PDF(Pubmed)
Abstract：
UNASSIGNED: High mortality rates for pregnant women and their new-borns are one of Africa\'s most intractable public health issues today, and Ethiopia is one of the countries most afflicted. Behavioral interventions are needed to increase maternal health service utilizations to improve outcomes. Hence, this trial aimed to evaluate effectiveness of trained religious leaders\' engagement in maternal health education on maternal health service utilization.
UNASSIGNED: The study employed a cluster-randomized controlled community trial that included baseline and end-line measurements. Data on end points were gathered from 593 pregnant mothers, comprising 292 and 301 individuals in the intervention and control groups, respectively. In the intervention group, the trained religious leaders delivered the behavioral change education on maternal health based on intervention protocol. Unlike the other group, the control group only received regular maternal health information and no additional training from religious leaders. Binary generalized estimating equation regression analysis adjusted for baseline factors were used to test effects of the intervention on maternal health service utilization.
UNASSIGNED: Following the trial\'s implementation, the proportion of optimal antenatal care in the intervention arm increased by 21.4% from the baseline (50.90 vs. 72.3, p ≤ 0.001) and the proportion of institutional delivery in the intervention group increased by 20% from the baseline (46.1% vs. 66.1%, p ≤ 0.001). Pregnant mothers in the intervention group significantly showed an increase of proportion of PNC by 22.3% from baseline (26% vs. 48.3%, p ≤ 0.001). A statistically significant difference was observed between in ANC4 (AOR = 2.09, 95% CI: 1.69, 2.57), institutional delivery (AOR = 2.36, 95% CI: 1.94, 2.87) and postnatal care service utilization (AOR = 2.26, 95% CI: 1.79, 2.85) between the intervention and control groups.
UNASSIGNED: This research indicated that involving religious leaders who have received training in maternal health education led to positive outcomes in enhancing the utilization of maternal health services. Leveraging the influential position of these religious leaders could be an effective strategy for improving maternal health service utilization. Consequently, promoting maternal health education through religious leaders is advisable to enhance maternal health service utilization.Clinical trial registration: [https://clinicaltrials.gov/], identifier [NCT05716178].
UNASSIGNED: The study employed a cluster-randomized controlled community trial that included baseline and end-line measurements. Data on end points were gathered from 593 pregnant mothers, comprising 292 and 301 individuals in the intervention and control groups, respectively. In the intervention group, the trained religious leaders delivered the behavioral change education on maternal health based on intervention protocol. Unlike the other group, the control group only received regular maternal health information and no additional training from religious leaders. Binary generalized estimating equation regression analysis adjusted for baseline factors were used to test effects of the intervention on maternal health service utilization.
UNASSIGNED: Following the trial\'s implementation, the proportion of optimal antenatal care in the intervention arm increased by 21.4% from the baseline (50.90 vs. 72.3, p ≤ 0.001) and the proportion of institutional delivery in the intervention group increased by 20% from the baseline (46.1% vs. 66.1%, p ≤ 0.001). Pregnant mothers in the intervention group significantly showed an increase of proportion of PNC by 22.3% from baseline (26% vs. 48.3%, p ≤ 0.001). A statistically significant difference was observed between in ANC4 (AOR = 2.09, 95% CI: 1.69, 2.57), institutional delivery (AOR = 2.36, 95% CI: 1.94, 2.87) and postnatal care service utilization (AOR = 2.26, 95% CI: 1.79, 2.85) between the intervention and control groups.
UNASSIGNED: This research indicated that involving religious leaders who have received training in maternal health education led to positive outcomes in enhancing the utilization of maternal health services. Leveraging the influential position of these religious leaders could be an effective strategy for improving maternal health service utilization. Consequently, promoting maternal health education through religious leaders is advisable to enhance maternal health service utilization.Clinical trial registration: [https://clinicaltrials.gov/], identifier [NCT05716178].
摘要：
孕妇及其新生儿的高死亡率是当今非洲最棘手的公共卫生问题之一，埃塞俄比亚是受影响最严重的国家之一。需要采取行为干预措施来提高孕产妇保健服务的利用率，以改善预后。因此，本试验旨在评估经过培训的宗教领袖参与孕产妇健康教育对孕产妇健康服务利用的有效性.
■该研究采用了一项集群随机对照社区试验，包括基线和终线测量。终点数据来自593名孕妇，由干预组和对照组的292名和301名个人组成，分别。在干预组中，训练有素的宗教领袖根据干预方案开展了孕产妇健康行为改变教育。与另一组不同，对照组仅接受定期的孕产妇健康信息，没有接受宗教领袖的额外培训。使用针对基线因素进行调整的二元广义估计方程回归分析来检验干预措施对孕产妇保健服务利用的影响。
■在试验实施之后，干预组最佳产前护理的比例比基线增加了21.4%(50.90vs.72.3，p≤0.001），干预组中机构分娩的比例比基线增加了20％（46.1％vs.66.1%,p≤0.001)。干预组中的怀孕母亲显着显示PNC的比例比基线增加了22.3％（26％vs.48.3%,p≤0.001)。在ANC4中观察到统计学上的显着差异（AOR=2.09，95％CI：1.69，2.57），干预组和对照组的机构分娩(AOR=2.36,95%CI:1.94,2.87)和产后护理服务利用(AOR=2.26,95%CI:1.79,2.85).
这项研究表明，让接受过孕产妇健康教育培训的宗教领袖参与进来，在提高孕产妇健康服务的利用率方面取得了积极成果。利用这些宗教领袖的影响力地位可能是改善孕产妇保健服务利用率的有效策略。因此,建议通过宗教领袖促进孕产妇健康教育，以提高孕产妇保健服务的利用率。临床试验注册：[https://clinicaltrials.gov/]，标识符[NCT05716178]。
■该研究采用了一项集群随机对照社区试验，包括基线和终线测量。终点数据来自593名孕妇，由干预组和对照组的292名和301名个人组成，分别。在干预组中，训练有素的宗教领袖根据干预方案开展了孕产妇健康行为改变教育。与另一组不同，对照组仅接受定期的孕产妇健康信息，没有接受宗教领袖的额外培训。使用针对基线因素进行调整的二元广义估计方程回归分析来检验干预措施对孕产妇保健服务利用的影响。
■在试验实施之后，干预组最佳产前护理的比例比基线增加了21.4%(50.90vs.72.3，p≤0.001），干预组中机构分娩的比例比基线增加了20％（46.1％vs.66.1%,p≤0.001)。干预组中的怀孕母亲显着显示PNC的比例比基线增加了22.3％（26％vs.48.3%,p≤0.001)。在ANC4中观察到统计学上的显着差异（AOR=2.09，95％CI：1.69，2.57），干预组和对照组的机构分娩(AOR=2.36,95%CI:1.94,2.87)和产后护理服务利用(AOR=2.26,95%CI:1.79,2.85).
这项研究表明，让接受过孕产妇健康教育培训的宗教领袖参与进来，在提高孕产妇健康服务的利用率方面取得了积极成果。利用这些宗教领袖的影响力地位可能是改善孕产妇保健服务利用率的有效策略。因此,建议通过宗教领袖促进孕产妇健康教育，以提高孕产妇保健服务的利用率。临床试验注册：[https://clinicaltrials.gov/]，标识符[NCT05716178]。
