Improvement of Early Antenatal Care Initiation: The Effects of Training Local Health Volunteers in the Community

Health Services Research & Managerial Epidemiology

TippawanLiabsuetrakul¹ 

关键词: early ANC attendance;    antenatal care;    local health volunteers;    community;    pregnancy;    knowledge–counseling;   

DOI  :  10.1177/2333392818761483

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Although antenatal care (ANC) coverage has been increasing in low- and middle-income countries, the adherence to the ANC initiation standards at gestational age <12 weeks was inadequate including Thailand. The study aimed to improve the rate of early ANC initiation by training the existing local health volunteers (LHVs) in 3 southernmost provinces of Thailand.Methods:A clustered nonrandomized intervention study was conducted from November 2012 to February 2014. One district of each province was selected to be the study intervention districts for that province. A total of 124 LHVs in the intervention districts participated in the knowledge–counseling intervention. It was organized as half-day workshop using 2 training modules each comprising a 30-minute lecture followed by counseling practice in pairs for 1 hour. Outcome was the rate of early ANC initiation among women giving birth, and its association with intervention, meeting an LHV, and months after training was analyzed.Results:Of 6677 wome...

【 授权许可】

CC BY