Maternal and Child Health Handbook as Health Promotion Tool for Postpartum and Breastfeeding Mothers: A Systematic Review (original) (raw)
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Journal of Public Health
Background Effectiveness of the Maternal and Child Health Handbook (MCHHB), a home-based booklet for pregnancy, delivery and postnatal/child health, was evaluated on care acquisition and home care in rural Java, a low service-coverage area. Methods We conducted a health centre-based randomized trial, with a 2-year follow-up. Intervention included (i) MCHHB provision at antenatal care visits; (ii) records and guides by health personnel on and with the MCHHB; and (iii) sensitization of care by volunteers using the MCHHB. Results The follow-up rate was 70.2% (183, intervention area; 271, control area). Respondents in the intervention area received consecutive MCH services including two doses of tetanus toxoid injections and antenatal care four times or more during pregnancy, professional assistance during child delivery and vitamin A supplements administration to their children, after adjustment for confounding variables and cluster effects (OR = 2.03, 95% CI: 1.19-3.47). In the intervention area, home care (continued breastfeeding; introducing complementary feeding; proper feeding order; varied foods feeding; self-feeding training; and care for cough), perceived support by husbands, and lower underweight rates and stunting rates among children were observed. Conclusion MCHHB use promoted continuous care acquisition and care at home from pregnancy to early child-rearing stages in rural Java.
Determinants of Maternal and Child Health Handbook Utilization in Surabaya, Indonesia
Folia Medica Indonesiana
Mothers and child health (MCH) are one of the main issues in family medicine. Related to this practice, Indonesian government issued mother and child health (MCH) handbook for monitoring child development due to various child developmental problems in Indonesia. However, there are reports of improper MCH handbook utilization. This study aimed to analyze factors related to the utilization of MCH handbook by mothers in Indonesia. Cross sectional observational study was conducted from March to May 2018. This study involved mothers with children aged 3 to 72 months old in Surabaya, East Java, Indonesia. Specific population of mothers who had children attending Early Childhood Education and Development (ECED) and Integrated Health Post (IHP) (Indonesia: Pos Pelayanan Terpadu-Posyandu) were included as inclusion criteria. Maternal characteristics, child health status, employment status, and utilization of MCH handbook were recorded through questionnaire. Association between variables then...
European Journal of Environment and Public Health
The MCH handbook is a health record and home-based information tool that records and provides health information for women throughout their pregnancy, delivery, and postnatal period, and about the child from the years 0-5. A literature review was conducted using current evidence-based results to determine the effectiveness of the MCH handbook Methods: The Medline Ovid database was searched for "Maternal and Child Health Handbook". Among the 50 results, 17 articles were found to be relevant and thus reviewed. Results: This literature review revealed that the MCH handbook is an effective tool that positively influences the behaviours of pregnant women in regard to immunizations, breastfeeding, nutrition, child development, and illnesses. Allowing for two-way communication ensures that the health of both pregnant women and their child(ren) are taken care of at an optimal level. Discussion: There is a need for greater collaboration between governments, the United Nations, donor agencies and NGOs. This will ensure that every mother, regardless of her culture and socioeconomic class, is educated and empowered well enough to positively impact both the health of her own, and her child(ren)'s.
2017
To search the literature for evidence for examining the effect of MCH Handbooks to promote and improve health outcomes of the Maternal and Child Health care in developing countries. Pub Med, EMBASE, Cochrane, Web of Science, and Google Scholar were searched. Study quality and the risk of bias were evaluated using the Cochrane Handbook. A random effects meta-analysis was performed. The qualitative findings were also presented in a tabular form. The search resulted in 359 studies and 30 articles were included for full text screening and only seven were included in the meta-analysis. The estimated Risk Ratio (RR) for knowledge, practice and attitude of mothers on Maternal and Child Health Care were better among MCH Handbook users than non-MCH Handbook users. When comparing non-MCH handbook users to MCH handbook users for women’s knowledge of antenatal care visits, RR was 0.81 (95% Confidence Interval [CI] 0.78-0.84) and for knowledge of danger signs RR was 0.51, 95% CI 0.45-0.59. Pract...
2017
The MCH handbook MCHHB) is a home-based health record for both mother and child. It records the health condition of the mother throughout pregnancy, delivery, and the postnatal period, as well as the condition of the child such as immunization records and growth monitoring. This review addresses the various uses of MCH Handbooks in different selected countries since 1980. In addition, the objective is also to provide an updated overview of the lessons learned from selected evidence-based studies. Literature was reviewed using appropriate search terms in Pubmed and Ovid medline databases and narratively reported the findings of the included studies. Studies from different countries on impact of MCH handbook showed that the intervention increased antenatal care (ANC) attendance, delivery with skilled birth attendants (SBAs) and delivery at a health facility, even after adjusting for maternal age, education and economic conditions. The qualitative data...
International Health Trends and Perspectives
Little is known about the impact of "home-based records'' on the health promotion of mothers and children. Considering this, we compiled and analysed existing evidence on the effectiveness of a specific home-based record, the Maternal and Child Health Handbook (MCHHB), in enhancing the health of mothers and their children. A systematic search of PubMed, Google Scholar, Maternity, and Infant Care, CINHAL, and Ovid was conducted. All types of original research articles published in English were considered. A narrative synthesis was used due to the heterogeneity of findings among the included studies. Out of a total of 1351 papers, 45 studies were included. Breastfeeding, immunisation, family planning, antenatal care, maternal nutrition, maternal Tetanus Toxoid (TT) immunisation, vitamin A and iron supplements, smoking and alcohol consumption during pregnancy, healthy and safe delivery, awareness of pregnancy complications, and healthy child development are all areas where...
Journal of Public Health in Africa
Breastfeeding is a natural process in which pregnant mothers will be breastfeeding to help their babies stay healthy. However, several factors can interfere with appropriate breastfeeding, such as family income, mothers’ knowledge about breastfeeding and supportive environment. This study aimed to identify the effect of health education on maternal behavior in breastfeeding techniques. The design of this study was one-group pre-post design. 122 postpartum mothers were chosen as samples in this study by simple random sampling technique. Data was collected using observation sheets, and then analyzed by using Wilcoxon signed rank test with a significance level of α = 0.05. The results showed that there was a significant effect of health education on maternal behavior in breastfeeding techniques with a result of p value of 0.000. It is hoped that all postpartum mothers can follow breastfeeding techniques with a proper positioning, ensure proper latching on to the nipples, so breastfeedi...
Rapid formative research to inform health promotion for safe motherhood in Papua New Guinea
2002
The National Health Plan recognises that the persistently high ratio of maternal mortality in PNG is a major challenge to the health services. Complications arising during childbirth are the leading cause of admission to health facilities and the primary cause of death for PNG women of childbearing age (15-44 years). Mortality and morbidity connected with pregnancy and childbirth are the main reasons for the low life expectancy of PNG women. In an effort to improve this situation the National Department of Health has the program goal: To prevent illness, suffering and deaths among women in Papua New Guinea through gynaecological, pre-and post-natal care and supervised delivery. The research outlined here supports the National Health Plan priority of raising community awareness and education on safe motherhood, as a step in improving the health of the women of PNG. The study used formative research (the collection of information to provide a sound foundation for health communication interventions) to ascertain the understandings and perceptions of the community concerning pregnancy and childbirth. This is an essential first step in understanding issues from the 'demand side' or consumer perspective and not only from the 'supply side' or health service perspective. The use of formative research accords with Department of Health policy that 'All health promotion materials shall be research-based, field-tested and approved'. The report describes the design, the processes and the methodologies of the research, and reviews some of the relevant literature on safe motherhood. It outlines the results of the research and makes a number of recommendations for health promotion and service improvements. It covers the following areas: 1) The management of pregnancy and childbirth-including the sociocultural, economic and behavioural factors influencing people's decisions 2) Risks and complications-including the local knowledge and beliefs about risk and complications and how these are recognised and managed 3) Service improvement-including the local perceptions and opinions on the acceptability of maternal waiting houses, community opinions on antenatal and obstetric services, service problems, and community suggestions for service improvement. The recommendations address the following issues: 1) Promoting the need for better management of pregnancy and childbirth; 2) Recommendations regarding service improvements; 3) Improving access to services; and 4) Minimising risks: education and promotion. The next steps will be to present this information formally to program staff as essential material for building a health promotion and media strategy and for planning activities for the coming years.
Healthcare in Low-resource Settings
Introduction: Exclusive breastfeeding is the simplest and healthiest infant feeding method that, directly or by extraction, uses only breast milk with the exception to drops or syrups containing vitamins, mineral supplements or medicines. This practice helpprevents malnutrition among toddlers and provide essential dietary values for subsequent growth and development, especially in the first 6 months. However, Mataram has the lowest coverage of exclusive breastfeeding in West Nusa Tenggara province in 2018. This exposure increased by 70.30% from 2017-2018, but has not achieved the 80% national target. The low coverage was caused by mothers’ inadequate knowledge. Therefore, the present research aims to demonstrate the effectiveness of booklets as a promotional medium for exclusive breastfeeding towards increasing the knowledge of breastfeeding mothers. Design and Methods: The research method involved the conduction of pre- and post tests (before and after the booklet was distributed) ...
Usefulness of Antenatal Care Handbook: A Cross-Sectional Study of Mother’s Perspective
2021
Introduction: The Maternal and Child Health (MCH) Handbook was introduced by the Ministry of Health Brunei Darussalam in 2016 to replace a card-type record. Since its introduction, its usefulness has not been evaluated. The purpose of the study was to determine the usefulness of the MCH Handbook contents in delivering information on antenatal care to Bruneian women. Methods: A cross-sectional study using an online survey to women who came for their routine antenatal checkup at 32-week gestation. Results: 73 mothers returned the self-administered online questionnaires. Participants had time to read the handbook (95.9%), were familiar with content (89.0%), and satisfied with the usage (93.2%). Major reasons for not using the handbook included “same information available online” (20.5%), “some words difficult to understand” (17.8%), “like more pictures than words” (12.3%), and “less encouragement from healthcare workers” (12.3%).Conclusions: Majority of mothers find the handbook useful...