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印度农村自助团体中最边缘化妇女的新生儿护理行为改变干预效果：2013 年至 2016 年三次横断面调查分析。

Effect of behavioral change intervention around new-born care practices among most marginalized women in self-help groups in rural India: analyses of three cross-sectional surveys between 2013 and 2016.

机构信息

Population Council, New Delhi, India.

Bill and Melinda Gates Foundation, New Delhi, India.

出版信息

J Perinatol. 2019 Jul;39(7):990-999. doi: 10.1038/s41372-019-0358-1. Epub 2019 Apr 2.

DOI:10.1038/s41372-019-0358-1
PMID:30940930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6760593/
Abstract

OBJECTIVE

To assess the effects of new-born care intervention through self-help groups in improving new-born healthcare practices in rural India.

METHODS

A quasi-experimental design was used to evaluate behavioral change intervention integrated in >25,000 microfinance-based self-help groups in rural Bihar. Three rounds of cross-sectional surveys were conducted to understand the impact of intervention on new-born healthcare practices by talking to women who delivered a baby in the last 6 months.

RESULTS

Intervention groups showed greater improvement than control groups in the timely initiation of breastfeeding (adjusted odds ratio (AOR) = 6.3, 95% CI: 2.8, 14.3), exclusive breastfeeding on day 1 (AOR = 4.3, 95% CI: 1.9, 9.9), initiation of skin-to-skin care (AOR = 1.9, CI: 1.0, 3.8), and delayed bathing (AOR = 2.8, 95% CI: 1.4, 5.9) with greater effect of on home deliveries where clinical care is often absent.

CONCLUSION

Sharing messages on appropriate new-born practices through self-help groups improve new-born care practices.

摘要

目的

评估通过自助小组进行新生儿护理干预对改善印度农村地区新生儿保健实践的效果。

方法

采用准实验设计，评估在比哈尔邦农村地区 25000 多个小额信贷为基础的自助小组中实施的行为改变干预措施。通过与最近 6 个月内分娩的妇女进行访谈，进行了三轮横断面调查，以了解干预对新生儿保健实践的影响。

结果

干预组在及时开始母乳喂养（调整后的优势比（AOR）= 6.3，95%置信区间：2.8，14.3）、第一天开始纯母乳喂养（AOR = 4.3，95%置信区间：1.9，9.9）、开始皮肤接触（AOR = 1.9，CI：1.0，3.8）和延迟洗澡（AOR = 2.8，95%置信区间：1.4，5.9）方面的表现优于对照组，而在家中分娩时（通常缺乏临床护理）的效果更为显著。

结论

通过自助小组分享有关适当新生儿护理实践的信息可以改善新生儿护理实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ce/6760593/151a7ae75440/41372_2019_358_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ce/6760593/151a7ae75440/41372_2019_358_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ce/6760593/151a7ae75440/41372_2019_358_Fig1_HTML.jpg

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