Can a community health worker administered postnatal checklist increase health-seeking behaviors and knowledge?: evidence from a randomized trial with a private maternity facility in Kiambu County, Kenya.

Abstract:

BACKGROUND:Since the 2009 WHO and UNICEF recommendation that women receive home-based postnatal care within the first three days after birth, a growing number of low-income countries have explored integrating postnatal home visit interventions into their maternal and newborn health strategies. This randomized trial evaluates a pilot program in which community health workers (CHWs) visit or call new mothers three days after delivery in peri-urban Kiambu County, Kenya. METHODS:Participants were individually randomized to one of three groups: 1) early postnatal care three days after delivery provided in-person with a CHW using a simple checklist, 2) care provided by phone with a CHW using the same checklist, or 3) a standard of care group. Surveys were conducted ten days and nine weeks postnatal to measure outcomes related to compliance with referrals, self-reported health problems for mother and baby, care-seeking behaviors, and postnatal knowledge and practices around the recognition of danger signs, feeding, nutrition, infant care and family planning. RESULTS:The home visit administration of the checklist increased the likelihood that women recognized postnatal problems for themselves and their babies and increased the likelihood that they sought care to address those problems identified for the child. In both the home visit and mobile phone implementation of the checklist, actions taken for postnatal problems happened earlier, particularly for infants. Knowledge was found to be high across all groups, with limited evidence that the checklist impacted knowledge and postnatal practices around the recognition of danger signs, feeding, nutrition, infant care and family planning. CONCLUSION:We find evidence that CHW-administered postnatal checklists can lead to better recognition of postnatal problems and more timely care-seeking. Furthermore, our results suggest that CHWs can affordably deliver many of the benefits of postnatal checklists. TRIAL REGISTRATION:ClinicalTrials.gov NCT02104635 ; registered April 2, 2014.

authors

McConnell M,Ettenger A,Rothschild CW,Muigai F,Cohen J

doi

10.1186/s12884-016-0914-z

subject

Has Abstract

pub_date

2016-06-04 00:00:00

pages

136

issue

1

issn

1471-2393

pii

10.1186/s12884-016-0914-z

journal_volume

16

pub_type

杂志文章,随机对照试验
  • Geographical differences in perinatal health and child welfare in the Netherlands: rationale for the healthy pregnancy 4 all-2 program.

    abstract:BACKGROUND:Geographical inequalities in perinatal health and child welfare require attention. To improve the identification, and care, of mothers and young children at risk of adverse health outcomes, the HP4All-2 program was developed. The program consists of three studies, focusing on creating a continuum for risk se...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1425-2

    authors: Waelput AJM,Sijpkens MK,Lagendijk J,van Minde MRC,Raat H,Ernst-Smelt HE,de Kroon MLA,Rosman AN,Been JV,Bertens LCM,Steegers EAP

    更新日期:2017-08-01 00:00:00

  • Comparing levocardia and dextrocardia in fetuses with heterotaxy syndrome: prenatal features, clinical significance and outcomes.

    abstract:BACKGROUND:To investigate the differences in cardiovascular disease, extracardiac anomalies and outcomes between fetuses with levocardia and dextrocardia. METHODS:Clinical demographics, prenatal features, postnatal characteristics and the outcomes of fetuses with levocardia or dextrocardia were recorded and analyzed. ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1579-y

    authors: Wang X,Shi Y,Zeng S,Zhou J,Zhou J,Yuan H,Wang L,Shi W,Zhou Q

    更新日期:2017-11-23 00:00:00

  • Knowledge of hypertensive disorders in pregnancy of Moroccan women in Morocco and in the Netherlands: a qualitative interview study.

    abstract:BACKGROUND:Hypertensive disorders in pregnancy (HDP) are the most common medical disorders in pregnancy and the greatest single cause of maternal mortality worldwide. Ethnicity appears to be a significant risk factor for pregnancy related mortality and for severe maternal morbidity. Most of the complications caused by ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-1980-1

    authors: Ouasmani F,Engeltjes B,Haddou Rahou B,Belayachi O,Verhoeven C

    更新日期:2018-08-22 00:00:00

  • Clinician-centred interventions to increase vaginal birth after caesarean section (VBAC): a systematic review.

    abstract:BACKGROUND:The number of caesarean sections (CS) is increasing globally, and repeat CS after a previous CS is a significant contributor to the overall CS rate. Vaginal birth after caesarean (VBAC) can be seen as a real and viable option for most women with previous CS. To achieve success, however, women need the suppor...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-015-0441-3

    authors: Lundgren I,Smith V,Nilsson C,Vehvilainen-Julkunen K,Nicoletti J,Devane D,Bernloehr A,van Limbeek E,Lalor J,Begley C

    更新日期:2015-02-05 00:00:00

  • Implications of methodological differences in measuring the rates of exclusive breastfeeding in Nepal: findings from literature review and cohort study.

    abstract:BACKGROUND:Correct measurement and continuous monitoring of exclusive breastfeeding are essential to promote exclusive breastfeeding. Measuring exclusive breastfeeding is a complex issue as rates can vary according to the definition, measurement period, questions asked, and infant's age. This article reviewed the metho...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-016-1180-9

    authors: Khanal V,Lee AH,Scott JA,Karkee R,Binns CW

    更新日期:2016-12-12 00:00:00

  • Risk factors for reported obstetric complications and near misses in rural northwest Bangladesh: analysis from a prospective cohort study.

    abstract:BACKGROUND:In rural Bangladesh, more than 75% of all births occur at home in the absence of skilled birth attendants. Population-based data are lacking on the burden and risk factors for obstetric complications in settings with low rates of institutional delivery. We sought to describe the prevalence of reported compli...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-347

    authors: Sikder SS,Labrique AB,Shamim AA,Ali H,Mehra S,Wu L,Shaikh S,West KP Jr,Christian P

    更新日期:2014-10-04 00:00:00

  • Serum screening with Down's syndrome markers to predict pre-eclampsia and small for gestational age: systematic review and meta-analysis.

    abstract:BACKGROUND:Reliable antenatal identification of pre-eclampsia and small for gestational age is crucial to judicious allocation of monitoring resources and use of preventative treatment with the prospect of improving maternal/perinatal outcome. The purpose of this systematic review was to determine the accuracy of five ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/1471-2393-8-33

    authors: Morris RK,Cnossen JS,Langejans M,Robson SC,Kleijnen J,Ter Riet G,Mol BW,van der Post JA,Khan KS

    更新日期:2008-08-04 00:00:00

  • 4th stage transvaginal omental herniation during VBAC complicated by shoulder dystocia: a unique presentation of uterine rupture.

    abstract:BACKGROUND:Uterine rupture is a common complication in women attempting their first virginal birth after caesarean section (VBAC) but the risk diminishes with subsequent VBACs. It occurs in rates of 0.5-9% and is influenced by various factors. CASE PRESENTATION:A unique case of uterine rupture in a Kenyan woman of Afr...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-76

    authors: Mwenda AS

    更新日期:2013-03-23 00:00:00

  • The effect of maternal alcohol and drug abuse on first trimester screening analytes: a retrospective cohort study.

    abstract:BACKGROUND:The purpose of this study was to determine whether first trimester trisomy screening (FTS) parameters are affected by alcohol and drug use. METHODS:A routine combined FTS including measurements of maternal serum levels of free β-human chorionic gonadotropin subunit (free β-hCG) and pregnancy-associated plas...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03171-9

    authors: Lehikoinen A,Voutilainen R,Romppanen J,Heinonen S

    更新日期:2020-09-25 00:00:00

  • Poverty, partner discord, and divergent accounts; a mixed methods account of births before arrival to health facilities in Morogoro Region, Tanzania.

    abstract:BACKGROUND:Births before arrival (BBA) to health care facilities are associated with higher rates of perinatal morbidity and mortality compared to facility deliveries or planned home births. Research on such births has been conducted in several high-income countries, but there are almost no studies from low-income sett...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1058-x

    authors: McMahon SA,Chase RP,Winch PJ,Chebet JJ,Besana GVR,Mosha I,Sheweji Z,Kennedy CE

    更新日期:2016-09-27 00:00:00

  • Factors influencing deliveries at health facilities in a rural Maasai Community in Magadi sub-County, Kenya.

    abstract:BACKGROUND:In response to poor maternal, newborn, and child health indicators in Magadi sub-county, the "Boma" model was launched to promote health facility delivery by establishing community health units and training community health volunteers (CHVs) and traditional birth attendants (TBAs) as safe motherhood promoter...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1632-x

    authors: Karanja S,Gichuki R,Igunza P,Muhula S,Ofware P,Lesiamon J,Leshore L,Kyomuhangi-Igbodipe LB,Nyagero J,Binkin N,Ojakaa D

    更新日期:2018-01-03 00:00:00

  • Cost-effectiveness of recurrence risk guided care versus care as usual in women who suffered from early-onset preeclampsia including HELLP syndrome in their previous pregnancy (the PreCare study).

    abstract:BACKGROUND:Preeclampsia and HELLP syndrome may have serious consequences for both mother and fetus. Women who have suffered from preeclampsia or the HELLP syndrome, have an increased risk of developing preeclampsia in a subsequent pregnancy. However, most women will develop no or only minor complications. In this study...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-10-60

    authors: Delahaije DH,van Kuijk SM,Dirksen CD,Sep SJ,Peeters LL,Spaanderman ME,Bruinse HW,de Wit-Zuurendonk LD,van der Post JA,Duvekot JJ,van Eyck J,van Pampus MG,van der Hoeven MA,Smits LJ

    更新日期:2010-10-11 00:00:00

  • Retrospective analysis of the diagnostic yield of newborn drug testing.

    abstract:BACKGROUND:The objective of this study was to identify high-yield screening risk factors for detecting maternal non-medical drug use during pregnancy. METHODS:A four year retrospective analysis was conducted at an academic medical center. Detailed chart review of both the newborn and mother's medical record was perfor...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-250

    authors: Wood KE,Sinclair LL,Rysgaard CD,Strathmann FG,McMillin GA,Krasowski MD

    更新日期:2014-07-29 00:00:00

  • Estudio Parto: postpartum diabetes prevention program for hispanic women with abnormal glucose tolerance in pregnancy: a randomised controlled trial - study protocol.

    abstract:BACKGROUND:Diabetes and obesity have reached epidemic proportions in the U.S. with rates consistently higher among Hispanics as compared to non-Hispanic whites. Among Hispanic women diagnosed with gestational diabetes mellitus (GDM), 50% will go on to develop type 2 diabetes within 5 years of the index pregnancy. Altho...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2393-14-100

    authors: Chasan-Taber L,Marcus BH,Rosal MC,Tucker KL,Hartman SJ,Pekow P,Braun B,Moore Simas TA,Solomon CG,Manson JE,Markenson G

    更新日期:2014-03-10 00:00:00

  • Methods of induction of labour: a systematic review.

    abstract:BACKGROUND:Rates of labour induction are increasing. We conducted this systematic review to assess the evidence supporting use of each method of labour induction. METHODS:We listed methods of labour induction then reviewed the evidence supporting each. We searched MEDLINE and the Cochrane Library between 1980 and Nove...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2393-11-84

    authors: Mozurkewich EL,Chilimigras JL,Berman DR,Perni UC,Romero VC,King VJ,Keeton KL

    更新日期:2011-10-27 00:00:00

  • Factors influencing the quality of life of pregnant women: a systematic review.

    abstract:BACKGROUND:Pregnancy is a period of transition with important physical and emotional changes. Even in uncomplicated pregnancies, these changes can affect the quality of life (QOL) of pregnant women, affecting both maternal and infant health. The objectives of this study were to describe the quality of life during uncom...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-2087-4

    authors: Lagadec N,Steinecker M,Kapassi A,Magnier AM,Chastang J,Robert S,Gaouaou N,Ibanez G

    更新日期:2018-11-23 00:00:00

  • Customized birth weight for gestational age standards: Perinatal mortality patterns are consistent with separate standards for males and females but not for blacks and whites.

    abstract::BACKGROUND: Some currently available birth weight for gestational age standards are customized but others are not. We carried out a study to provide empirical justification for customizing such standards by sex and for whites and blacks in the United States. METHODS: We studied all male and female singleton live birth...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-5-3

    authors: Joseph KS,Wilkins R,Dodds L,Allen VM,Ohlsson A,Marcoux S,Liston R

    更新日期:2005-02-20 00:00:00

  • Utilization of maternal health services among young women in Kenya: insights from the Kenya Demographic and Health Survey, 2003.

    abstract:BACKGROUND:Use of maternal health services is an effective means for reducing the risk of maternal morbidity and mortality, especially in places where the general health status of women is poor. This study was guided by the following objectives: 1) To determine the relationship between timing of first antenatal care (A...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-1

    authors: Ochako R,Fotso JC,Ikamari L,Khasakhala A

    更新日期:2011-01-10 00:00:00

  • Determinants of postnatal care non-utilization among women in Demba Gofa rural district, southern Ethiopia: a community-based unmatched case-control study.

    abstract:BACKGROUND:Maternal and neonatal mortality remain a significant problem across much of the developing world, especially in sub-Saharan Africa countries. In Ethiopia, most maternal and neonatal deaths occur during the postpartum period; this is a critical time for monitoring the health of women and newborns, but the mos...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03244-9

    authors: Manote M,Gebremedhin T

    更新日期:2020-09-18 00:00:00

  • Regional variation in caesarean deliveries in Germany and its causes.

    abstract:BACKGROUND:Determinants of regional variation in caesarean sections can contribute explanations for the observed overall increasing trend of caesarean sections. We assessed which mechanism explains the higher rate of caesarean sections in the former West than East Germany: a more liberal use of caesarean sections in th...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-99

    authors: Mikolajczyk RT,Schmedt N,Zhang J,Lindemann C,Langner I,Garbe E

    更新日期:2013-05-01 00:00:00

  • Examining the mechanisms by which women's status and empowerment affect skilled birth attendant use in Senegal: a structural equation modeling approach.

    abstract:BACKGROUND:Despite the reduction in maternal deaths globally, maternal mortality rates remain unacceptably high, particularly in some regions of the world. In sub-Saharan Africa, maternal mortality rates have even increased recently, with 201,000 deaths in 2015 as compared to 179,000 in 2013. Use of a skilled birth att...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1499-x

    authors: Shimamoto K,Gipson JD

    更新日期:2017-11-08 00:00:00

  • Scaling up quality care for mothers and newborns around the time of birth: an overview of methods and analyses of intervention-specific bottlenecks and solutions.

    abstract:BACKGROUND:The Every Newborn Action Plan (ENAP) and Ending Preventable Maternal Mortality targets cannot be achieved without high quality, equitable coverage of interventions at and around the time of birth. This paper provides an overview of the methodology and findings of a nine paper series of in-depth analyses whic...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2393-15-S2-S1

    authors: Dickson KE,Kinney MV,Moxon SG,Ashton J,Zaka N,Simen-Kapeu A,Sharma G,Kerber KJ,Daelmans B,Gülmezoglu A,Mathai M,Nyange C,Baye M,Lawn JE

    更新日期:2015-01-01 00:00:00

  • Utilisation of malaria preventive measures during pregnancy and birth outcomes in Ibadan, Nigeria.

    abstract:BACKGROUND:Malaria remains a major public health problem in sub Saharan Africa and the extent of utilisation of malaria preventive measures may impact on the burden of malaria in pregnancy. This study sought to determine the association between malaria preventive measures utilized during pregnancy and the birth outcome...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-60

    authors: Tongo OO,Orimadegun AE,Akinyinka OO

    更新日期:2011-08-18 00:00:00

  • Appropriate provision of anti-D prophylaxis to RhD negative pregnant women: a scoping review.

    abstract:BACKGROUND:The purpose of this scoping review was to review the literature on healthcare provider provision of anti-D prophylaxis to RhD negative pregnant women in appropriate clinical situations in various healthcare settings. METHODS:A scoping review framework was used to structure the process. The following databas...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-014-0411-1

    authors: Fyfe TM,Ritchey MJ,Taruc C,Crompton D,Galliford B,Perrin R

    更新日期:2014-12-10 00:00:00

  • "Midwives do not appreciate pregnant women who come to the maternity with torn and dirty clothing": institutional delivery and postnatal care in Torit County, South Sudan: a mixed method study.

    abstract:BACKGROUND:South Sudan has one of the highest maternal mortality ratios in the world, at 789 deaths per 100,000 live births. The majority of these deaths are due to complications during labor and delivery. Institutional delivery under the care of skilled attendants is a proven, effective intervention to avert some deat...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-02910-2

    authors: Bayo P,Belaid L,Tahir EO,Ochola E,Dimiti A,Greco D,Zarowsky C

    更新日期:2020-04-28 00:00:00

  • Prevalence of anaemia and associated risk factors among pregnant women attending antenatal care in Gulu and Hoima Regional Hospitals in Uganda: A cross sectional study.

    abstract:BACKGROUND:Anaemia is a public health problem affecting over 1.62 billion people globally. It affects all age groups of people and is particularly more prevalent in pregnant women. Africa carries a high burden of anaemia; in Uganda 24 % of women of child bearing age have anaemia. Pregnant women living in poverty are at...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0865-4

    authors: Obai G,Odongo P,Wanyama R

    更新日期:2016-04-11 00:00:00

  • Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review.

    abstract:BACKGROUND:Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset during pregnancy, is increasing worldwide, mostly because obesity among women of reproductive age is continuously escalating. GDM is associated with adverse maternal and fetal outcomes. The aim of this article was to...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-016-1205-4

    authors: Donazar-Ezcurra M,López-Del Burgo C,Bes-Rastrollo M

    更新日期:2017-01-13 00:00:00

  • Seeking order amidst chaos: a systematic review of classification systems for causes of stillbirth and neonatal death, 2009-2014.

    abstract:BACKGROUND:Each year, about 5.3 million babies die in the perinatal period. Understanding of causes of death is critical for prevention, yet there is no globally acceptable classification system. Instead, many disparate systems have been developed and used. We aimed to identify all systems used or created between 2009 ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-016-1071-0

    authors: Leisher SH,Teoh Z,Reinebrant H,Allanson E,Blencowe H,Erwich JJ,Frøen JF,Gardosi J,Gordijn S,Gülmezoglu AM,Heazell AE,Korteweg F,Lawn J,McClure EM,Pattinson R,Smith GC,Tunçalp Ӧ,Wojcieszek AM,Flenady V

    更新日期:2016-10-05 00:00:00

  • A matched pair cluster randomized implementation trail to measure the effectiveness of an intervention package aiming to decrease perinatal mortality and increase institution-based obstetric care among indigenous women in Guatemala: study protocol.

    abstract:BACKGROUND:Maternal and perinatal mortality continue to be a high priority problem on the health agendas of less developed countries. Despite the progress made in the last decade to quantify the magnitude of maternal mortality, few interventions have been implemented with the intent to measure impact directly on matern...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2393-13-73

    authors: Kestler E,Walker D,Bonvecchio A,de Tejada SS,Donner A

    更新日期:2013-03-21 00:00:00

  • Pregnancy complications and birth outcomes among women experiencing nausea only or nausea and vomiting during pregnancy in the Norwegian Mother and Child Cohort Study.

    abstract:BACKGROUND:To compare pregnancy complications and birth outcomes for women experiencing nausea and vomiting in pregnancy, or nausea only, with symptom-free women. METHODS:Pregnancies from the Norwegian Mother and Child Cohort Study (n = 51 675), a population-based prospective cohort study, were examined. Data on nause...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0580-6

    authors: Chortatos A,Haugen M,Iversen PO,Vikanes Å,Eberhard-Gran M,Bjelland EK,Magnus P,Veierød MB

    更新日期:2015-06-23 00:00:00