Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: a systematic review and meta-analysis

Prost, Audrey; Colbourn, Tim; Seward, Nadine; Azad, Kishwar; Coomarasamy, Arri; Copas, Andrew; Houweling, Tanja A. J.; Fottrell, Edward; Kuddus, Abdul; Lewycka, Sonia; MacArthur, Christine; Manandhar, Dharma S; Morrison, Joanna; Mwansambo, Charles; Nair, Nirmala; Nambiar, Bejoy; Osrin, David; Pagel, Christina; Phiri, Tambosi; Pulkki-Brännström, Anni-Maria; Rosato, Mikey; Skordis‐Worrall, Jolene; Saville, Naomi; More, Neena Shah; Shrestha, Bhim; Tripathy, Prasanta; Wilson, Amie; Costello, Anthony

doi:10.1016/s0140-6736(13)60685-6

Cited by 512 publications

(600 citation statements)

References 27 publications

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“…Clear, broad prescriptions about foods high in sugar, salt or fats can help women make appropriate dietary choices when faced with easy access to processed foods. Such instructive measures lend themselves to group counselling in clinics or women’s groups at a community level [56]. This requires developing the capacity of local health workers in effective counselling and should make use of older women equipped with appropriate information when possible [57].…”

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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“…The involvement of women's groups in the intervention may have further facilitated prompt care-seeking among women and children, although the present study is unable to explicitly test this channel of impact. The deployment of female CHWs and women's groups in community health management is likely reflected in terms of community health awareness and behaviour [30][31][32][33]. The community's health-seeking pattern for fever distinctly shifted from untrained to trained providers, which suggests the potential for minimizing inappropriate treatment regimens, catastrophic health expenses and consequent fatalities [3,10].…”

Section: Discussionmentioning

confidence: 99%

“…The thrust of the intervention was to identify and empower local stakeholders especially CBOs and women's groups on building up social trust, cohesion, support, mutual capacity building and thereby improving positive health-seeking behaviour [35,36]. Locally constituted women's groups are wellpoised to be cost-effective and sustainable change makers for community mobilization and gradual behaviour changes [30,31,33].…”

Section: Discussionmentioning

confidence: 99%

Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting: An Evaluation of Nested Delivery Models

Das¹,

Friedman²,

Kandpal³

et al. 2014

Policy Research Working Papers

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Background: Malaria continues to be a prominent global public health challenge. This study tested the effectiveness of two service delivery models for reducing the malaria burden, e.g. supportive supervision of community health workers (CHW) and community mobilization in promoting appropriate health-seeking behaviour for febrile illnesses in Odisha, India. Methods: The study population comprised 120 villages from two purposively chosen malaria-endemic districts, with 40 villages randomly assigned to each of the two treatment arms, one with both supportive supervision and community mobilization and one with community mobilization alone, as well as an observational control arm. Outcome measures included changes in the utilization of bed nets and timely care-seeking for fever from a trained provider compared to the control group. Analysis was by intention-to-treat.

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“…Since then, the concept of primary healthcare has become a core concept of the World Health Organization's (WHO) goal of health for all (Medcalf et al 2015). Engaging communities in decision-making, planning, and implementing programs and policies that are about their own health and well-being leads to citizen empowerment and positive sustainable change (Freire 1970:125;Prost et al 2013;Hernández et al 2017;Gaventa and Barrett 2010). However, this engagement needs to go beyond broad participation of citizen groups, as the inclusion of women and the most vulnerable groups in these processes as key stakeholders and agents of change is crucial in addressing health inequities.…”

Section: Engage Citizens and Communities To Generate Evidence And Finmentioning

confidence: 99%

SDGs, health and the G20: a vision for public policy

et al. 2018

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Ensuring 'health for all' remains a persistent and entrenched global challenge. G20 governments are in a position to elevate the priority accorded to health, and acknowledge the centrality of health to attaining the SDGs. The authors call on G20 leaders to build nations that are more inclusive and less divided, by: adopting a Health-in-All-Policies approach, prioritizing the most vulnerable, engaging citizens in policy processes, and filling health data gaps.(Published as Global Solutions Paper) JEL I1 I18

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Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: a systematic review and meta-analysis

Abstract: Wellcome Trust, Ammalife, and National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Birmingham and the Black Country programme.

Cited by 512 publications

References 27 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

Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting: An Evaluation of Nested Delivery Models

SDGs, health and the G20: a vision for public policy

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