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The Maternal and Child Health (MCH) handbook in Mongolia: a cluster-randomized, controlled trial.

Mori R, Yonemoto N, Noma H, Ochirbat T, Barber E, Soyolgerel G, Nakamura Y, Lkhagvasuren O - PLoS ONE (2015)

Bottom Line: To assess the effectiveness of the Maternal and Child Health (MCH) handbook in Mongolia to increase antenatal clinic attendance, and to enhance health-seeking behaviors and other health outcomes.Cluster effects were adjusted for using generalized estimation equation.The intervention will help to identify maternal morbidities during pregnancy and promote health-seeking behaviors.

View Article: PubMed Central - PubMed

Affiliation: Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan.

ABSTRACT

Objective: To assess the effectiveness of the Maternal and Child Health (MCH) handbook in Mongolia to increase antenatal clinic attendance, and to enhance health-seeking behaviors and other health outcomes.

Methods: A cluster randomized trial was conducted using the translated MCH handbook in Bulgan, Mongolia to assess its effectiveness in promoting antenatal care attendance. Pregnant women were recruited from 18 randomly allocated districts using shuffled, sealed envelopes. The handbook was implemented immediately for women at their first antenatal visit in the intervention group, and nine months later in the control group. The primary outcome was the number of antenatal care visits of all women residing in the selected districts. Cluster effects were adjusted for using generalized estimation equation. Masking was not possible among care providers, pregnant women and assessors.

Findings: Nine districts were allocated to the intervention group and the remainder to the control group. The intervention group (253 women) attended antenatal clinics on average 6•9 times, while the control group (248 women) attended 6•2 times. Socioeconomic status affected the frequency of clinic attendance: women of higher socioeconomic status visited antenatal clinics more often. Pregnancy complications were more likely to be detected among women using the handbook.

Conclusion: The MCH handbook promotes continuous care and showed an increase in antenatal visits among the intervention group. The intervention will help to identify maternal morbidities during pregnancy and promote health-seeking behaviors.

Trial registration: UMIN Clinical Trial Registry UMIN000001748.

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Related in: MedlinePlus

Flow diagram of the study population.
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pone.0119772.g001: Flow diagram of the study population.

Mentions: This study had nine clusters in the intervention group and the total intervention population was 253 women with an average of 28·0 people in a cluster. The intervention was implemented between May 2009 and January 2010, and data was collected between February 2010 and August 2010. Of the whole intervention group, only 210 participants received the intervention. There were nine clusters in the control group and the total number of participants for this group was 248 women. There was no difference in the size of the cluster between the two groups. Fig. 1 shows the selection process in detail.


The Maternal and Child Health (MCH) handbook in Mongolia: a cluster-randomized, controlled trial.

Mori R, Yonemoto N, Noma H, Ochirbat T, Barber E, Soyolgerel G, Nakamura Y, Lkhagvasuren O - PLoS ONE (2015)

Flow diagram of the study population.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4390384&req=5

pone.0119772.g001: Flow diagram of the study population.
Mentions: This study had nine clusters in the intervention group and the total intervention population was 253 women with an average of 28·0 people in a cluster. The intervention was implemented between May 2009 and January 2010, and data was collected between February 2010 and August 2010. Of the whole intervention group, only 210 participants received the intervention. There were nine clusters in the control group and the total number of participants for this group was 248 women. There was no difference in the size of the cluster between the two groups. Fig. 1 shows the selection process in detail.

Bottom Line: To assess the effectiveness of the Maternal and Child Health (MCH) handbook in Mongolia to increase antenatal clinic attendance, and to enhance health-seeking behaviors and other health outcomes.Cluster effects were adjusted for using generalized estimation equation.The intervention will help to identify maternal morbidities during pregnancy and promote health-seeking behaviors.

View Article: PubMed Central - PubMed

Affiliation: Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan.

ABSTRACT

Objective: To assess the effectiveness of the Maternal and Child Health (MCH) handbook in Mongolia to increase antenatal clinic attendance, and to enhance health-seeking behaviors and other health outcomes.

Methods: A cluster randomized trial was conducted using the translated MCH handbook in Bulgan, Mongolia to assess its effectiveness in promoting antenatal care attendance. Pregnant women were recruited from 18 randomly allocated districts using shuffled, sealed envelopes. The handbook was implemented immediately for women at their first antenatal visit in the intervention group, and nine months later in the control group. The primary outcome was the number of antenatal care visits of all women residing in the selected districts. Cluster effects were adjusted for using generalized estimation equation. Masking was not possible among care providers, pregnant women and assessors.

Findings: Nine districts were allocated to the intervention group and the remainder to the control group. The intervention group (253 women) attended antenatal clinics on average 6•9 times, while the control group (248 women) attended 6•2 times. Socioeconomic status affected the frequency of clinic attendance: women of higher socioeconomic status visited antenatal clinics more often. Pregnancy complications were more likely to be detected among women using the handbook.

Conclusion: The MCH handbook promotes continuous care and showed an increase in antenatal visits among the intervention group. The intervention will help to identify maternal morbidities during pregnancy and promote health-seeking behaviors.

Trial registration: UMIN Clinical Trial Registry UMIN000001748.

Show MeSH
Related in: MedlinePlus