The University of Tokyo, School of Public Health, Tokyo, Japan.
BMC Public Health. 2011 May 7;11:280. doi: 10.1186/1471-2458-11-280.
Improving Maternal and Child Health (MCH) is a prioritized global agenda in achieving the United Nations Millennium Development Goal 5. In this challenge, involving males has been an important agenda, and a program with such intent was conducted in Alfonso Lista, Ifugao, of the Philippines. The objectives of this study were: (1) to evaluate the effectiveness in knowledge, attitude, and practice before and after a MCH session; (2) to evaluate the session's effectiveness in relation to socio-demographic characteristics; and (3) to examine if males who have learned about MCH topics can teach another group of males.
A male community representative who received a lecture from the health office staff was assigned to teach a group of community males [Group 1, N = 140] in 5 sessions, using educational materials. 10 male volunteers from Group 1 then taught a different group of males [Group 2, N = 105] in their own barangays (villages). To evaluate its effectiveness, a self-administered questionnaire survey pertaining knowledge, attitude and practice regarding MCH was conducted at three different time points: before the session (Time 1, T1), after the session (Time 2, T2), and 3 months following the session (Time 3, T3). A repeated measures analysis of variance was conducted to test for changes over time and its interaction effect between specific socio-demographic variables.
In Group 1, there was a significant positive increase in knowledge score over time at T1-T2 and T1-T3 (p < 0.001). For attitude, the score increased only at T1-T2 (p = 0.027). The effectiveness in knowledge and attitude did not vary by socio-demographic characteristics. As for practice, majority of the participants reported that they had talked about MCH topics in their community and assisted a pregnant woman in some ways. A comparison between Group 1 and Group 2 revealed that Group 2 had similar effectiveness as Group 1 in knowledge improvement immediately after the session (p < 0.001), but no such improvement in the attitude score.
Although the change in attitude needs further assessment, this strategy of continuous learning and teaching of MCH topics within community males is shown to improve knowledge and has a potential to uplift the MCH status, including the reduction of maternal deaths, in Alfonso Lista, Ifugao, Philippines.
改善母婴健康（MCH）是实现联合国千年发展目标 5 的优先全球议程。在这一挑战中，让男性参与一直是一个重要的议程，菲律宾伊富高省阿方索·利斯塔的一个项目就有这样的意图。本研究的目的是：（1）评估 MCH 会议前后知识、态度和实践的有效性；（2）评估会议与社会人口特征的相关性；（3）检验是否接受过 MCH 主题培训的男性可以教授另一组男性。
一名接受卫生办公室工作人员授课的男性社区代表被分配到 5 个课程中，向一组社区男性（第 1 组，N = 140）授课，使用教育材料。第 1 组的 10 名男性志愿者随后在自己的村庄（社区）向另一组男性（第 2 组，N = 105）授课。为了评估其效果，在三个不同时间点进行了一项关于母婴健康知识、态度和实践的自我管理问卷调查：课程前（时间 1，T1）、课程后（时间 2，T2）和课程后 3 个月（时间 3，T3）。进行重复测量方差分析，以检验时间的变化及其与特定社会人口特征变量的相互作用。
第 1 组的知识得分在 T1-T2 和 T1-T3 之间呈显著正增长（p < 0.001）。对于态度，仅在 T1-T2 时得分增加（p = 0.027）。知识和态度的有效性不因社会人口特征而异。至于实践，大多数参与者报告说他们在社区中讨论了母婴健康话题，并以某种方式帮助了孕妇。第 1 组和第 2 组之间的比较表明，第 2 组在课程结束后立即提高知识方面与第 1 组具有相似的效果（p < 0.001），但态度得分没有提高。
尽管需要进一步评估态度的变化，但这种在社区男性中持续学习和教授母婴健康主题的策略被证明可以提高知识水平，并有可能提高母婴健康状况，包括减少孕产妇死亡，在菲律宾伊富高省阿方索·利斯塔。
