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

Abstract:

OBJECTIVE:to evaluate a pilot project, which used a community participatory approach to introduce birth preparedness in rural Cambodia. DESIGN:a feasibility and outcome evaluation. This included observation, interview, document analysis and costing. SETTING:the project was undertaken in 15 villages linked to five health centres in Kampong Chhnang, Cambodia. PARTICIPANTS:key management personnel, local midwives, village leaders, village volunteers and village members who had participated in the programme. FINDINGS:community engagement was not only feasible but was also a successful and cost-effective way to introduce birth preparedness. A high degree of satisfaction was reported by the health staff and the community. Over the year in which the project was undertaken, there was a 22% increase in antenatal care, a 32% increase in the number of women delivered by a midwife, and a 281% increase in referrals to hospital. IMPLICATIONS FOR PRACTICE:discussion about birth preparedness should occur not only with pregnant women but also with the communities that support them. Communities that are poor and isolated are responsive to the health needs of their women as they give birth, and articulate their needs when given the opportunity. Interacting with health staff in a way in which there is shared information can lead to greater utilisation of the health services that they provide.

journal_name

Midwifery

journal_title

Midwifery

authors

Skinner J,Rathavy T

doi

10.1016/j.midw.2008.01.006

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

738-43

issue

6

eissn

0266-6138

issn

1532-3099

pii

S0266-6138(08)00008-9

journal_volume

25

pub_type

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