Developing a Pictorial Sisterhood Method in collaboration with illiterate Maasai traditional birth attendants in northern Tanzania

Roggeveen, Yadira; Schreuder, Renske; Zweekhorst, Marjolein; Manyama, Mange; Hatfield, Jennifer; Scheele, Fedde; Roosmalen, Jos van

doi:10.1016/j.ijgo.2016.03.035

Cited by 5 publications

(9 citation statements)

References 16 publications

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“…Through use of visual aids, in situ representation of relevant anatomy, and culturally appropriate translation into Maa, the language barrier to promoting health literacy was seemingly overcome. These results are similar to the findings of a study in which a unique data collection strategy, incorporating a visual pictogram, was used to overcome the barrier of illiteracy [18].…”

Section: Discussionsupporting

confidence: 86%

Development and Implementation of a Culturally Appropriate Education Program to Increase Cervical Cancer Screening among Maasai Women in Rural Tanzania

Lidofsky

Miller

Jørgensen

et al. 2019

Annals of Global Health

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Background:In Tanzania, the incidence of cervical cancer is nearly ten times that found in the US. Tanzanian women of the traditional Maasai tribe are financially and educationally marginalized and face a language barrier that reduces access to health care. While cervical cancer (CACX) screening programs are available locally, in our experience, Maasai women were less likely to use these services compared to local women of other tribal backgrounds.Objectives:A novel patient education program was designed to teach Maasai women about the natural history of cervical cancer and available screening and treatment. The program addressed the importance of preventative health and informed consent. Additionally, we sought to better understand the specific barriers Maasai women face in accessing and utilizing CACX screening services.Methods:The program used simple, scripted language translated into Maa language, the Maasai native language, with accompanying culturally appropriate 3D models. The effectiveness of the program was evaluated through pre and post-intervention surveys administered to Maasai and non-Maasai women as well as local healthcare providers, assessing knowledge of cervical cancer, screening, and treatment. Paired t-test analyses were used to analyze significance. Extensive question and answer sessions followed the education sessions from which additional barriers to screening were identified.Findings:Maasai women had minimal understanding of preventative health services prior to the intervention. While all groups showed an increase in knowledge following the education program, Maasai women demonstrated the greatest statistically significant improvement in knowledge. The proportion of Maasai women in attendance to CACX screening clinics increased by 18% after the intervention.Conclusions:Through a culturally sensitive and accessible patient education program, Maasai women gained knowledge of cervical cancer screening and treatment. This program serves as an adaptable model for other marginalized populations to increase patient understanding and informed consent, and to address issues that pertain to underutilization of health care services.

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Section: Discussionsupporting

confidence: 86%

Development and Implementation of a Culturally Appropriate Education Program to Increase Cervical Cancer Screening among Maasai Women in Rural Tanzania

Lidofsky

Miller

Jørgensen

et al. 2019

Annals of Global Health

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“…Five studies described efforts to engage community members in maternal death estimation (Table 3). 28–32 Several existing methods were applied for community use, including the sisterhood method by Roggeveen et al, 29 the reproductive‐age mortality survey by Adomako et al, 30 and the MADE‐IN/MADE‐FOR approach by Mir et al 31 and Qomariyah et al 28 …”

Section: Resultsmentioning

confidence: 99%

“…In addition to acknowledging the need for more granular information, included studies also highlighted the importance of community engagement—not only to improve the completeness of maternal death estimates through community surveillance, but also to facilitate ownership of the reporting and estimation process 28–32 . Both the Pictorial Sisterhood Method used in Tanzania and the MADE‐IN/MADE‐FOR used in Indonesia and Pakistan employed approaches adapted for community‐level use and generated information that may inform community advocacy efforts for maternal health and support blame‐free mortality reporting efforts 28,29,31 .…”

Section: Discussionmentioning

confidence: 99%

Approaches to improve and adapt maternal mortality estimations in low‐ and middle‐income countries: A scoping review

Tholandi,

Zethof,

Kim

et al. 2023

Intl J Gynecology & Obste

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BackgroundIn the absence of robust vital registration systems, many low‐ and middle‐income countries (LMICs) rely on national surveys or routine surveillance systems to estimate the maternal mortality ratio (MMR). Although the importance of MMR estimates in ending preventable maternal deaths is acknowledged, there is limited research on how different approaches are used and adapted, and how these adaptations function.ObjectivesTo assess methods for estimating maternal mortality in LMICs and the rationale for these modifications.Search StrategyA literature search with the terms “maternal death”, “surveys” and “low‐ and middle‐income countries” was performed in Medline, Embase, Web of Science, Scopus, CINAHL, APA PsycINFO, ERIC, and IBSS from January 2013 to March 17, 2023.Selection CriteriaStudies were eligible if their main focus was to compare, adapt, or assess methods to estimate maternal mortality in LMICs.Data Collection and AnalysisTitles and abstracts were screened using Rayyan. Relevant articles were independently reviewed by two reviewers against inclusion criteria. Data were extracted on mortality measurement methods, their context, and results.Main ResultsNineteen studies were included, focusing on data completeness, subnational estimates, and community involvement. Routinely generated MMR estimates are more complete when multiple data sources are triangulated, including data from public and private health facilities, the community, and local authorities (e.g. vital registration, police reports). For subnational estimates, existing (e.g. the sisterhood method and reproductive‐age mortality surveys [RAMOS]) and adapted methods (e.g. RAMOS 4 + 2 and Pictorial Sisterhood Method) provided reliable confidence intervals. Community engagement in data collection increased community awareness of maternal deaths, provided local ownership, and was expected to reduce implementation costs. However, most studies did not include a cost‐effectiveness analysis.ConclusionHousehold surveys with community involvement and RAMOS can be used to increase data validity, improve local awareness of maternal mortality estimates, and reduce costs in LMICs.

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“…They present a social role to disease controls, support social accountability (Bussmann RW et al, 2006) and safe reproductive health practices (Liu J., 2012). A study in Ngorongoro, Tanzania (Lennox, Petrucka, & Bassendowski, 2017) described them as a potential community actors (Terry PE, 2018) necessary for effective health promotion in Maasai communities (Roggeveen Y et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

A Situational Analysis of Home Delivery among Maasai Communities of Orkesumet, Northern Tanzania: The Qualitative Evidences

Mbwele¹

2019

jhms

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Developing a Pictorial Sisterhood Method in collaboration with illiterate Maasai traditional birth attendants in northern Tanzania

Cited by 5 publications

References 16 publications

Development and Implementation of a Culturally Appropriate Education Program to Increase Cervical Cancer Screening among Maasai Women in Rural Tanzania

Development and Implementation of a Culturally Appropriate Education Program to Increase Cervical Cancer Screening among Maasai Women in Rural Tanzania

Approaches to improve and adapt maternal mortality estimations in low‐ and middle‐income countries: A scoping review

A Situational Analysis of Home Delivery among Maasai Communities of Orkesumet, Northern Tanzania: The Qualitative Evidences

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