Portable health clinic for sustainable care of mothers and newborns in rural Bangladesh

Kikuchi, Kimiyo; Sato, Yoriko; Izukura, Rieko; Nishikitani, Mariko; Kato, Kiyoko; Morokuma, Seiichi; Nessa, Meherun; Nohara, Yasunobu; Yokota, Fumihiko; Ahmed, Ashir; Islam-Maruf, Rafiqul; Nakashima, Naoki

doi:10.1016/j.cmpb.2021.106156

Cited by 6 publications

(2 citation statements)

References 11 publications

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“…We conducted a prospective longitudinal study among women who participated in the maternal and child health study, which is a part of the portable health clinic study [10,11]. The study was conducted in randomly selected two zones out of nine zones of Chhaygaon Union in the district of Shariatpur, Bangladesh.…”

Section: Study Design and Sitementioning

confidence: 99%

Women’s health status before and during the COVID-19 pandemic in rural Bangladesh: A prospective longitudinal study

et al. 2022

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The coronavirus disease (COVID-19) pandemic has widely spread worldwide since 2020. Several countries have imposed lockdown or stay-at-home policies to prevent the infection. Bangladesh experienced a lockdown from March 2020 to May 2020, and internal travel was restricted. Such long and strict confinement may impact women’s health. Herein, we aimed to assess the impact of the COVID-19 pandemic on women’s health by comparing their health status before and during the pandemic. We conducted a prospective longitudinal study in two zones in the Chhaygaon union, rural district Shariatpur, Bangladesh. The study population comprised non-pregnant women aged 15–49 years. We visited the household of all eligible women and invited them for health checkups. The survey staff examined their health status at the checkup camps and conducted questionnaire interviews. In total, 121 non-pregnant women received health checkups both from June 2019 to July 2019 and in October 2020, before and during the COVID-19 pandemic, respectively. Compared with those during the 2019 health checkup, the medians of body mass index, systolic blood pressure, and diastolic blood pressure were significantly higher (22.7 kg/m2 to 23.6 kg/m2; 110.0 mmHg to 111.0 mmHg; and 73.0 mmHg to 75.0 mmHg, respectively, p<0.05) during the 2020 health checkup. In contrast, urine glucose levels were significantly lower (10.1% to 3.4%, p = 0.021). The lack of physical activity and other inconvenience accumulation caused by the prolonged confinement might have affected their health status. This necessitates local health workers to promote physical activity to prevent health deterioration during the pandemic.

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Section: Study Design and Sitementioning

confidence: 99%

Women’s health status before and during the COVID-19 pandemic in rural Bangladesh: A prospective longitudinal study

et al. 2022

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“…Receiving care at home is beneficial for people who live in remote areas where access to health care is limited. Later, the MNCH module-PHC for Maternal, Newborn, and Child Health (PHC-MNCH)-was developed and piloted in rural areas of Bangladesh to provide antenatal and postnatal health checkups [18,19]. The PHC-MNCH has been renewed, and its original coverage (16 gestational weeks to 6 weeks after birth) has been expanded to include follow-ups at 1 year after birth for perinatal complications and infants' health and nutrition status (ie, through home visit services).…”

Section: Introductionmentioning

confidence: 99%

Telehealth Care for Mothers and Infants to Improve the Continuum of Care: Protocol for a Quasi-Experimental Study

Kikuchi¹,

Islam²,

Sato³

et al. 2022

JMIR Res Protoc

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Background Ensuring an appropriate continuum of care in maternal, newborn, and child health, as well as providing nutrition care, is challenging in remote areas. To make care accessible for mothers and infants, we developed a telehealth care system called Portable Health Clinic for Maternal, Newborn, and Child Health. Objective Our study will examine the telehealth care system’s effectiveness in improving women’s and infants’ care uptake and detecting their health problems. Methods A quasi-experimental study will be conducted in rural Bangladesh. Villages will be allocated to the intervention and control areas. Pregnant women (≥16 gestational weeks) will participate together with their infants and will be followed up 1 year after delivery or birth. The intervention will include regular health checkups via the Portable Health Clinic telehealth care system, which is equipped with a series of sensors and an information system that can triage participants’ health levels based on the results of their checkups. Women and infants will receive care 4 times during the antenatal period, thrice during the postnatal period, and twice during the motherhood and childhood periods. The outcomes will be participants’ health checkup coverage, gestational and neonatal complication rates, complementary feeding rates, and health-seeking behaviors. We will use a multilevel logistic regression and a generalized estimating equation to evaluate the intervention’s effectiveness. Results Recruitment began in June 2020. As of June 2022, we have consented 295 mothers in the study. Data collection is expected to conclude in June 2024. Conclusions Our new trial will show the effectiveness and extent of using a telehealth care system to ensure an appropriate continuum of care in maternal, newborn, and child health (from the antenatal period to the motherhood and childhood periods) and improve women’s and infants’ health status. Trial Registration ISRCTN Registry ISRCTN44966621; https://www.isrctn.com/ISRCTN44966621 International Registered Report Identifier (IRRID) DERR1-10.2196/41586

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Bangladesh: eHealth and Telemedicine

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Portable health clinic for sustainable care of mothers and newborns in rural Bangladesh

Cited by 6 publications

References 11 publications

Women’s health status before and during the COVID-19 pandemic in rural Bangladesh: A prospective longitudinal study

Women’s health status before and during the COVID-19 pandemic in rural Bangladesh: A prospective longitudinal study

Telehealth Care for Mothers and Infants to Improve the Continuum of Care: Protocol for a Quasi-Experimental Study

Bangladesh: eHealth and Telemedicine

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