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Please use this identifier to cite or link to this item: http://hdl.handle.net/10625/35321

Title: Evidence-based training of frontline health workers for door-to-door health promotion : a pilot randomized controlled cluster trial with lady health workers in Sindh province, Pakistan
Authors: Omer, Khalid
Mhatre, Sharmila
Ansari, Noor
Laucirica, Jorge
Andersson, Neil
Keywords: MATERNAL AND CHILD HEALTH
HEALTH EDUCATION
PRENATAL CARE
SAFE MOTHERHOOD
PAKISTAN
Issue Date: 2008
Publisher: Elsevier Ireland, Clare, IE
Abstract: Objective: Demonstrate the effective use of community-based evidence for health promotion by Lady HealthWorkers (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 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 lady 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.
Description: Article in press
URI: http://hdl.handle.net/10625/35321
Document Delivery: To enquire about document delivery, contact the IDRC Library : reference@idrc.ca or 613-696-2578 / Pour plus de renseignements sur la livraison de documents, communiquer avec la bibliothèque du CRDI : reference@idrc.ca ou 613-696-2578
Appears in Collections:IDRC Research Results / Résultats de recherches du CRDI
2000-2009 / Années 2000-2009

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