Impact of the Timed and Targeted Counselling Model on Maternal Health Continuum of Care Outcomes in Northern Uganda: Protocol of a Quasi-Experimental Study

被引：0

作者：

Zibugu, Douglas ^{[1
]}

Gubbels, Jessica S. ^{[1
]}

Namugenyi, Christabellah ^{[2
]}

Asiimwe, John Bosco ^{[2
]}

Gerards, Sanne ^{[1
]}

机构：

[1] Maastricht Univ, NUTRIM Inst Nutr & Translat Res Metab, Dept Hlth Promot, NL-6211 LK Maastricht, Netherlands

[2] Makerere Univ, Sch Stat & Planning, Kampala 7062, Uganda

来源：

METHODS AND PROTOCOLS | 2024年 / 7卷 / 06期

关键词：

timed and targeted counselling; community health workers; antenatal care; advised place of delivery; postnatal care; DISTRICT; DESIGNS; VISITS;

D O I：

10.3390/mps7060098

中图分类号：

Q5 [生物化学];

学科分类号：

071010 ; 081704 ;

摘要：

Background: About 287,000 women died globally during their pregnancy journey in 2020, yet most of these deaths could have been prevented. In Uganda, studies show that using Community Health Worker (CHW) visits to households with a pregnant woman can support the prevention of adverse maternal and neonatal outcomes. One such intervention is through the timed and targeted counselling (ttC) approach, where CHWs deliver tailored messages to mothers and their male caregivers at key stages of pregnancy. This study aims to evaluate the impact of the ttC approach on maternal health in Northern Uganda. The main outcomes include antenatal care attendance, advised place of delivery, and postnatal care visit. Methods: We will employ a cross-sectional quasi-experimental design, with retrospective data to compare an intervention group (where ttC is implemented) to a control group (without intervention) using the propensity score matching (PSM) technique applying a 1:1 ratio with a caliper width of 20% of the standard deviation to estimate the average treatment effects. Adjusted odds ratios after generating matched pairs will be reported with 95% confidence intervals with Rosenbaum sensitivity analysis carried out for robustness. Discussion: These findings can be used to modify the implementation of the ttC approach, thereby enhancing its efficiency and effectiveness.

引用

页数：13

共 46 条

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