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The development and implementation of a community engagement strategy to improve maternal health in southern Mozambique

Delays to seek medical help can contribute to maternal deaths particularly in community settings at home or on the road to a health facility. Community engagement (CE) can improve care-seeking behaviours and complements community-based interventions strengthening maternal health. The purpose of this...

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Autores principales: Amosse, Felizarda, Kinshella, Mai-Lei Woo, Boene, Helena, Sharma, Sumedha, Nhamirre, Zefanias, Tchavana, Corssino, Magee, Laura A., von Dadelszen, Peter, Sevene, Esperança, Vidler, Marianne, Munguambe, Khatia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021229/
https://www.ncbi.nlm.nih.gov/pubmed/36962956
http://dx.doi.org/10.1371/journal.pgph.0001106
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author Amosse, Felizarda
Kinshella, Mai-Lei Woo
Boene, Helena
Sharma, Sumedha
Nhamirre, Zefanias
Tchavana, Corssino
Magee, Laura A.
von Dadelszen, Peter
Sevene, Esperança
Vidler, Marianne
Munguambe, Khatia
author_facet Amosse, Felizarda
Kinshella, Mai-Lei Woo
Boene, Helena
Sharma, Sumedha
Nhamirre, Zefanias
Tchavana, Corssino
Magee, Laura A.
von Dadelszen, Peter
Sevene, Esperança
Vidler, Marianne
Munguambe, Khatia
author_sort Amosse, Felizarda
collection PubMed
description Delays to seek medical help can contribute to maternal deaths particularly in community settings at home or on the road to a health facility. Community engagement (CE) can improve care-seeking behaviours and complements community-based interventions strengthening maternal health. The purpose of this paper is to describe the process undertaken to develop and implement a large-scale community engagement strategy in rural southern Mozambique. The CE strategy was developed within the context of the “Community-Level Interventions for Pre-eclampsia” (NCT01911494) conducted between 2015–2017 in southern Mozambique. Key CE messages included pregnancy complications and their warning signs, including pre-eclampsia and eclampsia, as well as emergency readiness, birth preparedness, decision-making mechanisms, transport options and information about the trial. CE meeting logs were used to record quantitative and qualitative information on demographic data and feedback. Quantitative data was analyzed using RStudio (RStudio Inc, Boston, United States) and community feedback was qualitatively analyzed on NVivo12 (QSR International, Melbourne, Australia). CE activities reached 19,169 participants during 4,239 meetings. CE activities were reported to be well received by community members though there was a relatively lower participation of men (3565 /18.6%). The use of recognized local leaders and personnel, such as community leaders, nurses and community health workers, allowed for greater acceptance of CE activities and maximized coverage of health messages in the community setting. Our CE strategy was effective in integrating maternal health promoting activities in routine care of community health workers and nurses in the area. Understanding district differences, engaging husbands, partners, mothers-in-law and community-level decision-makers to build local support for maternal health and flexibility to tailor messages to local needs were important in developing sustainable forms of CE. Better strategies are needed to effectively engage men in maternal health promotion who were less available due to working outside of the home or neighbourhoods
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spelling pubmed-100212292023-03-17 The development and implementation of a community engagement strategy to improve maternal health in southern Mozambique Amosse, Felizarda Kinshella, Mai-Lei Woo Boene, Helena Sharma, Sumedha Nhamirre, Zefanias Tchavana, Corssino Magee, Laura A. von Dadelszen, Peter Sevene, Esperança Vidler, Marianne Munguambe, Khatia PLOS Glob Public Health Research Article Delays to seek medical help can contribute to maternal deaths particularly in community settings at home or on the road to a health facility. Community engagement (CE) can improve care-seeking behaviours and complements community-based interventions strengthening maternal health. The purpose of this paper is to describe the process undertaken to develop and implement a large-scale community engagement strategy in rural southern Mozambique. The CE strategy was developed within the context of the “Community-Level Interventions for Pre-eclampsia” (NCT01911494) conducted between 2015–2017 in southern Mozambique. Key CE messages included pregnancy complications and their warning signs, including pre-eclampsia and eclampsia, as well as emergency readiness, birth preparedness, decision-making mechanisms, transport options and information about the trial. CE meeting logs were used to record quantitative and qualitative information on demographic data and feedback. Quantitative data was analyzed using RStudio (RStudio Inc, Boston, United States) and community feedback was qualitatively analyzed on NVivo12 (QSR International, Melbourne, Australia). CE activities reached 19,169 participants during 4,239 meetings. CE activities were reported to be well received by community members though there was a relatively lower participation of men (3565 /18.6%). The use of recognized local leaders and personnel, such as community leaders, nurses and community health workers, allowed for greater acceptance of CE activities and maximized coverage of health messages in the community setting. Our CE strategy was effective in integrating maternal health promoting activities in routine care of community health workers and nurses in the area. Understanding district differences, engaging husbands, partners, mothers-in-law and community-level decision-makers to build local support for maternal health and flexibility to tailor messages to local needs were important in developing sustainable forms of CE. Better strategies are needed to effectively engage men in maternal health promotion who were less available due to working outside of the home or neighbourhoods Public Library of Science 2023-01-30 /pmc/articles/PMC10021229/ /pubmed/36962956 http://dx.doi.org/10.1371/journal.pgph.0001106 Text en © 2023 Amosse et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Amosse, Felizarda
Kinshella, Mai-Lei Woo
Boene, Helena
Sharma, Sumedha
Nhamirre, Zefanias
Tchavana, Corssino
Magee, Laura A.
von Dadelszen, Peter
Sevene, Esperança
Vidler, Marianne
Munguambe, Khatia
The development and implementation of a community engagement strategy to improve maternal health in southern Mozambique
title The development and implementation of a community engagement strategy to improve maternal health in southern Mozambique
title_full The development and implementation of a community engagement strategy to improve maternal health in southern Mozambique
title_fullStr The development and implementation of a community engagement strategy to improve maternal health in southern Mozambique
title_full_unstemmed The development and implementation of a community engagement strategy to improve maternal health in southern Mozambique
title_short The development and implementation of a community engagement strategy to improve maternal health in southern Mozambique
title_sort development and implementation of a community engagement strategy to improve maternal health in southern mozambique
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021229/
https://www.ncbi.nlm.nih.gov/pubmed/36962956
http://dx.doi.org/10.1371/journal.pgph.0001106
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