Evaluation of a community intervention for promotion of safe motherhood in Eritrea.
Evaluation of a community intervention for promotion of safe motherhood in Eritrea.
复制标题
对厄立特里亚促进安全孕产的社区干预进行评估。
DOI：
10.1111/j.1542-2011.2010.00001.x
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Polan,MaryLake
中科院分区：
文献类型：
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作者：
Turan,JanetMolzan;Tesfagiorghis,Mekonnen;Polan,MaryLake
导言：我们评估了一项以社区为基础的干预措施，以促进安全孕产，重点关注可能降低孕产妇死亡率和分娩并发症的知识和行为。干预措施的目的是提高妇女的生育准备、对出生危险征兆的了解、产前护理服务的使用以及在卫生保健机构分娩。方法：对厄立特里亚北部偏远农村社区的志愿者进行培训，与妇女和男子一起领导参与式安全孕产教育课程。研究采用准实验设计(非等效组前测-后测)，对干预区和类似偏远农村对照地区的产后妇女进行横断面调查(前测n=466，后测n=378)。结果：干预区妇女对出生危险征知识的知晓率显著提高，而对照区妇女知晓率无明显提高。在干预区，孕期进行过4次或以上产前检查的妇女比例显著增加(从18%到80%，P<；.001)，尽管在对照地区这一比例没有显著变化(从53%到47%，P=.194)。讨论：由社区志愿者领导的参与式会议可以增加安全孕产知识，并鼓励使用基本的孕产妇服务。
Introduction:We evaluated a community‐based intervention to promote safe motherhood, focusing on knowledge and behaviors that may reduce maternal mortality and birth complications. The intervention aimed to increase women's birth preparedness, knowledge of birth danger signs, use of antenatal care services, and birth at a health care facility.Methods:Volunteers from a remote rural community in Northern Eritrea were trained to lead participatory educational sessions on safe motherhood with women and men. The evaluation used a quasiexperimental design (nonequivalent group pretest‐posttest) including cross‐sectional surveys with postpartum women (pretest n = 466, posttest n = 378) in the intervention area and in a similar remote rural comparison area.Results:Women's knowledge of birth danger signs increased significantly in the intervention area but not in the comparison area. There was a significant increase in the proportion of women who had the recommended 4 or more antenatal care visits during pregnancy in the intervention area (from 18% to 80%,P< .001), although this proportion did not change significantly in the comparison area (from 53% to 47%,P= .194). There was a greater increase in birth in a health care facility in the intervention area.Discussion:Participatory sessions led by community volunteers can increase safe motherhood knowledge and encourage use of essential maternity services.