Delivery Practices in Periurban Area of Aligarh: A Behaviour Change Communication Intervention Study

摘要

Background: Child birth is a normal physiological process, which can become pathological due to the adoption of certain practices and consequently affect the health and survival of the newborn. This will require a renewed and intensified scale up of evidence-based interventions and programs focused on preventing deaths of newborn. Objective: 1.To assess the behavior of pregnant women regarding delivery practices. 2. Assessing impact of Behavior Change Communication (BCC) Package among pregnant women regarding delivery practices. Study design: A community based intervention study. Setting: Field practices areas of Urban Health Training Center Department of Community Medicine, JNMCH, AMU Aligarh UP. Participants: 200 pregnant women (100 pregnant women from each intervention and non-intervention groups) were chosen. Sampling: Purposive sampling method. Statistical Analysis: Data analysed with Epi Info version 3.5.1. Significant difference was determined using Chi- square test. Results: Due to impact of BCC Intervention 37% mothers preferred to deliver at institution in the intervention group than non-intervention (15%) group (RR=2.47, P–value 0.0004). All home deliveries were conducted by untrained dais. Untrained dais washed their hands before conducting the deliveries in 82.5%. (RR=2.50, p– value 0.001). Clean surface was used in 66.7% deliveries (RR=4.36, p– value 0.001). The cord was cut with new blade in 76.2% of deliveries (RR=2.81, p–value 0.001). Use of sterilized blade was increased (RR=2.81, p–value 0.001). Use of sterile cord tie significantly increased (RR=2.69, p–value 0.002). Nothing was applied on the cord of 19.0% of newborns (RR=2.69, p–value 0.027). Conclusion: Delivery practices improved significantly after implementation of BCC package.