Outcomes of a community- and home-based intervention for safe motherhood and newborn care.
Mothers and their home birth attendants residing in rural Uttar Pradesh (UP), India, were taught to recognize and take action to resolve selected maternal and neonatal life-threatening problems. Community mobilization efforts were designed to reduce delays in transport to emergency obstetric care (EOC) referral units and to increase use of family planning. Retention of knowledge and skills for recognition and intervention for maternal bleeding and newborn sepsis was enhanced when pictorial depictions of the problem or take action message or both were used as memory aids. Advocacy efforts for use of EOC facilities were less successful. The community health promotion and home-based life-saving skills education efforts tested are recommended for replication.
Fullerton
Judith T
JT
Project Concern International, San Diego, California 92126, USA. jfullerton@san.rr.com
Killian
Richard
R
Gass
Patricia M
PM
D000328:Adult; D003153:Community Health Services / Q000458:organization & administration*; D005260:Female; D005392:First Aid / Q000379:methods*; D006266:Health Education / Q000379:methods; D006293:Health Promotion / Q000379:methods; D006700:Home Childbirth / Q000193:education* / Q000592:standards; D006801:Humans; D007194:India; D007224:Infant Care / Q000592:standards*; D007231:Infant, Newborn; D008427:Maternal Health Services / Q000458:organization & administration; D009035:Mothers / Q000193:education* / Q000706:statistics & numerical data; D010043:Outcome and Process Assessment, Health Care; D011247:Pregnancy; D015397:Program Evaluation; D019035:Rural Health Services / Q000458:organization & administration; D012424:Rural Population; D012944:Social Support; D013997:Time Factors