‘MATRI-SUMAN’ a capacity building and text messaging intervention to enhance maternal and child health service utilization among pregnant women from rural Nepal: study protocol for a cluster randomised controlled trial

Singh, Jitendra Kumar; Kadel, Rajendra; Acharya, Dilaram; Lombard, Daniel; Khanal, Saval; Singh, Shri Prakash

doi:10.1186/s12913-018-3223-6

Cited by 8 publications

(17 citation statements)

References 16 publications

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“…Interestingly, having access to a kitchen garden at home provides opportunities to increase dietary diversity and consume green leafy vegetables during pregnancy [ 52 ]. This study also revealed that mothers in the intervention area were found to be at a lower risk of having an LBW baby, indicating the beneficial effects of MATRI-SUMAN intervention [ 23 ] in lowering LBW cases.…”

Section: Discussionmentioning

confidence: 74%

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Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-SUMAN Trial

Acharya

Singh

Kadel

et al. 2018

IJERPH

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Low birth weight (LBW) remains a major public health problem in developing countries, including Nepal. This study was undertaken to examine the association between LBW and maternal factors and antenatal care service utilization, in rural Nepal, using data obtained for a capacity-building and text-messaging intervention, designed to enhance maternal and child health service utilization among pregnant women, in rural Nepal (“MATRI-SUMAN”). The study used a clustered randomized controlled design and was conducted during 2015–2016. We investigated maternal and antenatal care service utilization determinants of LBW, using a logistic regression model. Of the four hundred and two singleton babies, included in the present study, seventy-eight (19.4%) had an LBW (mean (SD), 2210.64 (212.47)) grams. It was found that Dalit caste/ethnicity, illiteracy, manual labor, a female baby, and having more than four family members were significantly positively associated with LBW. In addition, mothers who did not visit an antenatal care (ANC) unit, visited an ANC < 4 times, did not take iron and folic acid (IFA), de-worming tablets, and mothers that did not consume additional food, during pregnancy, were more likely to have an LBW baby, than their counterparts. The MATRI-SUMAN intervention and availability of a kitchen garden at home, were found to reduce the risk of LBW. Nepalese child survival policies and programs should pay attention to these maternal and antenatal care service utilization factors, while designating preventive strategies to improve child health outcomes.

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Section: Discussionmentioning

confidence: 74%

“…Pregnant women received periodic health promotion texts about maternal and child health (MCH) components, via a mobile messaging service, while participants in the control group received the usual care. Details of the study design have been reported in a previously published paper [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-SUMAN Trial

Acharya

Singh

Kadel

et al. 2018

IJERPH

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“…The use of mobile phone and wireless technology has a huge potential to improve the health and wellbeing of the resource constraint communities through communication and exchange of skills among health workers and with communities [30,31]. The use of the mobile application to improve maternal and neonatal health outcomes has been studied among FCHVs in Baglung and Dhanusha districts of Nepal which also has shown promising results [32][33][34]. This might be because FCHVs are likely to be contacted through mobile phone in case of emergency or other health needs by the communities leading to increased service utilization of child health services [33].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with child health service delivery by female community health volunteers in Nepal: findings from a national survey

Bhattarai

Khanal

et al. 2020

BMC Health Serv Res

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Background: Nepal has made a significant improvement in child survival in the last few decades and the involvement of female community health volunteers (FCHVs) has been crucial in such achievement. While there have been many studies on child health in Nepal however, rarely explored the status and factors associated with the child health service provided by these volunteers. This study aimed to identify the factors associated with the child health service delivery by FCHVs. Methods: A national survey was conducted in 2014 in Nepal that included 4302 FCHVs using the structured questionnaire across the 13 geopolitical domains of the country. Factors associated with the use of child health services was examined using Chi-square test (χ 2) followed by logistic regression. Results: Overall, 62.6% of FCHVs provided at least one child health service. Those FCHVs who utilized money from the FCHV fund, conducted health mothers' group meeting, involved in local committees and those who supported antenatal care and outreach clinics related activities had higher odds of providing child health services. Similarly, FCHVs equipped with the stock of Cotrimoxazole tablet, Zinc tablet, Oral Rehydration Salt packets were more likely to provide child health services. The province-wise analysis showed that FCHVs from Province 5 and Sudur Paschim Province were more likely to provide child health services compared to their counterparts from province 1. Technologywise, FCHVs who were using mobile were more likely to provide child health services. Conclusions: FCHVs are important human resource in providing child health services in Nepal. To improve child health service delivery by FCHVs; availability of key commodities, involvement of FCHVs in regular health mothers' group meeting, use of mobile phone, involvement in other public health programs and social networks, and utilization of the FCHV fund need to be taken into consideration.

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“…We employed community-based cross-sectional study design. We used baseline data obtained from the ‘MATRI-SUMAN’, a randomized controlled trial of a capacity building and text messaging intervention designed to enhance maternal and child health service utilization among pregnant women residing in rural Nepal [ 19 ]. The baseline data included socio-demographic information and CVD risk factors - tobacco use, alcohol consumption, fruits and vegetables intake and physical activities.…”

Section: Methodsmentioning

confidence: 99%

“…Of the 453 eligible pregnant women, 426 gave consent to participate in the study. The details of study design can be found elsewhere [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence of behavioral risk factors of cardiovascular diseases and associated socio-economic factors among pregnant women in a rural area in Southern Nepal

Paudel

Lee

Singh

et al. 2018

BMC Pregnancy Childbirth

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BackgroundCardiovascular diseases (CVDs) have dramatically infiltrated populations living in abject poverty in Low- and Middle-income Countries (LMICs), and poor maternal and child health outcomes have been frequently reported for those with CVD risk factors. However, few studies have explored the behavioral risk factors of CVDs among pregnant women in rural settings. This study aimed at determining the prevalence and identifying the socio-economic predictors of behavioral risk factors of CVDs among pregnant women in rural area in Southern Nepal.MethodsA Community-based cross-sectional study was conducted in 52 clusters of Dhanusha District of Nepal in a total of 426 pregnant women in their second trimester using multistage cluster sampling method. Multivariable logistic regression model was used to assess independent associations between behavioral risk factors during pregnancy and maternal socio-economic characteristics.ResultsOf the 426 study participants, 86.9, 53.9, 21.3 and 13.3%, respectively, reported insufficient fruits and vegetables consumption, insufficient physical activity, tobacco use, and harmful alcohol drinking. Socio-economic factors significantly associated with more than one behavioral risk factors in expectant mothers with a primary level education (adjusted odds ratio (AOR) 2.78; 95% Confidence Interval (CI) (1.35–5.72)), 20–34 years age group (Adjusted Odds Ratio (AOR) 0.27; 95% CI (0.13–0.56)), and those with the highest wealth index (AOR 0.36; 95% CI (0.16–0.84)).ConclusionHigher prevalence of behavioral risk factors for CVDs and their socio-economic factors prevailing among pregnant women living in rural Nepal call for immediate health promotion interventions such as community awareness and appropriate antenatal counseling.

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‘MATRI-SUMAN’ a capacity building and text messaging intervention to enhance maternal and child health service utilization among pregnant women from rural Nepal: study protocol for a cluster randomised controlled trial

Cited by 8 publications

References 16 publications

Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-SUMAN Trial

Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-SUMAN Trial

Factors associated with child health service delivery by female community health volunteers in Nepal: findings from a national survey

Prevalence of behavioral risk factors of cardiovascular diseases and associated socio-economic factors among pregnant women in a rural area in Southern Nepal

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