Impact of Behaviour Change Communication Among Pregnant Women Regarding Good and Harmful Traditional practices
Impact of Behaviour Change Communication Among Pregnant Women
DOI:
https://doi.org/10.70284/njirm.v4i3.2177Keywords:
Witch craft, prelacteal, colostrum, exclusively breastfeeding, pacifiers, kajal, BCCAbstract
Background: Neonatal survival is influenced much by care provided by the family before, during and after delivery, which in turn is influenced by mother’s beliefs, and perceptions of her immediate family. Objective: To assess the behaviour of pregnant women regarding good and harmful neonatal care practices. 2. Implementation and assessing impact of Behaviour Change Communication (BCC) Package among pregnant women regarding good and harmful neonatal care practices. Methods: A community based intervention study was conducted in the field practice area of the Urban Health Training Centre, Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. 200 pregnant women were enrolled purposively. Data were analyzed with Epi Info version 3.5.1. Percentages, and Chi Square Test used. Results: Due to implementation of BCC Package in intervention, good practices like giving colostrum were increased two times. Initiation of breastfeeding within 1 hour was increased 4.7 times, exclusive breastfeeding was gone up 3.8 times and induction of burping was increased 6 times. There was significant difference (P–value <0.05) between the two groups on 7th and 28th days of delivery. Harmful practices like not washing hand were decreased 3.83 times, use of dark and ill-ventilated room was decreased 2.54 times, and practice of cutting the cord with a used blade, or any unsterile scissors, knife, or sickle, broken cup was decreased 3 folds. Application of ghee/ cow dung on the cord was decrease significantly. Practices of prelacteals and use of pacifier, application of kajal, and witch craft for neonatal illnesses were reduced significantly. Conclusion: There was significant improvement in pregnant women regarding traditional neonatal practices. Some practices had not changed due to some strong cultural beliefs and influence of mother in-law and elderly females of the family.
References
2. Agarwal S, Srivastava K, Sethi V. Maternal and newborn care practices among the urban poor in Indore, India: gaps, reasons and possible program options. Urban health resource centre (New Delhi), 2007, p 16.
3. Vani SN. Report and recommendations of the national workshop on traditional practices of neonatal care in India. Ahemdabad, India. National Neonatology Forum and Ministry of Health and Family Welfare, Government of India;1990.
4. Darmstadt GL,Bhutta ZA, Cousens et al. Evidence based, cost-effective interventions: how many newborn babies can we save? The Lancet 2005; 365: 977-988.
5. Communication for behaviour.RCH Manual. Indian Journal of Public Health 2002; 46(3): 117-119.
6. Meher R,Jain A, Sabharwal A et al. Deep neck abscess: a prospective study of 54 cases. The Journal of laryngology & Otology 2005; 119: 299-302.
7. Prasad B, Costello MDL. Impact and sustainability of a “baby friendly†health education intervention at a district hospital in Bihar, India. BMJ 1995; 310: 621-623.
8. Lutter CK, Perez-Escamilla R, Segall A et al .The effectiveness of a hospital based program to promote exclusive breast-feeding among low-income women in Brazil. American Journal of Public Health 1997; 87(4): 659-663.
9. Haider R, Kabir I, Fuchs GJ et al. Neonatal diarhoea in a diarhoea treatment center in Bangladesh, clinical presentation, breastfeeding management and outcome. Indian Pediatr 2000; 37: 37-43.
10. Kumar V, Mohanty S, Kumar A et al. Effect of community-based behaviour change management on neonatal mortality in Shivgarh, Uttar Pradesh, India: A Cluster-Randomised Controlled Trial. The Lancet 2008; 372: 1151-1162.
11. Pratinidhi A, Shah U, Shrotri A et al. Risk approach strategy in neonatal care. Bulletin of the World Health Org 1986; 64(2): 291-297.
12. Sibley LM, Sipe TA. Review of “Traditional birth attendant training effectiveness: a meta-analysisâ€. International Journal of Gynecology & Obstetrics. 2003; 83: 121-122.
13. Baqui AH, El-Arifeen S, Darmstadt GL et al. Effect of community-based newborn-care intervention package implemented through two service- delivery strategies in Sylhet district, Bangladesh: a cluster-randomised controlled trial. Lancet 2008; 371: 1936-1944.