Paratmanitya, Yhona and Helmyati, Siti and Nurdiati, Detty Siti and Lewis, Emma C. and Gittelsohn, Joel and Hadi, Hamam (2021) The effect of a maternal mentoring program on the timing of first antenatal care visit among pregnant women in Bantul, Indonesia: Results of a cluster randomized trial. Health Promotion Perspectives, 11 (3). 307 – 315. ISSN 22286497
Full text not available from this repository. (Request a copy)Abstract
Background: Antenatal care (ANC) is low in developing countries, with an estimated 20 of Indonesian women not initiating ANC during the first trimester. The present study sought to determine the impact of a mentoring program on the timing of the first ANC visit. Methods: This cluster randomized controlled trial was conducted in 3 subdistricts of the Bantul District, divided into 61 clusters per treatment arm, with a final sample size of 205 confirmed pregnant women. The mentoring program consisted of (1) health education, (2) monitoring, and (3) text-message reminders. The primary outcome was the timing of first ANC visit. A multilevel mixed-effect logistic regression model was used to measure the effect of the program on the likelihood of having an earlier first ANC visit, with statistical significance at α=0.05. Results: At the individual-level, the intervention group had a mean time of first ANC visit ± 2 days earlier than the control group (P < 0.05). After adjusted for cluster and other covariates, the odds of starting the first ANC visit early (<39 days of gestation) was higher in the intervention group (adjusted odds ratio AOR 3.00; 95% confidence interval CI 1.17-7.72). Conclusion: Maternal mentoring can improve the timing of the first ANC visit. This program has the potential to be adopted by health care systems in settings where there is little education on the importance of ANC. Future research could extend the length of mentorship until delivery in order to better understand the relationship between mentorship and early ANC on pregnancy outcomes. © 2021 The Author(s).
Item Type: | Article |
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Additional Information: | Cited by: 4; All Open Access, Gold Open Access, Green Open Access |
Uncontrolled Keywords: | adult; article; controlled study; female; health care system; health education; human; human experiment; human tissue; Indonesia; major clinical study; maternal welfare; mentor; mentoring; obstetric delivery; outcome assessment; pregnancy outcome; pregnant woman; prenatal care; prepregnancy care; randomized controlled trial; sample size; statistical significance |
Subjects: | R Medicine > RB Biomedical Sciences |
Divisions: | Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition |
Depositing User: | Sri JUNANDI |
Date Deposited: | 27 Sep 2024 03:43 |
Last Modified: | 27 Sep 2024 03:43 |
URI: | https://ir.lib.ugm.ac.id/id/eprint/4559 |