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Evaluation of a family-oriented antenatal group educational program in rural Tanzania: a pre-test/post-test study
- Source :
- Reproductive Health, Reproductive Health, Vol 15, Iss 1, Pp 1-11 (2018)
- Publication Year :
- 2018
- Publisher :
- BioMed Central, 2018.
-
Abstract
- Background To increase births attended by skilled birth attendants in Tanzania, studies have identified the need for involvement of the whole family in pregnancy and childbirth education. This study aimed to develop, implement, and evaluate a family-oriented antenatal group educational program to promote healthy pregnancy and family involvement in rural Tanzania. Methods This was a quasi-experimental 1 group pre-test/post-test study with antenatal education provided to pregnant women and their families in rural Tanzania. Before and after the educational program, the pre-test/post-test study was conducted using a 34-item Birth Preparedness Questionnaire. Acceptability of the educational program was qualitatively assessed. Results One-hundred and thirty-eight participants (42 pregnant women, 96 family members) attended the educational program, answered the questionnaire, and participated in the feasibility inquiry. The mean knowledge scores significantly increased between the pre-test and the post-test, 7.92 and 8.33, respectively (p = 0.001). For both pregnant women and family members, the educational program improved Family Support (p = 0.001 and p = 0.000) and Preparation of Money and Food (p = 0.000 and p = 0.000). For family members, the scores for Birth Preparedness (p = 0.006) and Avoidance of Medical Intervention (reversed item) (p = 0.002) significantly increased. Despite the educational program, the score for Home-based Value (reversed item) (p = 0.022) and References of SBA (p = 0.049) decreased in pregnant women. Through group discussions, favorable comments about the program and materials were received. The comments of the husbands reflected their better understanding and appreciation of their role in supporting their wives during the antenatal period. Conclusions The family-oriented antenatal group educational program has potential to increase knowledge, birth preparedness, and awareness of the need for family support among pregnant women and their families in rural Tanzania. As the contents of the program can be taught easily by reading the picture drama, lay personnel, such as community health workers or traditional birth attendants, can use it in villages. Further development of the Birth Preparedness Questionnaire is necessary to strengthen the involved factors. A larger scale study with a more robust Birth Preparedness Questionnaire and documentation of skilled care use is needed for the next step. Trial registration No.2013–273-NA-2013-101. Registered 12 August 2013.
- Subjects :
- Rural Population
medicine.medical_specialty
Birth preparedness
Health Knowledge, Attitudes, Practice
Family support
Antenatal education
Reproductive medicine
Midwifery
lcsh:Gynecology and obstetrics
Tanzania
03 medical and health sciences
0302 clinical medicine
Pregnancy
medicine
Childbirth
Humans
Family
030212 general & internal medicine
Program Development
Health Education
lcsh:RG1-991
Community Health Workers
030219 obstetrics & reproductive medicine
biology
business.industry
Public health
Research
Obstetrics and Gynecology
Prenatal Care
medicine.disease
biology.organism_classification
Test (assessment)
Reproductive Medicine
Family medicine
Africa
Female
Pregnant Women
business
Educational program
Program Evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 17424755
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Reproductive Health
- Accession number :
- edsair.doi.dedup.....6cf69e6ffbd1148c4c8b0868705a7cf2