Measuring what works: An impact evaluation of women's groups on maternal health uptake in rural Nepal
Authors: Sharma, S., Van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P. and Sicuri, E.
Journal: PLoS ONE
Volume: 11
Issue: 5
eISSN: 1932-6203
DOI: 10.1371/journal.pone.0155144
Abstract:Background: There is a need for studies evaluating maternal health interventions in low-income countries. This paper evaluates one such intervention designed to promote maternal health among rural women in Nepal. Methods and Results: This was a five-year controlled, non-randomised, repeated cross-sectional study (2007, 2010, 2012) of a participatory community-based maternal health promotion intervention focusing on women's groups to improve maternal health services uptake. In total 1,236 women of childbearing age, who had their last child ≤ two years ago, were interviewed. Difference-in-Difference estimation assessed the effects of the intervention on selected outcome variables while controlling for a constructed wealth index and women's characteristics. In the first three years (from 2007 to the 2010), the intervention increased women's likelihood of attending for antenatal care at least once during pregnancy by seven times [OR = 7.0, 95%CI (2.3; 21.4)], of taking iron and folic acid by three times [OR = 3.0, 95%CI (1.2; 7.8)], and of seeking four or more antenatal care visits of two times, although not significantly [OR = 2.2, 95%CI (1.0; 4.7)]. Over five years, women were more likely to seek antenatal care at least once [OR = 3.0, 95%CI (1.5; 5.2)], to take iron/folic acid [OR = 1.9, [95% CI (1.1; 3.2)], and to attend postnatal care [OR = 1.5, [95% CI (1.1; 2.2)]. No improvement was found on attending antenatal care in the first trimester, birthing at an institution or with a skilled birth attendant. Conclusion: Community-based health promotion has a much stronger effect on the uptake of antenatal care and less on delivery care. Other factors not easily resolved through health promotion interventions may influence these outcomes, such as costs or geographical constraints. The evaluation has implications for policy and practice in public health, especially maternal health promotion.
https://eprints.bournemouth.ac.uk/23765/
Source: Scopus
Measuring What Works: An Impact Evaluation of Women's Groups on Maternal Health Uptake in Rural Nepal.
Authors: Sharma, S., Teijlingen, E.V., Belizán, J.M., Hundley, V., Simkhada, P. and Sicuri, E.
Journal: PLoS One
Volume: 11
Issue: 5
Pages: e0155144
eISSN: 1932-6203
DOI: 10.1371/journal.pone.0155144
Abstract:BACKGROUND: There is a need for studies evaluating maternal health interventions in low-income countries. This paper evaluates one such intervention designed to promote maternal health among rural women in Nepal. METHODS AND RESULTS: This was a five-year controlled, non-randomised, repeated cross-sectional study (2007, 2010, 2012) of a participatory community-based maternal health promotion intervention focusing on women's groups to improve maternal health services uptake. In total 1,236 women of childbearing age, who had their last child ≤ two years ago, were interviewed. Difference-in-Difference estimation assessed the effects of the intervention on selected outcome variables while controlling for a constructed wealth index and women's characteristics. In the first three years (from 2007 to the 2010), the intervention increased women's likelihood of attending for antenatal care at least once during pregnancy by seven times [OR = 7.0, 95%CI (2.3; 21.4)], of taking iron and folic acid by three times [OR = 3.0, 95%CI (1.2; 7.8)], and of seeking four or more antenatal care visits of two times, although not significantly [OR = 2.2, 95%CI (1.0; 4.7)]. Over five years, women were more likely to seek antenatal care at least once [OR = 3.0, 95%CI (1.5; 5.2)], to take iron/folic acid [OR = 1.9, [95% CI (1.1; 3.2)], and to attend postnatal care [OR = 1.5, [95% CI (1.1; 2.2)]. No improvement was found on attending antenatal care in the first trimester, birthing at an institution or with a skilled birth attendant. CONCLUSION: Community-based health promotion has a much stronger effect on the uptake of antenatal care and less on delivery care. Other factors not easily resolved through health promotion interventions may influence these outcomes, such as costs or geographical constraints. The evaluation has implications for policy and practice in public health, especially maternal health promotion.
https://eprints.bournemouth.ac.uk/23765/
Source: PubMed
Measuring What Works: An Impact Evaluation of Women's Groups on Maternal Health Uptake in Rural Nepal
Authors: Sharma, S., van Teijlingen, E., Belizan, J.M., Hundley, V., Simkhada, P. and Sicuri, E.
Journal: PLOS ONE
Volume: 11
Issue: 5
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0155144
https://eprints.bournemouth.ac.uk/23765/
Source: Web of Science (Lite)
Measuring What Works: An Impact Evaluation of Women's Groups on Maternal Health Uptake in Rural Nepal
Authors: Sharma, S., van Teijlingen, E., Belizan, J.M., Hundley, V., Simkhada, P., Sicuri, E. and Sharma
Journal: PLOS ONE
Volume: 11
Issue: 5
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0155144
https://eprints.bournemouth.ac.uk/23765/
Source: Manual
Preferred by: Vanora Hundley
Measuring What Works: An Impact Evaluation of Women's Groups on Maternal Health Uptake in Rural Nepal.
Authors: Sharma, S., Teijlingen, E.V., Belizán, J.M., Hundley, V., Simkhada, P. and Sicuri, E.
Journal: PloS one
Volume: 11
Issue: 5
Pages: e0155144
eISSN: 1932-6203
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0155144
Abstract:Background
There is a need for studies evaluating maternal health interventions in low-income countries. This paper evaluates one such intervention designed to promote maternal health among rural women in Nepal.Methods and results
This was a five-year controlled, non-randomised, repeated cross-sectional study (2007, 2010, 2012) of a participatory community-based maternal health promotion intervention focusing on women's groups to improve maternal health services uptake. In total 1,236 women of childbearing age, who had their last child ≤ two years ago, were interviewed. Difference-in-Difference estimation assessed the effects of the intervention on selected outcome variables while controlling for a constructed wealth index and women's characteristics. In the first three years (from 2007 to the 2010), the intervention increased women's likelihood of attending for antenatal care at least once during pregnancy by seven times [OR = 7.0, 95%CI (2.3; 21.4)], of taking iron and folic acid by three times [OR = 3.0, 95%CI (1.2; 7.8)], and of seeking four or more antenatal care visits of two times, although not significantly [OR = 2.2, 95%CI (1.0; 4.7)]. Over five years, women were more likely to seek antenatal care at least once [OR = 3.0, 95%CI (1.5; 5.2)], to take iron/folic acid [OR = 1.9, [95% CI (1.1; 3.2)], and to attend postnatal care [OR = 1.5, [95% CI (1.1; 2.2)]. No improvement was found on attending antenatal care in the first trimester, birthing at an institution or with a skilled birth attendant.Conclusion
Community-based health promotion has a much stronger effect on the uptake of antenatal care and less on delivery care. Other factors not easily resolved through health promotion interventions may influence these outcomes, such as costs or geographical constraints. The evaluation has implications for policy and practice in public health, especially maternal health promotion.https://eprints.bournemouth.ac.uk/23765/
Source: Europe PubMed Central
Measuring What Works: An Impact Evaluation of Women's Groups on Maternal Health Uptake in Rural Nepal.
Authors: Sharma, S., van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P. and Sicuri, E.
Journal: PLoS One
Volume: 11
Issue: 5
Pages: e0155144
ISSN: 1932-6203
Abstract:BACKGROUND: There is a need for studies evaluating maternal health interventions in low-income countries. This paper evaluates one such intervention designed to promote maternal health among rural women in Nepal. METHODS AND RESULTS: This was a five-year controlled, non-randomised, repeated cross-sectional study (2007, 2010, 2012) of a participatory community-based maternal health promotion intervention focusing on women's groups to improve maternal health services uptake. In total 1,236 women of childbearing age, who had their last child ≤ two years ago, were interviewed. Difference-in-Difference estimation assessed the effects of the intervention on selected outcome variables while controlling for a constructed wealth index and women's characteristics. In the first three years (from 2007 to the 2010), the intervention increased women's likelihood of attending for antenatal care at least once during pregnancy by seven times [OR = 7.0, 95%CI (2.3; 21.4)], of taking iron and folic acid by three times [OR = 3.0, 95%CI (1.2; 7.8)], and of seeking four or more antenatal care visits of two times, although not significantly [OR = 2.2, 95%CI (1.0; 4.7)]. Over five years, women were more likely to seek antenatal care at least once [OR = 3.0, 95%CI (1.5; 5.2)], to take iron/folic acid [OR = 1.9, [95% CI (1.1; 3.2)], and to attend postnatal care [OR = 1.5, [95% CI (1.1; 2.2)]. No improvement was found on attending antenatal care in the first trimester, birthing at an institution or with a skilled birth attendant. CONCLUSION: Community-based health promotion has a much stronger effect on the uptake of antenatal care and less on delivery care. Other factors not easily resolved through health promotion interventions may influence these outcomes, such as costs or geographical constraints. The evaluation has implications for policy and practice in public health, especially maternal health promotion.
https://eprints.bournemouth.ac.uk/23765/
Source: BURO EPrints