Maternal and child health handbook to improve continuum of maternal and child care in rural Bangladesh: Findings of a cluster randomized controlled trial

Author:

Gai Tobe RuoyanORCID,Haque Syed Emdadul,Mubassara Sanzida,Rahman Rushdana,Ikegami Kiyoko,Mori Rintaro

Abstract

This study aimed to evaluate the effectiveness of maternal and child health handbook (MCH) enhanced by mobile tools and to generate evidence informing the adoption of the program in Bangladesh. A cluster randomized controlled trial (RCT) has been implemented in Lohagora of Narail District and Dhamrai of Dhaka District. Unions of the study settings were randomly allocated in either one of three groups: (1) Intervention 1 using both mobile platform and MCH, (2) Intervention 2 using MCH alone, or (3) the Control. A total of 3,002 participants were recruited. The interventions were designed to promote two-way communications between pregnant women/their families and community health workers by an empowering approach. A total of 3,002 pregnant women were recruited. As the results, the interventions both significantly improved the utilization of CoC, although the overall proportion of CoC was relevantly low: 2.79% in the Control (95% CI: 1.37–3.54%), 6.16% in Intervention 2 (95% CI: 4.67–7.86%), and 7.89% in Intervention 1 (95% CI: 6.29–9.90%). Neonatal mortality rate with and without CoC was 5.43 per 1,000 (95% CI: 3.63–9.57 per 1,000) and 34.8 per 1,000 (95% CI: 24.3–45.4 per 1,000), respectively. Our study indicated the effectiveness of the interventions by leveraging MCH and a mobile platform to promote uptake of CoC throughout prepartum, intrapartum and postpartum/neonatal periods, potentially bringing long-lasting benefits to mothers and their offspring. The explicit approach is expected to guide policy makers to adopt MCH interventions in primary healthcare strengthening at the community level. Trial registration: UMIN000025628 Registered June 13, 2016.

Funder

Japan Society of the Promotion of Sciences

Research Grant of Ministry of Health, Labour and Welfare

Publisher

Public Library of Science (PLoS)

Subject

Multidisciplinary

Reference48 articles.

1. General Economics Division, Planning Commission of Government of the People’s Republic of Bangladesh, UNDP Bangladesh. Millennium Development Goals Bangladesh Country Report 2013. 2014.

2. Maternal mortality in Bangladesh: A countdown to 2015 country case study.;S El Arifeen;The Lancet,2014

3. Sustainable Development Goals. Goal 3: Ensure healthy lives and promote well-being for all at all ages. Available at: http://www.un.org/sustainabledevelopment/health/ (Accessed on August 14, 2020)

4. Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes.;ZS Lassi;The Cochrane Database of Systematic Reviews.,2015

5. Comprehensive review of the evidence regarding the effectiveness of community-based primary healthcare in improving maternal, neonatal and child health: 1. Rationale, methods and database description;HB Perry;Journal of Global Health,2017

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3