen CD;Nguyen TT;Nguyen LT
妇幼健康 (MCH) 手册是一份综合的妇幼保健家庭记录，已在越南四个省份（奠边省、和平省、清化省和安江省）进行试点。该研究旨在通过《妇幼保健手册》干预措施，评估孕妇在使用产前保健服务的频率以及随后至六个月大的母乳喂养行为方面的行为变化。这是因为以前既没有根据该国妇幼保健院家庭记录对孕妇对其产前保健服务利用和纯母乳喂养实践的知识、态度和实践（KAP）水平进行分析，也没有进行报告。为了比较 2011 年干预前的基线，收集了 2013 年干预后的数据。对四个省份随机抽取的 810 名 6-18 个月大儿童的母亲进行了结构化访谈。四个省份的母亲们都进行了焦点小组讨论。干预前和干预后孕妇对≥3次产前检查的必要性的了解没有显着差异。然而，干预后进行≥3次产前检查的孕妇比例显着高于干预前。因此，《妇幼保健手册》可能通过改变他们的态度，促进了≥3次产前护理就诊。在干预前后，知道在最初六个月内需要纯母乳喂养的母亲比例显着增加。在干预前后，实行纯母乳喂养的比例也显着增加。因此，《妇幼保健手册》可能有助于增加纯母乳喂养的知识和实践。研究结果表明，《妇幼保健手册》有助于增加孕妇进行≥3次产前保健的次数以及她们对纯母乳喂养的了解和实践。尽管其数据记录水平还有改进的空间，但研究证实，《妇幼保健手册》在确保孕产妇、新生儿和儿童护理的连续性方面发挥着催化作用。请注意，这项研究是第一项尝试通过越南妇幼保健手册干预来估计孕妇行为变化的研究。
Maternal and Child Health (MCH) Handbook, an integrated MCH home-based record, was piloted in four provinces of Vietnam (Dien Bien, Hoa Binh, Thanh Hoa and An Giang). The study is aimed at assessing the changes in pregnant women’s behavior towards the frequencies of their antenatal care service utilizations and their subsequent breastfeeding practices up to six months of age, through the MCH Handbook intervention. This is because the levels of pregnant women’s knowledge, attitude and practices (KAP) towards their antenatal care service utilizations and exclusive breastfeeding practices have been previously neither analyzed nor reported in relation to MCH home-based records in the country. To compare pre-intervention baseline in 2011, post-intervention data were collected in 2013. Structured interviews were conducted with randomly selected 810 mothers of children 6-18 months of age in the four provinces. A focus group discussion among mothers in each of four provinces was conducted. There was no significant difference in pregnant women’s knowledge about the need for ≥3 antenatal care visits between pre- and post-interventions. Yet, the proportion of pregnant women who made ≥3 antenatal care visits in post-intervention was significantly higher than in pre-intervention. Thus, MCH Handbook is likely to have contributed to practicing ≥3 antenatal care visits, by changing their attitude. The proportion of mothers who know the need for exclusive breastfeeding necessary during the initial six months significantly increased between pre- and post-interventions. The proportion of those practicing exclusive breastfeeding significantly increased between pre- and post-interventions, too. Thus, MCH Handbook is likely to have contributed to the increase in both knowledge about and practices of exclusive breastfeeding. The results of study imply that MCH Handbook contributed to the increase in pregnant women’s practices of ≥3 antenatal care visits and in their knowledge about and practice of exclusive breastfeeding. While there is room for improvement in the level of its data recording, the study confirmed that MCH Handbook plays a catalytic role in ensuring a continuum of maternal, newborn and child care. Note that this study is the first study that attempted to estimate pregnant women’s behavioral changes through MCH Handbook intervention in Vietnam.