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

Autor: Yhona Paratmanitya, Siti Helmyati, Detty Siti Nurdiati, Emma C. Lewis, Joel Gittelsohn, Hamam Hadi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Health Promotion Perspectives, Vol 11, Iss 3, Pp 307-315 (2021)
Druh dokumentu: article
ISSN: 2228-6497
DOI: 10.34172/hpp.2021.39
Popis: 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
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