18/06/2019
The article on “Home-based records for poor mothers and children in Afghanistan, a cross sectional population based study” published in BMC Public Health Journal.
مقاله تحقیقی در مورد "ریکارد های خانگی برای مادران و اطفال در افغانستان در مجله BMC Public Health به نشر رسید.
For reading full article please refer to the following link:
https://rdcu.be/bG9KW
Abstract
Background: No studies have examined distribution, retention and use of maternal and child health (MCH) home-based records (HBRs) in the poorest women in low income countries. Our primary objective was to compare distribution of the new Afghanistan MCH HBR (the MCH hand book) to the poorest women (quintiles 1–2) with the least poor women (quintiles 3–5). Secondary objectives were to assess distribution, retention and use of the handbook across wealth, education, age and parity strata.
Methods: This was a population base d cross sectional study set in K**a and Mirbachakot districts of Afghanistan from August 2017 to April 2018. Women were eligible to be part of the study if they h ad a child born in the last 6 months. Multivariable logistic regression models were constructed to adjust f or clustering by district and potential confounders decided a priori (maternal education, maternal age, parity, age of child, s*x of child) and to calculate adjusted odds ratios (aOR), 95% confidence intervals (95% CI) and corresponding p values. Principal components analysis was used to create the wealth quintiles u sing standard methods. Wealth categories were ‘poorest’ (quintiles 1,2) and ‘least poo r’ (quintiles 3,4,5).
Results: 1728/1943 (88.5%) mothers received a handbook. The poorest women (6 33, 88.8%) had similar odds of receiving a handbook compared to the least poor (990, 91.7%) (aOR 1.26, 95%CI [0.91–1.77], p value 0.165). Education status (aOR 1.03, 95%CI [0.63–1.6 8], p value 0.903) and age (aO R 1.39, 95%CI [0 .68– 2.84], p value 0.369) had little effect. Multiparous women (1371, 91.5%) had a higher odds than primiparous women (252, 85.7%) (aOR 1.83, 95% CI [1.16–2.87], p value 0.009). Use of the hand book by health providers and mothers was similar across quintile s. Ten (0. 5%) women reported that they received a book but then lost it.
Conclusions: We were able to achieve almost universal coverage of our new MCH HBR in our study area in Afghanistan. The handbook will be scaled up over the next three years across all of Afghanistan and will include close monitoring and assessment of coverage and use by all families.
Keywords: Home-based records, Personal health records, Mother, Child
