Original Articles 2012-02-20

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Original Articles 2020-09-11

Is Community Intervention Effective for Improving Maternal, Newborn and Child Health Care in Hard-to-Reach Areas of Chin State, Myanmar?

To tackle the maternal, newborn and child health (MNCH) care needs is a challenging situation in remote and hard-to-reach areas. Intervention activities focusing on strengthening community health care network through community participation and supporting Basic Health Staffs for MNCH ser

Original Articles 2020-09-14

Incidence of Snakebite in Four Townships of Yangon Region

The true incidence of snakebite in Myanmar is unknown. The current data are based on hospital returns to Ministry of Health and Sports and they are likely to be under-reported. A community-based survey is useful to know the current burden of snakebite and thus for planning and formulating str

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Aims of MHSR Journal

• To serve as an important medium for the publication of original research in the field of medical science and health research, thus filling gaps in health knowledge for effective utilization of research findings
• To impart current medical knowledge and updated scientific information obtained from research to health professionals for better and appropriate health care management
• To disseminate recent basic, applied and social research findings among health personnel of different strata for enhancing worldwide health development

Archives   2020

Myanmar   Health   Sciences   Research   Journal

Volume   32,  Number   1

TITLE:   Is Community Intervention Effective for Improving Maternal, Newborn and Child Health Care in Hard-to-Reach Areas of Chin State, Myanmar?
AUTHOR:   Myo Myo Mon, Kyaw Min Htut, Aung Ye Naung Win,Myo Win Tin, Khin Zaw, Nyi Nyi Zayar & Phyo Aung Naing
SOURCE:   Myanmar Health Sciences Research Journal, 2020; 32(1):78-85
ABSTRACT:  

To tackle the maternal, newborn and child health (MNCH) care needs is a challenging situation in remote and hard-to-reach areas. Intervention activities focusing on strengthening community health care network through community participation and supporting Basic Health Staffs for MNCH services have been implemented in Kanpetlet and Paletwa townships since 2014. A community-based, pre-test, post-test study was done in 2017 to compare the knowledge and practices of mothers on MNCH care after the community intervention and the challenges during the intervention. Face-to-face interviews with mothers of children under 2 years and key informant interviews with responsible providers and in-depth interviews with volunteers were conducted. A total of 291 mothers participated in the end-line assessment. Higher proportions of mothers from end-line than baseline had correct knowledge on number of ante-natal care needed (44.9% vs. 67.3%, p<0.01), knew more than 2 danger signs regarding ante-natal (47.5% vs. 94.9%, p<0.001) and post-natal (40.2% vs. 55.1%, p<0.05). More mothers received their first ante-natal care within first trimester (38% vs. 74%, p<0.01), received delivery with skilled birth attendants (50% vs. 85.5%, p<0.01), post-partum and newborn care services (14.1% vs. 74.2%, p<0.01). Considerably higher proportion of mothers from end-line used contraception (43.2% vs. 55.3%, p<0.05) and many of them received contraceptive service from voluntary health workers (7.7% vs. 51.9%, p<0.01). More than 77% of mothers were aware of village health committee (VHC) and 65.6% had received health education from them. Responsible township health officers acknowledged the improvement in immunization coverage and increased referral from the villages because of community intervention.

To tackle the maternal, newborn and child health (MNCH) care needs is a challenging situation in remote and hard-to-reach areas. Intervention activities focusing on strengthening community health care network through community participation and supporting Basic Health Staffs for MNCH services have been implemented in Kanpetlet and Paletwa townships since 2014. A community-based, pre-test, post-test study was done in 2017 to compare the knowledge and practices of mothers on MNCH care after the community intervention and the challenges during the intervention. Face-to-face interviews with mothers of children under 2 years and key informant interviews with responsible providers and in-depth interviews with volunteers were conducted. A total of 291 mothers participated in the end-line assessment. Higher proportions of mothers from end-line than baseline had correct knowledge on number of ante-natal care needed (44.9% vs. 67.3%, p<0.01), knew more than 2 danger signs regarding ante-natal (47.5% vs. 94.9%, p<0.001) and post-natal (40.2% vs. 55.1%, p<0.05). More mothers received their first ante-natal care within first trimester (38% vs. 74%, p<0.01), received delivery with skilled birth attendants (50% vs. 85.5%, p<0.01), post-partum and newborn care services (14.1% vs. 74.2%, p<0.01). Considerably higher proportion of mothers from end-line used contraception (43.2% vs. 55.3%, p<0.05) and many of them received contraceptive service from voluntary health workers (7.7% vs. 51.9%, p<0.01). More than 77% of mothers were aware of village health committee (VHC) and 65.6% had received health education from them. Responsible township health officers acknowledged the improvement in immunization coverage and increased referral from the villages because of community intervention.