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The knowledge of danger signs of obstetric complications among women in rural India: evaluating an integrated microfinance and health literacy program. | LitMetric

AI Article Synopsis

  • A community-based program in rural Uttar Pradesh, India, aimed at improving maternal health literacy among women through self-help groups (SHGs) was evaluated for its effectiveness in increasing awareness of maternal danger signs.
  • The study revealed that women in the SHG who received health education were 27% more likely to be aware of all danger signs related to pregnancy complications compared to those who did not.
  • Additionally, the program showed a diffusion effect, meaning that knowledge about maternal danger signs spread from educated SHG members to non-members in the same villages, indicating a broader impact on community health awareness.

Article Abstract

Background: Maternal mortality can be prevented in low-income settings through early health care seeking during maternity complications. While health system reforms in India prioritised institutional deliveries, inadequate antenatal and postnatal services limit the knowledge of danger signs of obstetric complications to women, which delays the recognition of complications and seeking appropriate health care. Recently, a novel rapidly scalable community-based program combining maternal health literacy delivery through microfinance-based women-only self-help groups (SHG) was implemented in rural India. This study evaluates the impact of the integrated microfinance and health literacy (IMFHL) program on the knowledge of maternal danger signs in marginalised women from one of India's most populated and poorer states - Uttar Pradesh. Additionally, the study evaluates the presence of a diffusion effect of the knowledge of maternal danger signs from SHG members receiving health literacy to non-members in program villages.

Methods: Secondary data from the IMFHL program comprising 17,232 women from SHG and non-member households in rural Uttar Pradesh was included. Multivariate logistic regression models were used to identify the program's effects on the knowledge of maternal danger signs adjusting for a comprehensive range of confounders at the individual, household, and community level.

Results: SHG member women receiving health literacy were 27% more likely to know all danger signs as compared with SHG members only. Moreover, the results showed that the SHG network facilitates diffusion of knowledge of maternal danger signs from SHG members receiving health literacy to non-members in program villages. The study found that the magnitude of the program impact on outcome remained stable even after controlling for other confounding effects suggesting that the health message delivered through the program reaches all women uniformly irrespective of their socioeconomic and health system characteristics.

Conclusions: The findings can guide community health programs and policy that seek to impact maternal health outcomes in low resource settings by demonstrating the differential impact of SHG alone and SHG plus health literacy on maternal danger sign knowledge.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7824939PMC
http://dx.doi.org/10.1186/s12884-021-03563-5DOI Listing

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