Effectiveness of multimethod, community-based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest Nigeria
Background Birth preparedness and complications readiness (BP/CR) is an effective strategy to reduce maternal and newborn morbidity and mortality.Aim To assess the effect of educational interventions on women’s knowledge and attitude regarding BP/CR in southwest Nigeria.Methods A quasi-experimental...
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BMJ Publishing Group
2024-07-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000203.full |
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| author | Bosede B Afolabi Ifeoma P Okafor Mobolanle R Balogun Adekemi O Sekoni Duro C Dolapo Claudia A Hawkins |
| author_facet | Bosede B Afolabi Ifeoma P Okafor Mobolanle R Balogun Adekemi O Sekoni Duro C Dolapo Claudia A Hawkins |
| author_sort | Bosede B Afolabi |
| collection | DOAJ |
| description | Background Birth preparedness and complications readiness (BP/CR) is an effective strategy to reduce maternal and newborn morbidity and mortality.Aim To assess the effect of educational interventions on women’s knowledge and attitude regarding BP/CR in southwest Nigeria.Methods A quasi-experimental study was carried out over 1 year (May 2019–April 2020) in Lagos, southwest Nigeria. Intervention was delivered using multiple educational methods: health education sessions, information, education, and communication materials, and mHealth. A total of 2600 women were recruited by multistage sampling. Data were collected using interviewer-administered questionnaires and analysed with Epi Info and SPSS V.25 software. Summary and inferential statistics were done involving four-way analysis. The level of significance was set at p<0.05. Regression analysis applied to intervention group (IG). A 50% cut-off was used to categorise respondents into adequate and inadequate knowledge of BP/CR.Results Mean age of the respondents: 31.2±5.4 years for the IG, 30.4±6.0 years for the control group (CG); p=0.007. Most women in both groups had formal education, were employed and had their last antenatal care in health facilities. At baseline, both groups had overall inadequate knowledge of BP/CR which improved significantly post intervention only in the IG. For the IG: 9.4% (pre), 52% (post), (p<0.001); CG: 0.2% (pre), 0.5% (post), (Fisher’s exact p=0.624). Most respondents in both groups had a positive attitude to BP/CR, the intervention had no significant influence on this in the IG (p=0.504).Predictors of adequate knowledge of BP/CR included being of Yoruba tribe, (adjusted OR (AOR) 2.83, 95% CI 1.06 to 7.54), being employed, (AOR 1.31; 95% CI 1.04 to 5.87) and having a baby 6 months prior to the study (AOR 2.62; 95% CI 1.31 to 5.24).Conclusion Findings have implications for the design and implementation of relevant policy and community interventions to reduce maternal mortality. Further research can examine the role of financial exclusion in inadequate knowledge. |
| format | Article |
| id | doaj-art-33977903e5d9457cbc249269d85711b1 |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-07-01 |
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| spelling | doaj-art-33977903e5d9457cbc249269d85711b12025-01-28T15:50:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-07-012110.1136/bmjph-2023-000203Effectiveness of multimethod, community-based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest NigeriaBosede B Afolabi0Ifeoma P Okafor1Mobolanle R Balogun2Adekemi O Sekoni3Duro C Dolapo4Claudia A Hawkins5Department of Obstetrics & Gynaecology, University of Lagos, College of Medicine, Lagos, NigeriaDepartment of Community Health & Primary Care, University of Lagos, College of Medicine, Lagos, NigeriaDepartment of Community Health & Primary Care, University of Lagos, College of Medicine, Lagos, NigeriaDepartment of Community Health & Primary Care, University of Lagos, College of Medicine, Lagos, NigeriaDepartment of Community Medicine, Nile University of Nigeria, Abuja, NigeriaInstitute for Global Health- Centre for Global Communicable and Emerging Infectious Diseases, Northwestern University, Chicago, Illinois, USABackground Birth preparedness and complications readiness (BP/CR) is an effective strategy to reduce maternal and newborn morbidity and mortality.Aim To assess the effect of educational interventions on women’s knowledge and attitude regarding BP/CR in southwest Nigeria.Methods A quasi-experimental study was carried out over 1 year (May 2019–April 2020) in Lagos, southwest Nigeria. Intervention was delivered using multiple educational methods: health education sessions, information, education, and communication materials, and mHealth. A total of 2600 women were recruited by multistage sampling. Data were collected using interviewer-administered questionnaires and analysed with Epi Info and SPSS V.25 software. Summary and inferential statistics were done involving four-way analysis. The level of significance was set at p<0.05. Regression analysis applied to intervention group (IG). A 50% cut-off was used to categorise respondents into adequate and inadequate knowledge of BP/CR.Results Mean age of the respondents: 31.2±5.4 years for the IG, 30.4±6.0 years for the control group (CG); p=0.007. Most women in both groups had formal education, were employed and had their last antenatal care in health facilities. At baseline, both groups had overall inadequate knowledge of BP/CR which improved significantly post intervention only in the IG. For the IG: 9.4% (pre), 52% (post), (p<0.001); CG: 0.2% (pre), 0.5% (post), (Fisher’s exact p=0.624). Most respondents in both groups had a positive attitude to BP/CR, the intervention had no significant influence on this in the IG (p=0.504).Predictors of adequate knowledge of BP/CR included being of Yoruba tribe, (adjusted OR (AOR) 2.83, 95% CI 1.06 to 7.54), being employed, (AOR 1.31; 95% CI 1.04 to 5.87) and having a baby 6 months prior to the study (AOR 2.62; 95% CI 1.31 to 5.24).Conclusion Findings have implications for the design and implementation of relevant policy and community interventions to reduce maternal mortality. Further research can examine the role of financial exclusion in inadequate knowledge.https://bmjpublichealth.bmj.com/content/2/1/e000203.full |
| spellingShingle | Bosede B Afolabi Ifeoma P Okafor Mobolanle R Balogun Adekemi O Sekoni Duro C Dolapo Claudia A Hawkins Effectiveness of multimethod, community-based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest Nigeria BMJ Public Health |
| title | Effectiveness of multimethod, community-based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest Nigeria |
| title_full | Effectiveness of multimethod, community-based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest Nigeria |
| title_fullStr | Effectiveness of multimethod, community-based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest Nigeria |
| title_full_unstemmed | Effectiveness of multimethod, community-based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest Nigeria |
| title_short | Effectiveness of multimethod, community-based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest Nigeria |
| title_sort | effectiveness of multimethod community based educational interventions on the knowledge and attitude to birth preparedness and complications readiness among women in southwest nigeria |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000203.full |
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