Ishola Gbenga, Fayehun Funke, Isiugo-Abanihe Uche, Segun Tunde, Yusuf Samaila, Orji Bright, Rawlins Barbara, Otolorin Emmanuel
Jhpiego Nigeria, Plot 971, Reuben Okoya Crescent, Wuye, Abuja, Nigeria.
University of Ibadan, Ibadan, Nigeria.
Afr J Reprod Health. 2017 Mar;21(1):39-48. doi: 10.29063/ajrh2017/v21i1.3.
Maternal and Child Health Integrated Program (MCHIP), a program by Jhpiego global, implemented maternal and newborn health project between 2006 and 2010 in Kano and Zamfara States, Nigeria. This was evaluated with an objective to characterize the effects of volunteer household counselors (VHCs) upon improving knowledge of birth preparedness and complication readiness (BPCR) among pregnant women. VHCs were trained to educate women and their families at home about BPCR. Knowledge of BPCR was compared among 152 and 594 women who did and did not receive household counseling. Mothers' knowledge of BPCR among those who did and did not receive counseling was 32.2% and 11.2% respectively. Mothers who received counseling had better knowledge of BPCR compared to women who did not (Relative Risk [R.R.] 2.30, 95% [C.I.] 1.50, 3.51, P = 0.0001) in a multivariable logistic regression model adjusting for potential confounders. Mothers who received counseling had better odds of knowledge of danger signs during delivery (R.R. 1.48, 95% C.I. 1.05, 2.09, P = 0.02), and post-partum period (R.R. 1.69, 95% C.I. 1.22, 2.32, P = 0.001), but not during pregnancy (R.R. 1.26, 95% C.I. 0.97, 1.64, P = 0.08), compared with women who received no counseling. VHCs can substantially increase knowledge of BPCR and danger signs among women in Nigeria.
妇幼保健综合项目（MCHIP）是由Jhpiego全球组织开展的一个项目，于2006年至2010年期间在尼日利亚的卡诺州和赞法拉州实施了孕产妇和新生儿健康项目。对此进行了评估，目的是描述志愿家庭顾问（VHCs）对提高孕妇的分娩准备和并发症应对知识（BPCR）的影响。VHCs接受培训，以便在家中对妇女及其家人进行BPCR方面的教育。对152名接受家庭咨询和594名未接受家庭咨询的妇女的BPCR知识进行了比较。接受咨询和未接受咨询的母亲中，对BPCR的知晓率分别为32.2%和11.2%。在调整了潜在混杂因素的多变量逻辑回归模型中，接受咨询的母亲与未接受咨询的妇女相比，对BPCR有更好的了解（相对风险[R.R.]2.30，95%[置信区间]1.50，3.51，P = 0.0001）。接受咨询的母亲在分娩期间（R.R.1.48，95%置信区间1.05，2.09，P = 0.02）和产后期间（R.R.1.69，95%置信区间1.22，2.32，P = 0.001）知晓危险信号的几率更高，但在孕期（R.R.1.26，95%置信区间0.97，1.64，P = 0.08）与未接受咨询的妇女相比没有差异。VHCs可以大幅提高尼日利亚妇女对BPCR和危险信号的了解。
