Community engagement for birth preparedness and complication readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in India: a mixed-method evaluation
Objective To describe the process of community engagement (CE) in northern Karnataka, India and its impact on pre-eclampsia knowledge, birth preparedness and complication readiness, pregnancy-related care seeking and maternal morbidity.Design This study was a secondary analysis of a cluster randomis...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e060593.full |
| _version_ | 1798003922460213248 |
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| author | Marianne Vidler Peter von Dadelszen Mai-Lei Woo Kinshella Jeffrey N Bone Shivaprasad S Goudar Richard Derman Umesh Charantimath Avinash Kavi Umesh Y Ramadurg Geetanjali M Katageri Chandrashekhar C Karadiguddi Narayan V Honnungar Shashidhar G Bannale Geetanjali I Mungarwadi Laura Magee Ashalata Mallapur Mrutyunjaya Bellad The CLIP India Working Group |
| author_facet | Marianne Vidler Peter von Dadelszen Mai-Lei Woo Kinshella Jeffrey N Bone Shivaprasad S Goudar Richard Derman Umesh Charantimath Avinash Kavi Umesh Y Ramadurg Geetanjali M Katageri Chandrashekhar C Karadiguddi Narayan V Honnungar Shashidhar G Bannale Geetanjali I Mungarwadi Laura Magee Ashalata Mallapur Mrutyunjaya Bellad The CLIP India Working Group |
| author_sort | Marianne Vidler |
| collection | DOAJ |
| description | Objective To describe the process of community engagement (CE) in northern Karnataka, India and its impact on pre-eclampsia knowledge, birth preparedness and complication readiness, pregnancy-related care seeking and maternal morbidity.Design This study was a secondary analysis of a cluster randomised trial of Community Level Interventions for Pre-eclampsia (CLIP). A total of 12 clusters based on primary health centre catchment areas were randomised to intervention or control. CE was conducted in intervention clusters. CE attendance was summarised according to participant group using both quantitative and qualitative assessment. Pre-eclampsia knowledge, birth preparedness, health services engagement and perinatal outcomes was evaluated within trial surveillance. Outcomes were compared between trial arms using a mixed effects logistic regression model on RStudio (RStudio, Boston, USA). Community feedback notes were thematically analysed on NVivo V.12 (QSR International, Melbourne, Australia).Setting Belagavi and Bagalkote districts in rural Karnataka, India.Participants Pregnant women and women of reproductive age, mothers and mothers-in-law, community stakeholders and male household decision-makers and health workers.Results A total of 1379 CE meetings were conducted with 39 362 participants between November 2014 and October 2016. CE activities may have had an effect on modifying community attitudes towards hypertension in pregnancy and its complications. However, rates of pre-eclampsia knowledge, birth preparedness, health services engagement and maternal morbidities among individual pregnant women were not significantly impacted by CE activities in their area.Conclusion Evaluation of our CE programme in India demonstrates the feasibility of reaching pregnant women alongside household decision-makers, community stakeholders and health workers. More research is needed to explore the pathways of impact between broad community mobilisation to strengthen support for maternal care seeking and clinical outcomes of individual pregnant women.Trial registration number NCT01911494. |
| first_indexed | 2024-04-11T12:15:19Z |
| format | Article |
| id | doaj.art-c7d471a923e24fa788644f381213578e |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-11T12:15:19Z |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-c7d471a923e24fa788644f381213578e2022-12-22T04:24:21ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2021-060593Community engagement for birth preparedness and complication readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in India: a mixed-method evaluationMarianne Vidler0Peter von Dadelszen1Mai-Lei Woo Kinshella2Jeffrey N Bone3Shivaprasad S Goudar4Richard Derman5Umesh Charantimath6Avinash Kavi7Umesh Y Ramadurg8Geetanjali M Katageri9Chandrashekhar C Karadiguddi10Narayan V Honnungar11Shashidhar G Bannale12Geetanjali I Mungarwadi13Laura Magee14Ashalata Mallapur15Mrutyunjaya Bellad16The CLIP India Working Group17Department of Obstetrics and Gynaecology, The University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Obstetrics and Gynaecology, The University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Obstetrics and Gynecology, British Columbia Children’s and Women’s Hospital and The University of British Columbia, Vancouver, British Columbia, CanadaResearch Informatics, BC Children`s Hospital Research Institute, Vancouver, British Columbia, CanadaJawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belgaum, Karnataka, India3Thomas Jefferson University, Philadelphia, USAWomen’s and Children’s Health Research Unit, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belgaum, Karnataka, IndiaWomen’s and Children’s Health Research Unit, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belgaum, Karnataka, IndiaWomen’s and Children’s Health Research Unit, S Nijalingappa Medical College, Bagalkote, Karnataka, IndiaWomen’s and Children’s Health Research Unit, S Nijalingappa Medical College, Bagalkote, Karnataka, IndiaWomen`s and Children`s Health Research Unit, J N Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka, IndiaWomen`s and Children`s Health Research Unit, J N Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka, IndiaWomen’s and Children’s Health Research Unit, S Nijalingappa Medical College, Bagalkote, Karnataka, IndiaWomen`s and Children`s Health Research Unit, J N Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka, IndiaKing`s College London School of Medical Education, London, UKWomen’s and Children’s Health Research Unit, S Nijalingappa Medical College, Bagalkote, Karnataka, IndiaWomen`s and Children`s Health Research Unit, J N Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka, IndiaWomen`s and Children`s Health Research Unit, J N Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka, IndiaObjective To describe the process of community engagement (CE) in northern Karnataka, India and its impact on pre-eclampsia knowledge, birth preparedness and complication readiness, pregnancy-related care seeking and maternal morbidity.Design This study was a secondary analysis of a cluster randomised trial of Community Level Interventions for Pre-eclampsia (CLIP). A total of 12 clusters based on primary health centre catchment areas were randomised to intervention or control. CE was conducted in intervention clusters. CE attendance was summarised according to participant group using both quantitative and qualitative assessment. Pre-eclampsia knowledge, birth preparedness, health services engagement and perinatal outcomes was evaluated within trial surveillance. Outcomes were compared between trial arms using a mixed effects logistic regression model on RStudio (RStudio, Boston, USA). Community feedback notes were thematically analysed on NVivo V.12 (QSR International, Melbourne, Australia).Setting Belagavi and Bagalkote districts in rural Karnataka, India.Participants Pregnant women and women of reproductive age, mothers and mothers-in-law, community stakeholders and male household decision-makers and health workers.Results A total of 1379 CE meetings were conducted with 39 362 participants between November 2014 and October 2016. CE activities may have had an effect on modifying community attitudes towards hypertension in pregnancy and its complications. However, rates of pre-eclampsia knowledge, birth preparedness, health services engagement and maternal morbidities among individual pregnant women were not significantly impacted by CE activities in their area.Conclusion Evaluation of our CE programme in India demonstrates the feasibility of reaching pregnant women alongside household decision-makers, community stakeholders and health workers. More research is needed to explore the pathways of impact between broad community mobilisation to strengthen support for maternal care seeking and clinical outcomes of individual pregnant women.Trial registration number NCT01911494.https://bmjopen.bmj.com/content/12/12/e060593.full |
| spellingShingle | Marianne Vidler Peter von Dadelszen Mai-Lei Woo Kinshella Jeffrey N Bone Shivaprasad S Goudar Richard Derman Umesh Charantimath Avinash Kavi Umesh Y Ramadurg Geetanjali M Katageri Chandrashekhar C Karadiguddi Narayan V Honnungar Shashidhar G Bannale Geetanjali I Mungarwadi Laura Magee Ashalata Mallapur Mrutyunjaya Bellad The CLIP India Working Group Community engagement for birth preparedness and complication readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in India: a mixed-method evaluation BMJ Open |
| title | Community engagement for birth preparedness and complication readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in India: a mixed-method evaluation |
| title_full | Community engagement for birth preparedness and complication readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in India: a mixed-method evaluation |
| title_fullStr | Community engagement for birth preparedness and complication readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in India: a mixed-method evaluation |
| title_full_unstemmed | Community engagement for birth preparedness and complication readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in India: a mixed-method evaluation |
| title_short | Community engagement for birth preparedness and complication readiness in the Community Level Interventions for Pre-eclampsia (CLIP) Trial in India: a mixed-method evaluation |
| title_sort | community engagement for birth preparedness and complication readiness in the community level interventions for pre eclampsia clip trial in india a mixed method evaluation |
| url | https://bmjopen.bmj.com/content/12/12/e060593.full |
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