The Maternal and Child Health (MCH) handbook in Mongolia: a cluster-randomized, controlled trial.
The Maternal and Child Health (MCH) handbook in Mongolia: a cluster-randomized, controlled trial.
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DOI：
10.1371/journal.pone.0119772
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Lkhagvasuren O
中科院分区：
文献类型：
--
作者：
Mori R;Yonemoto N;Noma H;Ochirbat T;Barber E;Soyolgerel G;Nakamura Y;Lkhagvasuren O
评估蒙古《母婴健康手册》在增加产前门诊就诊率、改善求医行为和其他健康成果方面的有效性。在蒙古布尔干，使用翻译的妇幼保健手册进行了一项整群随机试验，以评估其在促进产前护理方面的有效性。孕妇是从18个随机分配的地区招募的，使用的是洗牌后的密封信封。该手册在干预组妇女第一次产前检查时立即实施，并在9个月后在对照组实施。主要结果是居住在选定地区的所有妇女的产前护理次数。利用广义估计方程对集群效应进行了校正。在护理人员、孕妇和评估员中不可能戴面具。将9个区分配给干预组，其余的分配给对照组。干预组(253例)平均产前就诊6.9次，对照组(248例)平均就诊6.2次。社会经济地位影响就诊频率：社会经济地位越高的妇女去产前诊所就诊的次数越多。使用该手册的女性更有可能发现怀孕并发症。妇幼保健手册促进持续护理，并显示干预组的产前就诊增加。这项干预将有助于识别孕妇在怀孕期间的患病情况，并促进寻求健康的行为。UMIN临床试验注册UMIN000001748
To assess the effectiveness of the Maternal and Child Health (MCH) handbook in Mongolia to increase antenatal clinic attendance, and to enhance health-seeking behaviors and other health outcomes. A cluster randomized trial was conducted using the translated MCH handbook in Bulgan, Mongolia to assess its effectiveness in promoting antenatal care attendance. Pregnant women were recruited from 18 randomly allocated districts using shuffled, sealed envelopes. The handbook was implemented immediately for women at their first antenatal visit in the intervention group, and nine months later in the control group. The primary outcome was the number of antenatal care visits of all women residing in the selected districts. Cluster effects were adjusted for using generalized estimation equation. Masking was not possible among care providers, pregnant women and assessors. Nine districts were allocated to the intervention group and the remainder to the control group. The intervention group (253 women) attended antenatal clinics on average 6•9 times, while the control group (248 women) attended 6•2 times. Socioeconomic status affected the frequency of clinic attendance: women of higher socioeconomic status visited antenatal clinics more often. Pregnancy complications were more likely to be detected among women using the handbook. The MCH handbook promotes continuous care and showed an increase in antenatal visits among the intervention group. The intervention will help to identify maternal morbidities during pregnancy and promote health-seeking behaviors. UMIN Clinical Trial Registry UMIN000001748
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影响因子：
3.8
作者：
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