Effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka

Abstract Background Child neglect is a form of child maltreatment and it is a neglected area of research. As similar to other forms of maltreatment, neglect also results in negative health outcomes for children. Child neglect is concentrated in disadvantaged communities. The community-centered healt...

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Autores principales:	Nadeeka Rathnayake, Shreenika De Silva Weliange, G. N. Duminda Guruge
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Child neglect Community-centered intervention Disadvantaged Health promotion Low and middle-income country Victims and perpetrators of neglect Nutritional diseases. Deficiency diseases RC620-627 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e6c59a9618344da9867691de99dafec3
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spelling	oai:doaj.org-article:e6c59a9618344da9867691de99dafec32021-11-14T12:10:04ZEffectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka10.1186/s41043-021-00267-62072-1315https://doaj.org/article/e6c59a9618344da9867691de99dafec32021-11-01T00:00:00Zhttps://doi.org/10.1186/s41043-021-00267-6https://doaj.org/toc/2072-1315Abstract Background Child neglect is a form of child maltreatment and it is a neglected area of research. As similar to other forms of maltreatment, neglect also results in negative health outcomes for children. Child neglect is concentrated in disadvantaged communities. The community-centered health promotion approach empowers communities to identify and address determinants of perceived health issues. This study aimed to implement a health promotion intervention to enable a disadvantaged community to address determinants of child neglect and evaluate the effectiveness of the intervention. Methods A quasi-experimental study design was used. Two disadvantaged communities in Anuradhapura District, Sri Lanka with similar socio-demographic characteristics were purposively selected as the experimental and control study settings. The mothers who have at least one child in the age range 5–18 years were included in the sample. The sample included 42 mothers from the experimental group and 44 mothers from the control group. The elder children of mothers in the experimental group were selected to be the agents of change. A health promotion intervention was implemented only with the experimental setting. The steps of the intervention included; (1) identifying prevention of child neglect as a goal, (2) understanding the determinants, (3) analyzing determinants and identifying actions and (4) implementing and modifying the actions. The total study duration was 1 year, with the intervention taking an average of 6 months. Data were collected at both pre and post-intervention phases from mothers and children through interviewer-administered questionnaires. Results Mothers of the experimental group improved their knowledge on child neglect significantly in comparison to the control group (p < 0.05). In the post-intervention phase, there were significant differences in attitudes related to child neglect between experimental and control groups (p < 0.05). Following the health promotion intervention, mothers of the experimental group had significantly improved their practices related to the safety, education, nutrition of children, relationships with the child and social support for child caring (p < 0.05) when compared with the control group. Conclusions The health promotion intervention was effective in addressing the selected determinants of child neglect in a disadvantaged community. Children could act as active agents of change to deliver the interventions to their mothers (perpetrators).Nadeeka RathnayakeShreenika De Silva WeliangeG. N. Duminda GurugeBMCarticleChild neglectCommunity-centered interventionDisadvantagedHealth promotionLow and middle-income countryVictims and perpetrators of neglectNutritional diseases. Deficiency diseasesRC620-627Public aspects of medicineRA1-1270ENJournal of Health, Population and Nutrition, Vol 40, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Child neglect Community-centered intervention Disadvantaged Health promotion Low and middle-income country Victims and perpetrators of neglect Nutritional diseases. Deficiency diseases RC620-627 Public aspects of medicine RA1-1270
spellingShingle	Child neglect Community-centered intervention Disadvantaged Health promotion Low and middle-income country Victims and perpetrators of neglect Nutritional diseases. Deficiency diseases RC620-627 Public aspects of medicine RA1-1270 Nadeeka Rathnayake Shreenika De Silva Weliange G. N. Duminda Guruge Effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka
description	Abstract Background Child neglect is a form of child maltreatment and it is a neglected area of research. As similar to other forms of maltreatment, neglect also results in negative health outcomes for children. Child neglect is concentrated in disadvantaged communities. The community-centered health promotion approach empowers communities to identify and address determinants of perceived health issues. This study aimed to implement a health promotion intervention to enable a disadvantaged community to address determinants of child neglect and evaluate the effectiveness of the intervention. Methods A quasi-experimental study design was used. Two disadvantaged communities in Anuradhapura District, Sri Lanka with similar socio-demographic characteristics were purposively selected as the experimental and control study settings. The mothers who have at least one child in the age range 5–18 years were included in the sample. The sample included 42 mothers from the experimental group and 44 mothers from the control group. The elder children of mothers in the experimental group were selected to be the agents of change. A health promotion intervention was implemented only with the experimental setting. The steps of the intervention included; (1) identifying prevention of child neglect as a goal, (2) understanding the determinants, (3) analyzing determinants and identifying actions and (4) implementing and modifying the actions. The total study duration was 1 year, with the intervention taking an average of 6 months. Data were collected at both pre and post-intervention phases from mothers and children through interviewer-administered questionnaires. Results Mothers of the experimental group improved their knowledge on child neglect significantly in comparison to the control group (p < 0.05). In the post-intervention phase, there were significant differences in attitudes related to child neglect between experimental and control groups (p < 0.05). Following the health promotion intervention, mothers of the experimental group had significantly improved their practices related to the safety, education, nutrition of children, relationships with the child and social support for child caring (p < 0.05) when compared with the control group. Conclusions The health promotion intervention was effective in addressing the selected determinants of child neglect in a disadvantaged community. Children could act as active agents of change to deliver the interventions to their mothers (perpetrators).
format	article
author	Nadeeka Rathnayake Shreenika De Silva Weliange G. N. Duminda Guruge
author_facet	Nadeeka Rathnayake Shreenika De Silva Weliange G. N. Duminda Guruge
author_sort	Nadeeka Rathnayake
title	Effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka
title_short	Effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka
title_full	Effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka
title_fullStr	Effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka
title_full_unstemmed	Effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka
title_sort	effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in sri lanka
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e6c59a9618344da9867691de99dafec3
work_keys_str_mv	AT nadeekarathnayake effectivenessofahealthpromotioninterventiontoaddressdeterminantsofchildneglectinadisadvantagedcommunityinsrilanka AT shreenikadesilvaweliange effectivenessofahealthpromotioninterventiontoaddressdeterminantsofchildneglectinadisadvantagedcommunityinsrilanka AT gndumindaguruge effectivenessofahealthpromotioninterventiontoaddressdeterminantsofchildneglectinadisadvantagedcommunityinsrilanka
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Effectiveness of a health promotion intervention to address determinants of child neglect in a disadvantaged community in Sri Lanka

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