Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial
Plain language summary Postnatal care is a care that a delivered women and her newborn baby receive after delivery and up to 42 days of childbirth, regardless of place of delivery. This period is considered critical in minimizing morbidity and mortality of both the mother and the baby. In Ethiopia,...
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oai:doaj.org-article:799c2684cc7f4e12af813cd2a29783542021-11-21T12:31:34ZEffectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial10.1186/s12978-021-01283-91742-4755https://doaj.org/article/799c2684cc7f4e12af813cd2a29783542021-11-01T00:00:00Zhttps://doi.org/10.1186/s12978-021-01283-9https://doaj.org/toc/1742-4755Plain language summary Postnatal care is a care that a delivered women and her newborn baby receive after delivery and up to 42 days of childbirth, regardless of place of delivery. This period is considered critical in minimizing morbidity and mortality of both the mother and the baby. In Ethiopia, the coverage of postnatal care utilization remained low. Recent studies showed only 33.8% of mothers received postnatal care, this becomes very low for mothers who delivered at home, of which only 8.2% of them received the care. On top of other factors that hinder maternal health care utilization, in Ethiopia there are widely accepted and persistent cultural ceremonies after childbirth that encourages a women to stay in door. This study introduced a new intervention called Checklist-based box system intervention, which aimed to improve postnatal care utilization through demand creation and dropout tracing mechanisms. The intervention was carried out by health professionals in health centers and community health workers (health extension workers) who visited mothers in their homes. Despite some practical challenges, its implementation demonstrated an improvement over clusters that did not receive the intervention. This intervention is recommended to be implemented on a larger scale. Simultaneously, practical level challenges need to be addressed in order for the intervention’s effect to be seen in its best form.Netsanet Belete AndargieGurmesa Tura DebelewBMCarticleBox systemPostnatal careCluster randomized controlled trialEthiopiaGynecology and obstetricsRG1-991ENReproductive Health, Vol 18, Iss 1, Pp 1-16 (2021) |
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Box system Postnatal care Cluster randomized controlled trial Ethiopia Gynecology and obstetrics RG1-991 |
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Box system Postnatal care Cluster randomized controlled trial Ethiopia Gynecology and obstetrics RG1-991 Netsanet Belete Andargie Gurmesa Tura Debelew Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial |
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Plain language summary Postnatal care is a care that a delivered women and her newborn baby receive after delivery and up to 42 days of childbirth, regardless of place of delivery. This period is considered critical in minimizing morbidity and mortality of both the mother and the baby. In Ethiopia, the coverage of postnatal care utilization remained low. Recent studies showed only 33.8% of mothers received postnatal care, this becomes very low for mothers who delivered at home, of which only 8.2% of them received the care. On top of other factors that hinder maternal health care utilization, in Ethiopia there are widely accepted and persistent cultural ceremonies after childbirth that encourages a women to stay in door. This study introduced a new intervention called Checklist-based box system intervention, which aimed to improve postnatal care utilization through demand creation and dropout tracing mechanisms. The intervention was carried out by health professionals in health centers and community health workers (health extension workers) who visited mothers in their homes. Despite some practical challenges, its implementation demonstrated an improvement over clusters that did not receive the intervention. This intervention is recommended to be implemented on a larger scale. Simultaneously, practical level challenges need to be addressed in order for the intervention’s effect to be seen in its best form. |
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article |
author |
Netsanet Belete Andargie Gurmesa Tura Debelew |
author_facet |
Netsanet Belete Andargie Gurmesa Tura Debelew |
author_sort |
Netsanet Belete Andargie |
title |
Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial |
title_short |
Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial |
title_full |
Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial |
title_fullStr |
Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial |
title_full_unstemmed |
Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial |
title_sort |
effectiveness of checklist-based box system intervention (cbbsi) versus routine care on improving postnatal care utilization in northwest ethiopia: a cluster randomized controlled trial |
publisher |
BMC |
publishDate |
2021 |
url |
https://doaj.org/article/799c2684cc7f4e12af813cd2a2978354 |
work_keys_str_mv |
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