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Community-based health education led by women's groups significantly improved maternal health service utilization in southern Ethiopia: a cluster randomized controlled trial

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dc.contributor.authorYoseph, Amanuel
dc.contributor.authorTeklesilasie, Wondwosen
dc.contributor.authorGuillén Grima, Francisco
dc.contributor.authorAstatkie, Ayalew
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-09-30T08:36:02Z
dc.date.available2024-09-30T08:36:02Z
dc.date.issued2024
dc.date.updated2024-09-30T08:25:36Z
dc.description.abstractObjective: This study aimed to evaluate the effect of health education intervention (HEI) on maternal health service utilization (MHSU) in southern Ethiopia. Methods: From 10 January to 1 August 2023, a community-based, two-arm, parallel-group cluster randomized controlled trial (cRCT) was conducted among pregnant mothers in the Northern Zone of Sidama National Regional State, Ethiopia. We utilized multilevel mixed-effects modified Poisson regression with robust variance to control for the effects of clustering and potential confounders. The level of significance was adjusted for multiple comparisons. Results: The overall utilization of at least one antenatal care (ANC) visit was 90.2% in the treatment group and 59.5% in the comparator group (χ2 = 89.22, p < 0.001). Health facility delivery (HFD) utilization was considerably different between the treatment group (74.3%) and the comparator group (50.8%) (χ2 = 70.50, p < 0.001). HEI significantly increased ANC utilization (adjusted risk ratio [ARR]: 1.32; 99% CI: 1.12-1.56) and HFD utilization (ARR: 1.24; 99% CI: 1.06¿1.46). The utilization of at least one postnatal care (PNC) service was 65.4% in the treatment group and 52.1% in the comparator group (χ2 = 19.51, p = 0.01). However, after controlling for the effects of confounders and clustering, the impact of HEI on PNC utilization was insignificant between the two groups (ARR: 1.15; 99% CI: 0.89-1.48). Conclusion: A community-based HEI significantly increased ANC and HFD utilization but did not increase PNC utilization. Expanding the HEI with certain modifications will have a superior effect on improving MHSU. Trial registration number: NCT05865873.en
dc.description.sponsorshipThis work was supported by the Hawassa University, NORAD project, Sidama Development Association and Sidama region president’s office.
dc.format.mimetypeapplication/pdf
dc.identifier.citationYoseph, A., Teklesilasie, W., Guillen-Grima, F., Astatkie, A. (2024) Community-based health education led by women's groups significantly improved maternal health service utilization in southern Ethiopia: a cluster randomized controlled trial. Healthcare, 12(10), 1-23. https://doi.org/10.3390/healthcare12101045.
dc.identifier.doi10.3390/healthcare12101045
dc.identifier.issn2227-9032
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/51864
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofHealthcare 2024, 12, 1045
dc.relation.publisherversionhttps://doi.org/10.3390/healthcare12101045
dc.rights© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAntenatal careen
dc.subjectBonferroni correctionen
dc.subjectCluster randomized controlled trialen
dc.subjectEthiopiaen
dc.subjectHealth educationen
dc.subjectHealth facility deliveryen
dc.subjectPostnatal careen
dc.subjectSmall women groupen
dc.subjectWomenen
dc.titleCommunity-based health education led by women's groups significantly improved maternal health service utilization in southern Ethiopia: a cluster randomized controlled trialen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscoverydfbf180f-dd66-42b9-ba45-2de0b3a334d5

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