Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial
Abstract Background Ghana is among African countries not likely to achieve the Sustainable Development Goal (SDG) three (3) target of reducing maternal mortality to 70 per 100,000 live births by the year 2030 if maternal and child health services utilization are not improved. Community engagement in...
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doaj-fe5e7a5a69194d77a023ff2037128da12020-11-25T02:25:03ZengBMCBMC Public Health1471-24582019-06-0119111110.1186/s12889-019-7180-8Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trialRobert Kaba Alhassan0Edward Nketiah-Amponsah1Martin Amogre Ayanore2Agani Afaya3Solomon Mohammed Salia4Japiong Milipaak5Evelyn Korkor Ansah6Seth Owusu-Agyei7Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences HoDepartment of Economics, University of GhanaDepartment of Family and Community Health, School of Public Health, University of Health and Allied SciencesDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied SciencesDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied SciencesDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied SciencesInstitute of Health Research (IHR), University of Health and Allied SciencesInstitute of Health Research (IHR), University of Health and Allied SciencesAbstract Background Ghana is among African countries not likely to achieve the Sustainable Development Goal (SDG) three (3) target of reducing maternal mortality to 70 per 100,000 live births by the year 2030 if maternal and child health services utilization are not improved. Community engagement in health is therefore advocated to help address this challenge. This study evaluated the impact of a community engagement intervention on maternal and child health services utilization in Ghana. Methods This study was a cluster randomised trial among primary healthcare facilities (n = 64) in the Greater Accra and Western regions in Ghana. Multivariate multiple regression analysis and paired-ttest were used to determine impact of the community engagement intervention on maternal and child health indicators at baseline and follow-up. Results Intervention health facilities recorded significant improvements over control facilities in terms of average spontaneous vaginal deliveries per month per health facility (baseline mean = 15, follow-up mean = 30, p = 0.0013); child immunizations (baseline mean = 270, follow-up mean = 455, p = 0.0642) and female condoms distribution (baseline mean = 0, follow-up mean = 2, p = 0.0628). Other improved indicators in intervention facilities were average number of Human Immunodeficiency Virus (HIV) tests for non-pregnant women (baseline mean = 55, follow-up 104, p = 0.0213); HIV tests for pregnant women (baseline mean = 40, follow-up mean = 119, p = 0.0067) and malaria tests (baseline mean = 43, follow-up mean = 380, p = 0.0174). Control facilities however performed better than intervention facilities in terms of general laboratory tests, voluntary counselling and testing, treatment of sexually transmitted infections, male child circumcisions and other minor surgical procedures. Conclusion Community engagement in health has the potential of improving utilization of maternal and child health services. There is the need for multi-stakeholder dialogues on complementing existing quality improvement interventions with community engagement strategies.http://link.springer.com/article/10.1186/s12889-019-7180-8ClientsCommunity engagementCluster randomised trialGhanaInterventionPrimary healthcare |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Robert Kaba Alhassan Edward Nketiah-Amponsah Martin Amogre Ayanore Agani Afaya Solomon Mohammed Salia Japiong Milipaak Evelyn Korkor Ansah Seth Owusu-Agyei |
spellingShingle |
Robert Kaba Alhassan Edward Nketiah-Amponsah Martin Amogre Ayanore Agani Afaya Solomon Mohammed Salia Japiong Milipaak Evelyn Korkor Ansah Seth Owusu-Agyei Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial BMC Public Health Clients Community engagement Cluster randomised trial Ghana Intervention Primary healthcare |
author_facet |
Robert Kaba Alhassan Edward Nketiah-Amponsah Martin Amogre Ayanore Agani Afaya Solomon Mohammed Salia Japiong Milipaak Evelyn Korkor Ansah Seth Owusu-Agyei |
author_sort |
Robert Kaba Alhassan |
title |
Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial |
title_short |
Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial |
title_full |
Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial |
title_fullStr |
Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial |
title_full_unstemmed |
Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial |
title_sort |
impact of a bottom-up community engagement intervention on maternal and child health services utilization in ghana: a cluster randomised trial |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2019-06-01 |
description |
Abstract Background Ghana is among African countries not likely to achieve the Sustainable Development Goal (SDG) three (3) target of reducing maternal mortality to 70 per 100,000 live births by the year 2030 if maternal and child health services utilization are not improved. Community engagement in health is therefore advocated to help address this challenge. This study evaluated the impact of a community engagement intervention on maternal and child health services utilization in Ghana. Methods This study was a cluster randomised trial among primary healthcare facilities (n = 64) in the Greater Accra and Western regions in Ghana. Multivariate multiple regression analysis and paired-ttest were used to determine impact of the community engagement intervention on maternal and child health indicators at baseline and follow-up. Results Intervention health facilities recorded significant improvements over control facilities in terms of average spontaneous vaginal deliveries per month per health facility (baseline mean = 15, follow-up mean = 30, p = 0.0013); child immunizations (baseline mean = 270, follow-up mean = 455, p = 0.0642) and female condoms distribution (baseline mean = 0, follow-up mean = 2, p = 0.0628). Other improved indicators in intervention facilities were average number of Human Immunodeficiency Virus (HIV) tests for non-pregnant women (baseline mean = 55, follow-up 104, p = 0.0213); HIV tests for pregnant women (baseline mean = 40, follow-up mean = 119, p = 0.0067) and malaria tests (baseline mean = 43, follow-up mean = 380, p = 0.0174). Control facilities however performed better than intervention facilities in terms of general laboratory tests, voluntary counselling and testing, treatment of sexually transmitted infections, male child circumcisions and other minor surgical procedures. Conclusion Community engagement in health has the potential of improving utilization of maternal and child health services. There is the need for multi-stakeholder dialogues on complementing existing quality improvement interventions with community engagement strategies. |
topic |
Clients Community engagement Cluster randomised trial Ghana Intervention Primary healthcare |
url |
http://link.springer.com/article/10.1186/s12889-019-7180-8 |
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