OBJECTIVE: Demonstrate the effective use of community-based evidence for health promotion by Lady Health Workers (LHWs) in Sindh, Pakistan. METHODS: A baseline study on mothers and children provided local evidence for risk communication tools designed and tested by LHWs. The communities were randomized to intervention and control. LHWs visited women before and after childbirth to discuss safe practices in pregnancy, in the intervention group LHW using the new tools and in the control group using their standard procedures. A household survey and focus groups permitted assessment of the impact of the intervention. RESULTS: Women in the intervention communities were more likely to attend prenatal checkups, to stop routine heavy work during pregnancy, to give colostrum to newborn babies, and to maintain exclusive breastfeeding for four months. Community focus groups confirmed a positive reaction to the tools. CONCLUSION: Discussion by lay health workers of local evidence underlying safe motherhood messages improved uptake of protective health practices. PRACTICE IMPLICATIONS: Door-to-door health promotion based on culturally appropriate interaction around relevant evidence can have a positive impact on health practices. Engaging health workers from the onset builds capacities, improves dialogue within the health system and performance of frontline health workers.
RCT Entities:
OBJECTIVE: Demonstrate the effective use of community-based evidence for health promotion by Lady Health Workers (LHWs) in Sindh, Pakistan. METHODS: A baseline study on mothers and children provided local evidence for risk communication tools designed and tested by LHWs. The communities were randomized to intervention and control. LHWs visited women before and after childbirth to discuss safe practices in pregnancy, in the intervention group LHW using the new tools and in the control group using their standard procedures. A household survey and focus groups permitted assessment of the impact of the intervention. RESULTS:Women in the intervention communities were more likely to attend prenatal checkups, to stop routine heavy work during pregnancy, to give colostrum to newborn babies, and to maintain exclusive breastfeeding for four months. Community focus groups confirmed a positive reaction to the tools. CONCLUSION: Discussion by lay health workers of local evidence underlying safe motherhood messages improved uptake of protective health practices. PRACTICE IMPLICATIONS: Door-to-door health promotion based on culturally appropriate interaction around relevant evidence can have a positive impact on health practices. Engaging health workers from the onset builds capacities, improves dialogue within the health system and performance of frontline health workers.
Authors: Rebecca Grossman-Kahn; Julia Schoen; John William Mallett; Alexandra Brentani; Elizabeth Kaselitz; Michele Heisler Journal: Int J Health Plann Manage Date: 2017-09-21
Authors: John P Elder; Willo Pequegnat; Saifuddin Ahmed; Gretchen Bachman; Merry Bullock; Waldemar A Carlo; Venkatraman Chandra-Mouli; Nathan A Fox; Sara Harkness; Gillian Huebner; Joan Lombardi; Velma McBride Murry; Allisyn Moran; Maureen Norton; Jennifer Mulik; Will Parks; Helen H Raikes; Joseph Smyser; Caroline Sugg; Michael Sweat; Nurper Ulkuer Journal: J Health Commun Date: 2014
Authors: Maryse C Kok; Marjolein Dieleman; Miriam Taegtmeyer; Jacqueline E W Broerse; Sumit S Kane; Hermen Ormel; Mandy M Tijm; Korrie A M de Koning Journal: Health Policy Plan Date: 2014-12-11 Impact factor: 3.344