Development of Pregnancy Registration System Using the Maternal and Child Health Handbook in Cambodia and Its Effectiveness Evaluation

本研究旨在开发柬埔寨版《母婴健康手册》，通过该手册提高孕妇和育儿母亲的产前保健服务、熟练助产士接生和健康知识。开发的妇幼保健手册在母亲和卫生专业人员中很受欢迎。与对照地区相比，干预区围产儿就诊率和接生率均有较大提高。干预后孕产妇对孕产期风险、贫血、驱虫、HIV/AIDS知识的知晓率明显高于对照地区。健康行为的变化不如知识的变化显著，提示手册的间接影响。

This study aimed to develop Cambodian version of Maternal and Child Health (MCH) Handbook, through which improving antenatal care attendance, delivery with skilled birth attendants (SBA) and health knowledge among pregnant women and child rearing mothers. The developed MCH handbook was well accepted among mothers and health professionals. Antenatal care attendance and delivery rate with SBA were increased more in the intervention than in the control area. The increase of maternal knowledge on risks during pregnancy and delivery, anemia, deworming and HIV/AIDS were greater in the intervention than in the control area. The change of health behavior was not as significant as that of knowledge, suggesting the indirect effect of the handbook.