Banerjee Bratati
Department of Community Medicine, Maulana Azad Medical College, New Delhi - 110 002, India.
Indian J Community Med. 2009 Oct;34(4):298-300. doi: 10.4103/0970-0218.58386.
Regular IEC programs during antenatal and intranatal period, through individual or group approach, brings desirable changes in health practices of people, resulting in a healthy mother and a healthy baby.
This study was conducted to assess the level of IEC services regarding pregnancy and child care, received by the women at an MCH clinic of an urban health center, where the study subjects comprised 400 antenatal (AN) and postnatal (PN) women and mothers of children under five years.
Warning signs of danger was explained to only 10% of the AN and PN women. Advice regarding family planning appeared to be the most frequently covered, though that too was explained to less than half of the subjects. About one third of the women were advised on breast feeding. Only 8% of the mothers had been told about all issues regarding pregnancy and child care. Breast feeding and weaning was properly explained to 85.7 and 81.1% of the total mothers of U5 children. Advice regarding subsequent nutrition was given to 60.9% of mothers. About only a quarter of the total mothers were advised on home management of diarrhea and acute respiratory infections. Very few mothers were counseled about the growth pattern of the children and none were shown the growth chart. Only 12.9% of the mothers were informed about all issues.
IEC regarding maternal and child care other than feeding practices is a neglected service in the health facility where the study was conducted.
在产前和产中阶段通过个体或群体方式开展的常规信息、教育和宣传(IEC)项目,能给人们的健康行为带来理想的改变,从而实现母婴健康。
本研究旨在评估城市健康中心妇幼保健诊所的妇女所接受的有关妊娠和儿童护理的IEC服务水平,研究对象包括400名产前(AN)和产后(PN)妇女以及5岁以下儿童的母亲。
仅向10%的产前和产后妇女解释了危险警示信号。关于计划生育的建议似乎是最常涉及的内容,不过也只有不到一半的研究对象得到了解释。约三分之一的妇女得到了母乳喂养方面的建议。只有8%的母亲被告知所有关于妊娠和儿童护理的问题。针对5岁以下儿童的母亲,分别有85.7%和81.1%的人得到了关于母乳喂养和断奶的恰当解释。60.9%的母亲得到了关于后续营养的建议。约四分之一的母亲得到了关于腹泻和急性呼吸道感染家庭管理方面的建议。很少有母亲得到关于儿童生长模式的咨询,也没有人看过生长图表。只有12.9%的母亲被告知所有问题。
在开展本研究的医疗机构中,除喂养方式外,有关母婴护理的IEC服务是一项被忽视的服务。