Evidence-based training of frontline health workers for door-to-door health promotion : a pilot randomized controlled cluster trial with lady health workers in Sindh province, Pakistan

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dc.contributor.authorOmer, Khalid
dc.contributor.authorMhatre, Sharmila
dc.contributor.authorAnsari, Noor
dc.contributor.authorLaucirica, Jorge
dc.contributor.authorAndersson, Neil
dc.date.accessioned2008-06-06T15:54:59Z
dc.date.available2008-06-06T15:54:59Z
dc.date.issued2008
dc.descriptionArticle in pressen
dc.description.abstractObjective: Demonstrate the effective use of community-based evidence for health promotion by Lady HealthWorkers (LHWs) in Sindh, Pakistan. - Methods: A baseline study on mothers and children provided local evidence for risk communication tools designed and tested by LHWs. The communities were randomized to intervention and control. LHWs visited women before and after childbirth to discuss safe practices in pregnancy, in the intervention group using the new tools and in the control group using their standard procedures. A household survey and focus groups permitted assessment of the impact of the intervention. - Results: Women in the intervention communities were more likely to attend prenatal checkups, to stop routine heavy work during pregnancy, to give colostrum to newborn babies, and to maintain exclusive breastfeeding for four months. Community focus groups confirmed a positive reaction to the tools. - Conclusion: Discussion by lady health workers of local evidence underlying safe motherhood messages improved uptake of protective health practices. - Practice implications: Door-to-door health promotion based on culturally appropriate interaction around relevant evidence can have a positive impact on health practices. Engaging health workers from the onset builds capacities, improves dialogue within the health system and performance of frontline health workers.en
dc.formatTexten
dc.format.extent1 digital fileen
dc.identifier.urihttp://hdl.handle.net/10625/35321
dc.language.isoen
dc.publisherElsevier Ireland, Clare, IEen
dc.relation.ispartofPatient education and counseling, 2008en
dc.subjectMATERNAL AND CHILD HEALTHen
dc.subjectHEALTH EDUCATIONen
dc.subjectPRENATAL CAREen
dc.subjectSAFE MOTHERHOODen
dc.subjectPAKISTANen
dc.titleEvidence-based training of frontline health workers for door-to-door health promotion : a pilot randomized controlled cluster trial with lady health workers in Sindh province, Pakistanen
dc.typeJournal Article (peer-reviewed)en
idrc.dspace.accessIDRC Onlyen
idrc.rims.adhocgroupIDRC PERSONNELen

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