Design and evaluation of a community participatory, birth preparedness project in Cambodia

Skinner, Joan; Rathavy, Tung

doi:10.1016/j.midw.2008.01.006

Cited by 20 publications

(30 citation statements)

References 8 publications

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“…Each study had a similar strategy, which involved training literate women from the local community to facilitate monthly women’s group meetings and work with participants to identify priority issues and implement local solutions, such as establishing a community-fund, stretcher schemes, and supplying clean delivery kits. Inspired by the use of women’s groups in Nepal, researchers in Cambodia piloted a participatory approach in which midwives held focus group discussions with pregnant women on birth preparedness and danger signs [32]. Community mobilization also featured in other strategies, and local leaders were used to help promote attendance at antenatal care (ANC) [21,22,52], syphilis testing [63], facility-births [29], and an immunization campaign [42].…”

Section: Resultsmentioning

confidence: 99%

Cost-effectiveness of strategies to improve the utilization and provision of maternal and newborn health care in low-income and lower-middle-income countries: a systematic review

Mangham-Jefferies

Pitt

Cousens

et al. 2014

BMC Pregnancy Childbirth

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BackgroundEach year almost 3 million newborns die within the first 28 days of life, 2.6 million babies are stillborn, and 287,000 women die from complications of pregnancy and childbirth worldwide. Effective and cost-effective interventions and behaviours for mothers and newborns exist, but their coverage remains inadequate in low- and middle-income countries, where the vast majority of deaths occur. Cost-effective strategies are needed to increase the coverage of life-saving maternal and newborn interventions and behaviours in resource-constrained settings.MethodsA systematic review was undertaken on the cost-effectiveness of strategies to improve the demand and supply of maternal and newborn health care in low-income and lower-middle-income countries. Peer-reviewed and grey literature published since 1990 was searched using bibliographic databases, websites of selected organizations, and reference lists of relevant studies and reviews. Publications were eligible for inclusion if they report on a behavioural or health systems strategy that sought to improve the utilization or provision of care during pregnancy, childbirth or the neonatal period; report on its cost-effectiveness; and were set in one or more low-income or lower-middle-income countries. The quality of the publications was assessed using the Consolidated Health Economic Evaluation Reporting Standards statement. Incremental cost per life-year saved and per disability-adjusted life-year averted were compared to gross domestic product per capita.ResultsForty-eight publications were identified, which reported on 43 separate studies. Sixteen were judged to be of high quality. Common themes were identified and the strategies were presented in relation to the continuum of care and the level of the health system. There was reasonably strong evidence for the cost-effectiveness of the use of women’s groups, home-based newborn care using community health workers and traditional birth attendants, adding services to routine antenatal care, a facility-based quality improvement initiative to enhance compliance with care standards, and the promotion of breastfeeding in maternity hospitals. Other strategies reported cost-effectiveness measures that had limited comparability.ConclusionDemand and supply-side strategies to improve maternal and newborn health care can be cost-effective, though the evidence is limited by the paucity of high quality studies and the use of disparate cost-effectiveness measures.Trial registrationPROSPERO_ CRD42012003255.

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Section: Resultsmentioning

confidence: 99%

Cost-effectiveness of strategies to improve the utilization and provision of maternal and newborn health care in low-income and lower-middle-income countries: a systematic review

Mangham-Jefferies

Pitt

Cousens

et al. 2014

BMC Pregnancy Childbirth

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“…Ronsmans et al [50] reported a rise in domiciliary skilled birth attendance, from 37% to 59% over 6 years for 23 792 live births, and Skinner and Rathavy [51] reported an increase from 43% to 56.8%. These studies lacked control groups, preventing assertion of direct causation.…”

Section: Inclusion Criteriamentioning

confidence: 98%

“…Gabrysch et al [48], and Skinner and Rathavy [51] reported community participation as priority for increasing compliance with TBA referrals. The integration of TBAs has been bolstered with education groups [55] and information sessions by midwife-TBA teams [50]; community committees promoting maternity care [38,42], monitoring projects [42,59], community-managed funds [44,62], and blood donation [65]; monthly meetings [60]; and women's group consultations [40].…”

Section: Inclusion Criteriamentioning

confidence: 99%

How the integration of traditional birth attendants with formal health systems can increase skilled birth attendance

Byrne

Morgan

2011

Intl J Gynecology & Obste

103

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“…16 Another well evaluated example of a birth preparedness intervention is the Home Based Life Savings Skills (HBLSS) training program devised by the American College of Nurses and Midwives to increase access to basic life saving measures within the home and community and by decreasing delays in reaching referral facilities where life-threatening problems can be managed. 17 HBLSS takes into account the social context of childbirth, focusing on the pregnant woman, her family caregivers, and the home birth attendant as a team. The model has also been implemented in India, Ethiopia, Haiti and Liberia with numerous successes.…”

Section: Discussionmentioning

confidence: 99%

Family and community support systems for expectant mothers on birth preparedness in Northern Ghana

Siakwa

Suglo

2016

Int J Reprod Contracept Obstet Gynecol

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Background: While maternal mortality ratio in under-developed countries has declined significantly since 1990, much work still needs to be done in addressing inequities to accessing maternal health services by poor, vulnerable and marginalized women. In an effort to improve maternal and newborn health (MNH) services, Community Support System (CmSS) is an approach for community involvement and ownership. The objective of the study includes, this study specifically examined support systems on birth preparedness among expectant mothers attending antenatal clinic at Tamale Teaching Hospital. Methods: A facility-based cross-sectional study was conducted from February, 2016 to April, 2016 among mothers who attended antenatal care at Tamale Teaching Hospital, Ghana. A systematic random sampling technique was used to select pregnant women for the study. Using structured questionnaires, the women were assessed on the availability of community support systems during pregnancy and childbirth. Data quality was ensured via crosschecks and double entry into the Statistical Package for Social Sciences (SPSS) software version 20.01 for analysis. Data were summarized and described using frequency tables. At the 95% confidence interval, a p-value less than 0.05 was statistically significant. Results: About 74.2% of respondents lacked husbands` company to antenatal clinic and 88.4% received no support from community leadership. Conclusions: Based on these findings, it is recommended that an emergency response system at the community level to provide emergency funds, transport, and blood donors be put in place and made known to the public.

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Design and evaluation of a community participatory, birth preparedness project in Cambodia

Cited by 20 publications

References 8 publications

Cost-effectiveness of strategies to improve the utilization and provision of maternal and newborn health care in low-income and lower-middle-income countries: a systematic review

Cost-effectiveness of strategies to improve the utilization and provision of maternal and newborn health care in low-income and lower-middle-income countries: a systematic review

How the integration of traditional birth attendants with formal health systems can increase skilled birth attendance

Family and community support systems for expectant mothers on birth preparedness in Northern Ghana

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