Promoting childbirth in a rural health facility: A quasi-experimental study in western Kenya.
Promoting childbirth in a rural health facility: A quasi-experimental study in western Kenya.
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促进农村卫生机构的生育：肯尼亚西部的一项准实验研究。
DOI：
10.1111/birt.12788
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Champion,VictoriaL
中科院分区：
文献类型：
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作者：
Mwanzia,Lydia;Baliddawa,Joyce;Biederman,Erika;Perkins,SusanM;Champion,VictoriaL
BackgroundThe高孕产妇和新生儿死亡率在撒哈拉以南非洲地区可以减少通过使用导航通过移动的设备，以增加妇女谁选择在一个健康中心（HC）与熟练的healthcare practitioner.MethodsA准实验设计来测试助产士交付导航通过移动的电话。共有208名妇女被随机分为两组（干预组和对照组）。干预组的妇女收到了助产士多达三个导航电话。对照组在产前检查时接受常规产前教育。数据收集使用半结构式问卷。分娩的位置，通过医疗records.ResultsOverall，180（87%）的妇女生在HC与3%的优势，干预组。对照组中共有86%（88/102）在HC中分娩，而干预组中有89%（92/103）在HC中分娩（Χ2= 0.44，p值= 0.51），未校正的比值比为1.33（95%CI：0.57，3.09）。在拥有个人手机的人中，91%（138/152）在HC中出生，而没有个人手机的人中有79%（42/53）在HC中出生（E2 = 4.89，p值= 0.03）。结论本研究的结果表明，提供基于手机的导航来支持在HC中出生是可行的;个人手机所有权可能是这种策略成功的一个因素。
BackgroundThe high maternal and neonatal mortality rate in sub‐Saharan Africa could be reduced by using navigation by means of mobile devices to increase the number of women who choose to give birth in a health center (HC) with a skilled healthcare practitioner.MethodsA quasi‐experimental design was used to test a midwife‐delivered navigation by means of mobile phone. A total of 208 women were randomized to two groups (intervention and control). Women in the intervention group received up to three navigation calls from midwives. Women in the control group received usual antenatal education during prenatal visits. Data were collected using semistructured questionnaires. Childbirth location was determined through medical records.ResultsOverall, 180 (87%) women gave birth in a HC with a 3% advantage for the intervention group. A total of 86% (88/102) of the control group gave birth in a HC versus 89% (92/103) for the intervention group (Χ2= 0.44,p‐value = 0.51), with an unadjusted odds ratio of 1.33 (95% CI: 0.57, 3.09). Among those with personal phones, 91% (138/152) had a birth in a HC versus 79% (42/53) in those without a personal phone (Χ2= 4.89,p‐value = 0.03).ConclusionsThe results of this study indicate that it is feasible to deliver phone‐based navigation to support birth in a HC; personal phone ownership may be a factor in the success of this strategy.