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African Journal of Reproductive Health
Women's Health and Action Research Centre
ISSN: 1118-4841
Vol. 21, No. 1, 2017, pp. 39-48
Bioline Code: rh17005
Full paper language: English
Document type: Research Article
Document available free of charge

African Journal of Reproductive Health, Vol. 21, No. 1, 2017, pp. 39-48

 fr
Ishola, Gbenga; Fayehun, Funke; Isiugo-Abanihe, Uche; Segun, Tunde; Yusuf, Samaila; Orji, Bright; Rawlins, Barbara & Otolorin, Emmanuel

Résumé

Le Programme intégré de santé maternelle et infantile (PISMI), un programme assuré par Jhpiego, un projet de santé maternelle et néonatale réalisé globalement entre 2006 et 2010 dans les Etats de Kano et de Zamfara au Nigeria. Ce travail a été évalué dans le but de caractériser les effets des conseillers à domicile bénévoles (CDB) sur l'amélioration des connaissances par rapport à la préparation à la naissance et à la préparation face à aux complications (PNPC) chez les femmes enceintes. Les CDB ont été formés pour éduquer les femmes et leurs familles à la maison au sujet de la PNPC. La connaissance de PNPC a été comparée auprès des 152 et 594 femmes qui ont reçu et qui n'ont pas reçu la consultation à domicile. Les connaissances des mères sur la PNPC parmi celles qui ont reçu ou non pas reçu la consultation étaient de 32.2% et 11.2% respectivement. Les mères qui ont reçu une consultation ont une meilleure connaissance du PNPC comparées aux femmes qui ne l'ont pas reçue. (Le Risque Relatif [R.R.] 2,30, 95% [C.I.] 1,50, 3,51, P = 0,0001) dans un modèle de régression logistique multivariée en ajustant les facteurs de confusion potentiels. (RR 1,48, IC 95% 1,05, 2,09, P = 0,02) et période post-partum (RR 1,69, IC 95% 1,22, 2,32, P = 0,001), mais pas pendant la grossesse (RR 1,26, IC à 95% 0,97, 1,64, P = 0,08), comparées aux femmes qui n'ont reçu aucune consultation. Les CDB peuvent augmenter considérablement la connaissance de la PNPC et des signes de danger chez les femmes au Nigeria. (Afr J Reprod Health 2017; 21[1]: 39-48).

Mots Clés
Préparation à la naissance; maternelle; nouveau-né; santé; Nigeria; CDB

 
 en Effect of Volunteer Household Counseling in Improving Knowledge of Birth Preparedness and Complication Readiness of Pregnant Women in Northwest Nigeria
Ishola, Gbenga; Fayehun, Funke; Isiugo-Abanihe, Uche; Segun, Tunde; Yusuf, Samaila; Orji, Bright; Rawlins, Barbara & Otolorin, Emmanuel

Abstract

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. (Afr J Reprod Health 2017; 21[1]: 39-48).

Keywords
Birth preparedness; maternal; newborn; health; Nigeria; VHCs

 
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