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Effect of sharing health messages on antenatal care behavior among women involved in microfinance-based self-help groups in bihar india

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Global Health Research and Policy 2020年第1期5卷 406-413页

作者： Monika Walia Laili Irani Indrajit Chaudhuri Yamini Atmavilas Niranjan Saggurti Population Council Zone 5AGround Floor India Habitat CentreLodi RoadNew DelhiDelhi 110003India Project Concern International 38Okhla Phase 3 RdOkhla Phase IIIOkhla Industrial AreaNew DelhiDelhi 110020India Bill&Melinda Gates Foundation Capital Court5th FloorOlof Palme MargMunirkaDelhiIndia

Background:bihar state in india has one of the highest rates of maternal and infant mortality in South ***-based self-help groups(SHGs),involving rural women,are being utilized to improve maternal and child health practice and reduce *** members receive information on key maternal and child health practices as well as encouragement for their *** study measures the association of health messaging to SHG members with their antenatal care(ANC)***:The study was conducted in eight districts of bihar in 2016.A three-stage cluster sampling design(with a random selection of blocks,villages,and SHGs)selected the sample of 1204 SHG members who had an infant child;of these,597 women were members of SHGs that received dedicated sessions on health messages,while 607 women belonged to SHGs that did *** examine the impact of the health intervention on ANC practice,radius caliper method of propensity score matching controlled for various socio-demographic characteristics between the two ***:Most of the interviewed women(91.5%)belonged to a scheduled caste or *** 44%of SHG members exposed to the health intervention were engaged in some occupation,compared to 35%of those not exposed to the *** matching unexposed SHG women with exposed SHG women,no significant differences were found in their socio-demographic *** suggest that exposure to a health intervention is associated with increased likelihood of at least four ANC visits by SHG women(ATE=7.2,95%CI:0.76-13.7,p<0.05),consumption of iron-folic acid for at least 100 days(ATE=8.7,95%CI:5.0-12.5,p<0.001)and complete ANC(ATE=3.6,95%CI:2.3-4.9,p<0.001),when compared to women not exposed to the health ***:The study shows that sharing health messages in microfinance-based SHGs is associated with significant increase in ANC *** the results suggest the potential of microfinance-based SHGs for improved mat

关键词： Self-help group(SHG) Antenatal care(ANC) Propensity score matching(PSM) Health integration Health messaging ANC outcomes bihar india

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