Effectiveness of a ‘health promotional’ intervention in enabling lay communities to change determinants of low birth weight

Najith Duminda Galmangoda Guruge,M Wasantha Gunathunga,Samath D Dharmaratne

doi:10.4038/sljch.v47i3.8546

Abstract

Objective: To evaluate the effectiveness of a ‘health promotional’ intervention by lay people in changing determinants of low birth weight, when added to the existing package of antenatal care provision. Method: A quasi-experimental study design was used. An intervention was carried out among 403 pregnant women and their partners. Intervention group (IG) was recruited from participants registered to routine field antenatal services in the Anuradhapura district. A comparison group (CG) of 403 pregnant women and their partners was recruited from an adjacent district. Both groups were recruited in the first trimester of pregnancy. The intervention was based on health promotion principles and used a model previously piloted in Sri Lanka. Data from the Child Health Development Record (CHDR) available at the health clinic were used to determine birth weights. Results: Significant improvements were seen in the IG, compared to the CG, in the care given to the pregnant mothers by their families, and level of control over identified determinants of low birth weight (LBW). The prevalence of LBW in the IG was 10.0% and in the CG 19.2%. ( X 2 =12.465; p Conclusion: The community centred health promotion intervention model was effective in enabling lay communities to change selected determinants of LBW and enabled lay communities to change determinants of LBW. Sri Lanka Journal of Child Health 2018; 47 : 233-241

Highlights

Sri Lanka is recognized globally for having good health indicators despite the relatively weak status of its economic and developmental indicators[1]
Significant improvements were seen in the Intervention group (IG), compared to the comparison group (CG), in the care given to the pregnant mothers by their families, and level of control over identified determinants of low birth weight (LBW)
Faculty of Medicine, University of Peradeniya, Sri Lanka, 3Professor in Community Medicine, Head, Department of Community Medicine, Faculty of Medicine, University of Colombo, Sri Lanka *Correspondence: dumindaguruge@gmail.com (Received on 16 October 2017: Accepted after revision on 24 November 2017) The authors declare that there are no conflicts of interest Funding for the study was provided by the Higher Education for Twenty First Century (HETC) project, Ministry of Higher Education, Sri Lanka

Summary

Introduction

Sri Lanka is recognized globally for having good health indicators despite the relatively weak status of its economic and developmental indicators[1]. Indicators related to nutrition (e.g. prevalence of low birth weight, underweight, wasting and stunting) have shown the least improvement during the last decade[2]. Addressing low birth weight (LBW) should improve the health of a population[3]. The antenatal period is an important stage in the life cycle in which interventions to improve birth weight can be implemented[5,6]. The first 280 days of the first 1000 days of life, is an important stage in the life cycle in which interventions to improve birth weight can be implemented[2,5,7]. The LBW prevalence in Sri Lanka has stagnated around 16%-18% over the past 10 years[9]

Methods

Results

Conclusion