Impact of Community-Based Maternal Health Workers on Coverage of Essential Maternal Health Interventions among Internally Displaced Communities in Eastern Burma: The MOM Project

Mullany, Luke C.; Lee, Thomas J.; Yone, Lin; Lee, Catherine I; Teela, Katherine C.; Paw, Palae; Oo, Eh Kalu Shwe; Maung, Cynthia; Kuiper, Heather; Masenior, Nicole Franck; Beyrer, Chris

doi:10.1371/journal.pmed.1000317

Cited by 76 publications

(112 citation statements)

References 13 publications

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“…Pregnant women and midwives posited that women would make improved dietary choices, within their social constraints, if they were provided with appropriate information regarding nutrition. However, the reach of clinic-based care during pregnancy is far from comprehensive in this border region, with limitations in clinic-based programming for maternal nutrition [24,54,55]. Awareness-raising at a community level should be considered to reach younger women whose diets may be tied to the choices of older members of the household.…”

Section: Discussionmentioning

confidence: 99%

‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

Hashmi

Paw

Nosten

et al. 2018

Global Health Action

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Background: Under- and over-nutrition during pregnancy are known risk factors for pregnancy complications and adverse pregnancy and infant outcomes. Understanding perceptions around nutrition in pregnancy can create culturally appropriate interventions for improved health outcomes. Objective: A mixed-methods study was performed to explore local perceptions and practices of diet and physical activity in pregnancy in a marginalised population along the Myanmar–Thailand border. Methods: From April to July 2017, a cross-sectional survey and focus group discussions were conducted with pregnant women reporting to antenatal care; in-depth interviews were conducted with senior midwives at participating organisations along the Myanmar–Thailand border. Results: A total of 388 pregnant women were interviewed at two clinic sites along the Myanmar–Thailand border. A high proportion of women had limited knowledge of and poor dietary practices. Consuming a sweetened drink in the last 24 hours as well as being a non-teenage, multigravida woman was significantly associated with high body mass index (BMI) compared to normal BMI. Qualitative analysis combined focus group discussions (n = 66) and in-depth interviews (n = 4) summarising emergent themes: common foods eaten or avoided and rationale; benefits of nutrition; perceptions of overweight and weight gain during pregnancy; barriers to a healthy diet; and sources of diet information. Conclusions: There is limited awareness about healthy diets and lifestyle in these marginalised, migrant communities along the Myanmar–Thailand border. This study suggests that simple, culturally appropriate messaging should be provided to women and communities with low health literacy to generate awareness about healthy lifestyles and their effects on pregnancy outcomes as an important element of a broader strategy to address maternal nutrition in this population. However, more studies to determine the effectiveness of a broad range of interventions in low- and middle-income countries (LMIC) are needed, especially in marginalised migrant populations.

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Section: Discussionmentioning

confidence: 99%

‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

Hashmi

Paw

Nosten

et al. 2018

Global Health Action

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“…Longlasting Allen 1998 41 Benet 2006 42 Kaushik 1992 88 Nosten 1991 48 Poesproprodjo 2008 37 Singh 1999 29 Brabin 1990 Primip 89 Brabin 1990 Multip 89 Hamer 2009 Review insecticide-treated bednets are distributed in all countries, 14 but reports in the past 3 years have shown low availability or use by pregnant women. 26,34,128 Case management is available everywhere, but in reality malaria smears are obtained from pregnant women only when fever or other malarial symptoms are present and these symptoms are often not checked by health workers. 128 Papua New Guinea is the only country with a policy for intermittent preventive treatment in pregnancy.…”

Section: Preventionmentioning

confidence: 99%

Malaria in pregnancy in the Asia-Pacific region

Rijken

McGready

Boel

et al. 2012

The Lancet Infectious Diseases

162

154

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“…They were identified as having significant functions in delivering the maternal health information to the women in communities and to support families during pregnancy and labour. As described in the background, Bhutta, Soofi, Cousens, Mohammad, Memon & Ali (2011);Mullany, et al (2010) and Prost, et al, (2013) provided evidence on the positive impact of the involvement of cadres in increasing the use of maternal health care in developing countries. Further studies in the same documents concluded that as members of the society, the community health workers were creating supportive environments for maternal women to learn; information was delivered casually in the community routine and through daily communications.…”

Section: Village Midwives' Perspectives On the Factors Influencing Mamentioning

confidence: 99%

“…Several programs have been implemented to increase the community awareness of maternal health. The main factor that emerges from the literature is the effectiveness of community involvement especially from women's groups towards increasing maternal health awareness (Bhutta, Soofi, Cousens, Mohammad, Memon & Ali, 2011;Mullany, et al, 2010;Prost, et al, 2013).…”

mentioning

confidence: 99%

Decision Making towards Maternal Health Services in Central Java, Indonesia

Sujana

Barnes

Rowe

et al. 2017

Nurs. Med. J. Nursing

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Background: Indonesia has always been struggling with maternal health issue even after the Millennium Development Goals (MDGs) programs were done. Prior research findings identified many factors which influenced maternal health status in developing countries such Indonesia and even though various efforts had been made, the impact of the transformation of maternal health behavior was minimal. Purpose: This study aimed to seek an understanding of the factors influencing decisions towards maternal health services. Methods: A case study with a single case embedded design was employed. Interviews and Focus Group Discussions (FGDs) were held to collect data from 3 health workers and 40 maternal women in a sub-district in Central Java, Indonesia. Results: Interviews with the village midwives as the main health providers in the Getasan sub-district concluded that there were several factors influencing the women's decisions towards maternal services. The factors were options to have services with other health workers outside the area, and shaman services as alternative care and family influencing maternal health behaviors. The analysis of the FGDs also supported the village midwives' statements that in spite of their awareness towards the available maternal health services, the existence of shamans and traditional beliefs strongly affected their decision. Conclusion:The findings in this study showed that cultural issues prevented the maximum maternal health status in Getasan sub-district. This study recommends Puskesmas (Primary Health Care) as the first level of health institutions in Indonesia to support the village midwives' roles within their target area.

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Impact of Community-Based Maternal Health Workers on Coverage of Essential Maternal Health Interventions among Internally Displaced Communities in Eastern Burma: The MOM Project

Abstract: Mullany and colleagues report outcomes from a project involving delivery of community-based maternal health services in eastern Burma, and report substantial increases in coverage of care.

Cited by 76 publications

References 13 publications

‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

Malaria in pregnancy in the Asia-Pacific region

Decision Making towards Maternal Health Services in Central Java, Indonesia

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