Maternal and Child Health Handbook use for maternal and child care: a cluster randomized controlled study in rural Java, Indonesia

Osaki, Keiko; Hattori, Tomoko; Toda, Akemi; Mulati, Erna; Hermawan, Lukas; Pritasari, Kirana; Bardosono, Saptawati; Kosen, Soewarta

doi:10.1093/pubmed/fdx175

Cited by 52 publications

(113 citation statements)

References 23 publications

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“…This is a study protocol for a cRCT aimed at estimating the impact of an intervention package-including the distribution of MCH handbook and its supplementary interventions to pregnant women, compared with the traditional use of two stand-alone HBRs on the utilisation of services provided at healthcare facilities from pregnancy through the postnatal and early childhood period. Few studies have shown that proper utilisation of HBRs could promote continuity of maternal and child health care [14,16,35], and WHO recommends that each pregnant woman carries her own HBRs during pregnancy to improve continuity and quality of care [36]. Notwithstanding, the superiority of the integrated MCH handbook over other alternatives is an area of research in which there is a dearth of gold standard trials [15,37].…”

Section: Discussionmentioning

confidence: 99%

Impact of the Maternal and Child Health handbook in Angola for improving continuum of care and other maternal and child health indicators: study protocol for a cluster randomised controlled trial

Balogun

Tomo

Mochida

et al. 2020

Trials

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Background: The Maternal and Child Health (MCH) handbook is an integrated home-based record (HBR) designed to record in a single document all the information regarding health services provided to a pregnant woman and her child. The MCH handbook has the potential to support continuity of care which is key to strengthening maternal, newborn and child health. However, there is a lack of an integrated system to manage the health of pregnant women and young children on an ongoing basis in Angola. Thus, the Angolan Ministry of Health is partnering with the Japan International Cooperation Agency to build the capacity of healthcare providers through trainings and implementation of the MCH handbook to improve service utilisation. In this study, we will estimate the impact of an intervention package including distribution of MCH handbook and its supplementary interventions to women, on the utilisation of services provided at healthcare facilities from pregnancy through the postnatal and early childhood period. Methods: This study is a cluster randomised controlled trial involving public healthcare facilities across all the municipalities located in Benguela Province, Angola. All women who go to participating healthcare facilities and with confirmed pregnancy around the beginning of the trial period will be included in the study. Women will be randomised according to the municipality where their primary maternity and/or childcare services are located. The intervention package will consist of MCH handbook distribution at all public healthcare facilities, MCH handbook utilisation training for healthcare providers and community mobilisation for women on the use of the MCH handbook. The intervention will be administered to all women in the intervention arm while those in the control arm will continue the traditional use of two stand-alone HBRs. The primary outcome measure for this study is to compare the proportion of women who achieve a complete continuum of care in both study arms.

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Section: Discussionmentioning

confidence: 99%

Impact of the Maternal and Child Health handbook in Angola for improving continuum of care and other maternal and child health indicators: study protocol for a cluster randomised controlled trial

Balogun

Tomo

Mochida

et al. 2020

Trials

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“…Stunted growth in children who are less than 2 years old is still responsive, meaning it is preventable through intervention (Prendergast & Humphrey, 2014). The MCH handbook contains comprehensive information that can be used to promote better health care and improve the health status of mothers during pregnancy as well as providing guidelines for raising their children (Bhuiyan et al, 2018;Osaki et al, 2019) in a continuous manner (Osaki et al, 2015). The benefit increases for the parents of LBWB or prematurely born babies who are in need of a higher standard of care (Mousavi et al, 2016); therefore, it is crucial that the health care team provide psycho-social support and appropriate health counseling that matches the parents' needs (Kuo et al 2012;Mousavi et al 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Studies on the benefits of owning and using the MCH handbook have been done many times, some of which are the studies on the users of services for infants and children, which lead to changes in the level of knowledge and self-confidence and ultimately improve the mothers' capacity to provide care at home. A study on the use of the MCH handbook for neonatal care users covers topics, such as early breastfeeding initiation, immediate breastfeeding, exclusive breastfeeding, and introduction to complementary food from breast milk, vitamin A intake, and the rate of morbidity and mortality among neonatal infants (Yanagisawa et al, 2015;Mori et al, 2015;Osaki et al, 2015;Osaki et al, 2019). Meanwhile, the studies on children focus on immunization visits, visits by health care providers in the event of specific conditions (Upper Respiratory Tract Infection (URTI), fever, and diarrhea), providing proper nourishment, consuming a variety of food, training children to eat on their own, monitoring the occurrence of underweight children and stunted growth, and delays in the child's cognitive growth (Usman, Akhtar, Habib, & Jehan, 2009;Usman et al, 2011;Dagvadorj, et al, 2017;Osaki et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Increasing the Knowledge and Confidence of Mothers in Caring for Low Birth Weight Babies Through Education from the Maternal and Child Health Handbook

2020

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<p>Having a Low Birth Weight (LBW) is one of the risk factors that may lead to stunting in children under five years old. An education program based on the Maternal and Child Health handbook (MCH) for the first 1000 days of a child’s life is one way to prevent the impact of stunting by improving the mothers’ knowledge and self-confidence to look after LBWB. The study is designed along the line of pre-post quasi-experimental research with a control group, involving 69 samples of mothers with LBWB that match the predetermined criteria. Twenty three of these mothers whose babies were cared for in the perinatology ward were provided with instructions from the MCH handbook, another group of 23 mothers received the same instructions with additional audiovisual media from a mobile application, and the remaining 23 mothers only received verbal instructions in the ward. The data were analyzed using the Paired t-test/Wilcoxon and Kruskall-Wallis tests. The analysis revealed that the MCH handbook based instruction provided a significant boost on the score of mother’s knowledge and confidence, before and after they have received the instructions, both in the group that received the MCH handbook based instruction (p<0.001) and the group that received their instructions from a mobile application (p<0.001). Additional instructions using audiovisual media from a mobile application also provided a significant boost to the knowledge score, and therefore the post-education score of the mothers in this group was higher than in the other two groups (p<0.001). Mother’s knowledge of the provision of care for LBWB can therefore be optimized through education, discussion, and the use of technology as an instructional medium to complement the use of the MCH handbook.</p>

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“…3,6 Despite less quantitative data on MNCH outcomes, there were significant data from the qualitative and quantitative studies, as well as from the respondents in this study, that emphasized that women, caregivers, and health care workers value HBRs. 3,6,7 There is evidence that they can improve patient-provider communication, continuity of care, 7,9 and increase women's feelings of control and empowerment. 7,10 Including and empowering women and children by encouraging them and their caregivers to be health literate and actively participate in their own care is a key step toward achieving universal health coverage.…”

Section: Introductionmentioning

confidence: 99%

How Should Home-Based Maternal and Child Health Records Be Implemented? A Global Framework Analysis

Mahadevan

Broaddus-Shea

2020

Glob Health Sci Pract

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Our assessment of home-based record use in low-and middle-income countries indicated that the implementation process consists of 8 interdependent components involving policy makers, funders, and end usershealth care workers, pregnant women, and the parents/caregivers of children. Successful implementation can result in improved maternal and child health outcomes and more efficient use of government and donor investments.

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Maternal and Child Health Handbook use for maternal and child care: a cluster randomized controlled study in rural Java, Indonesia

Abstract: MCHHB use promoted continuous care acquisition and care at home from pregnancy to early child-rearing stages in rural Java.

Cited by 52 publications

References 23 publications

Impact of the Maternal and Child Health handbook in Angola for improving continuum of care and other maternal and child health indicators: study protocol for a cluster randomised controlled trial

Impact of the Maternal and Child Health handbook in Angola for improving continuum of care and other maternal and child health indicators: study protocol for a cluster randomised controlled trial

Increasing the Knowledge and Confidence of Mothers in Caring for Low Birth Weight Babies Through Education from the Maternal and Child Health Handbook

How Should Home-Based Maternal and Child Health Records Be Implemented? A Global Framework Analysis

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