Dr. Salma Shaikh, Professor of Pediatrics, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan.
Dr. Shazia Memon, Assistant Professor of Pediatrics, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan.
Pak J Med Sci. 2014 May;30(3):611-8. doi: 10.12669/pjms.303.4798.
To determine change in practice of mothers having children less than five years of age in five key areas related to child health, growth and development including immunization, feeding during illness, appropriate home treatment for infections and care seeking behavior.
This was a community based interventional study of Information, Education and Communication (IEC) intervention in the UC Jamshoro, Taluka Kotri, district Jamshoro of 15 months duration from March 2011 to June 2012. Ninety five mothers having children less than five years of age were selected by systematic random sampling for house hold based survey by questionnaire designed by EPP evaluation and health section of UNICEF during baseline and post-intervention phases. Base line data was collected from the interventional area then health education messages were given through written and pictorial material by LHWs for 9 months. To measure the impact helath education messages, data was again collected by same questionnaire are from the same union council during post-intervention phase.
During baseline survey except immunization all other key family practices were poor. After 9 months of intervention of repeated heath education sessions through LHW during their routine visits all practices were improved with statistically significant difference. Regarding the comparison of the results between baseline and post-intervention surveys we found that except immunization which was already better, all those practices which requires mother's knowledge and practice were improved after our intervention with significant P-values.
Improving the mother's education level is very important, to empower the first care provider of child in the community. However, in the mean time, health educational messages related to the limited number of key family practices should be disseminated.
确定在与儿童健康、生长和发育相关的五个关键领域（包括免疫接种、患病时的喂养、感染的适当家庭治疗和寻求医疗行为）中，五岁以下儿童的母亲的实践行为发生变化。
这是一项基于社区的干预性研究，对 UC Jamshoro、Taluka Kotri、Jamshoro 区进行了为期 15 个月的信息、教育和交流（IEC）干预，时间从 2011 年 3 月至 2012 年 6 月。通过系统随机抽样，从 95 名五岁以下儿童的母亲中选择了 95 名，通过问卷进行家庭调查，问卷由 EPP 评估和儿基会卫生部门设计，在基线和干预后阶段进行。在基线阶段收集干预地区的数据，然后由 LHW 通过书面和图片材料在 9 个月内提供健康教育信息。为了衡量健康教育信息的影响，在干预后阶段，通过同一问卷再次从同一联盟委员会收集数据。
在基线调查中，除了免疫接种外，其他所有关键家庭实践都很差。经过 9 个月的 LHW 在常规访问中重复进行健康教育课程的干预后，所有实践都得到了改善，差异具有统计学意义。关于基线和干预后调查结果的比较，我们发现，除了已经更好的免疫接种外，所有需要母亲知识和实践的实践在我们的干预后都得到了改善，具有显著的 P 值。
提高母亲的教育水平非常重要，可以增强社区中儿童的第一照顾者的能力。然而，在这个过程中，应该传播与有限数量的关键家庭实践相关的健康教育信息。
