Improvement of Maternal-Child Health (MCH) through a Community-Oriented MCH Project in Ethiopia

2.50
Hdl Handle:
http://hdl.handle.net/10755/601907
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Improvement of Maternal-Child Health (MCH) through a Community-Oriented MCH Project in Ethiopia
Other Titles:
Promoting Pediatric Health Throughout the World [Session]
Author(s):
Bang, Kyung-Sook; Lee, Insook; Chae, Sun-Mi
Lead Author STTI Affiliation:
Lamda Alpha-at-Large
Author Details:
Kyung-Sook Bang, RN, ksbang@snu.ac.kr; Insook Lee, RN; Sun-Mi Chae, RN, PNP
Abstract:
Session presented on Friday, July 24, 2015: Purpose: This study aimed to explore the effects of a community-oriented maternal-child health (MCH) project in Ethiopia initiated and supported by Korea International Cooperation Agency (KOICA). Methods: One group pre-post design was used. The project was intervened in a rural area, Kihen of the Tigray regional state in north Ethiopia.'The inclusion criteria of the study were women aged 15 to 49 who were married and resided in Kihen. The number of the women participated in the study was 927 for pre-test and 409 for post-test. A complete baseline survey was done for pre-test because the mother project needed to understand the project target area in the beginning. For post-test, we used a stratified random sampling method. Data for the pre-test were collected from October to December in 2012, and the post-test data from June to July in 2014. Our trained research assistants visited each woman's home and interviewed them using a structured questionnaire which was adapted from a safe motherhood population-based survey questionnaire developed by JHPIEGO (2004). The 2-year MCH project in Ethiopia consisted of on-the-job trainings for nurses and midwives at health centers, education for heath extension workers, community health education, and radio broadcasting of MCH/FP-related information.Results: A descriptive statistics, chi-square test and paired t-test were used for data analysis. There were significant increases of the women's knowledge on serious health problems during pregnancy (t=-7.33, p<.001), labor and childbirth (t=-6.88, p<.001), 1st 7days after childbirth (t=-8.94, p<.001), and early childhood (t=-3.90, p<.001) at the completion of the project. The women's perceptions of father involvement in prenatal visit (t=-10.97, p<.001), and childbirth (t=5.80, p<.001) were also significantly positively increased. The number of women currently using a family planning method was significantly increased from 31.3% to 91.3% (? 2 =404.10, p<.001). The institutional birth rate was also significantly increased from 10.4% to 91.9% (? 2 =307.29, p<.001).Conclusion: Consistent with the national health policy of Ethiopia, our project was effective to improve the women's knowledge and perceptions of MCH and their MCH practices. Our study results suggest that capacity development of nursing staffs and community health education are necessary to change knowledge and perceptions on health of community residents and ultimately to improve MCH in a developing country.
Keywords:
global health; maternal child health; family planning
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15B09
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleImprovement of Maternal-Child Health (MCH) through a Community-Oriented MCH Project in Ethiopiaen
dc.title.alternativePromoting Pediatric Health Throughout the World [Session]en
dc.contributor.authorBang, Kyung-Sooken
dc.contributor.authorLee, Insooken
dc.contributor.authorChae, Sun-Mien
dc.contributor.departmentLamda Alpha-at-Largeen
dc.author.detailsKyung-Sook Bang, RN, ksbang@snu.ac.kr; Insook Lee, RN; Sun-Mi Chae, RN, PNPen
dc.identifier.urihttp://hdl.handle.net/10755/601907-
dc.description.abstractSession presented on Friday, July 24, 2015: Purpose: This study aimed to explore the effects of a community-oriented maternal-child health (MCH) project in Ethiopia initiated and supported by Korea International Cooperation Agency (KOICA). Methods: One group pre-post design was used. The project was intervened in a rural area, Kihen of the Tigray regional state in north Ethiopia.'The inclusion criteria of the study were women aged 15 to 49 who were married and resided in Kihen. The number of the women participated in the study was 927 for pre-test and 409 for post-test. A complete baseline survey was done for pre-test because the mother project needed to understand the project target area in the beginning. For post-test, we used a stratified random sampling method. Data for the pre-test were collected from October to December in 2012, and the post-test data from June to July in 2014. Our trained research assistants visited each woman's home and interviewed them using a structured questionnaire which was adapted from a safe motherhood population-based survey questionnaire developed by JHPIEGO (2004). The 2-year MCH project in Ethiopia consisted of on-the-job trainings for nurses and midwives at health centers, education for heath extension workers, community health education, and radio broadcasting of MCH/FP-related information.Results: A descriptive statistics, chi-square test and paired t-test were used for data analysis. There were significant increases of the women's knowledge on serious health problems during pregnancy (t=-7.33, p<.001), labor and childbirth (t=-6.88, p<.001), 1st 7days after childbirth (t=-8.94, p<.001), and early childhood (t=-3.90, p<.001) at the completion of the project. The women's perceptions of father involvement in prenatal visit (t=-10.97, p<.001), and childbirth (t=5.80, p<.001) were also significantly positively increased. The number of women currently using a family planning method was significantly increased from 31.3% to 91.3% (? 2 =404.10, p<.001). The institutional birth rate was also significantly increased from 10.4% to 91.9% (? 2 =307.29, p<.001).Conclusion: Consistent with the national health policy of Ethiopia, our project was effective to improve the women's knowledge and perceptions of MCH and their MCH practices. Our study results suggest that capacity development of nursing staffs and community health education are necessary to change knowledge and perceptions on health of community residents and ultimately to improve MCH in a developing country.en
dc.subjectglobal healthen
dc.subjectmaternal child healthen
dc.subjectfamily planningen
dc.date.available2016-03-17T12:58:45Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:58:45Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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