Tara Tarana, Singh Garima
Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India.
Undergraduate MBBS Student, Lady Hardinge Medical College, New Delhi, India.
Indian J Community Med. 2024 Sep-Oct;49(5):713-718. doi: 10.4103/ijcm.ijcm_97_23. Epub 2024 Jun 24.
In India, current maternal mortality ratio is 97/100,000 livebirths, and still more efforts are needed to achieve Sustainable Development Goal 3, target 1 of 70/100,000 livebirths. Women die because of complications during and following pregnancy and childbirth. Skilled care during and immediately after delivery has been identified as one of the key strategies in reducing maternal mortality. Birth preparedness and complication readiness (BPCR) has been implemented as a comprehensive strategy to fill this gap. BPCR is one of the key interventions to reduce the maternal mortality.
This was a community-based before and after interventional study (quasi-experimental study) and was conducted in two randomly selected primary health centers of South West district of Delhi.
A total of 152 community health workers (CHWs) took part in the study. About one fourth (22.03%) had knowledge regarding water breakage without labor, which increased to 85.53% after training and was statistically significant ( < 0.0001). Mean knowledge score preintervention was 4.35 (1.82), whereas the postintervention mean knowledge score was 8.98 (0.99) and was statistically significant ( < 0.0001).
Though awareness of CHWs on some aspects of the BPCR components was good before the training program, marked improvement was seen in most of the domains after the training session.
在印度,目前的孕产妇死亡率为每10万例活产中有97例死亡,要实现可持续发展目标3中每10万例活产中70例死亡的具体目标1,仍需做出更多努力。妇女死于妊娠和分娩期间及之后的并发症。分娩期间及刚结束后提供熟练护理已被确定为降低孕产妇死亡率的关键策略之一。已实施分娩准备和并发症应对(BPCR)作为填补这一差距的综合策略。BPCR是降低孕产妇死亡率的关键干预措施之一。
这是一项基于社区的干预前后研究(准实验研究),在德里西南区随机选择的两个初级卫生中心进行。
共有152名社区卫生工作者(CHW)参与了该研究。约四分之一(22.03%)的人了解未临产时破水的知识,培训后这一比例增至85.53%,且具有统计学意义(<0.0001)。干预前的平均知识得分是4.35(1.82),而干预后的平均知识得分是8.98(0.99),具有统计学意义(<0.0001)。
尽管在培训项目开展前,社区卫生工作者对BPCR组成部分某些方面的认识良好,但培训后在大多数领域都有显著提高。