R McPherson|Jyotsna Tamang|Stephen Hodgins|Laxmi Pathak|Ram Chandra Silwal|Abdullah H Baqui|Peter J. Winch
Process evaluation of a community-based intervention promoting multiple maternal and neonatal care practices in rural Nepal
Johns Hopkins University|Ministry of Health and Population|Government of Nepal|Ministry of Health and Population|Johns Hopkins University|Johns Hopkins University
challenge delivering multiple complex messages promote maternal newborn health terai region nepal addressed training female community health volunteers fchvs counsel pregnant women families using flipchart pictorial booklet distributed clients booklet consists illustrated messages presented postcardsized laminated cards joined ring pregnant women encouraged discuss booklet content familieswe examined use booklet factors affecting adoption practices semistructured interviews district communitylevel government health personnel staff nepal family health program fchvs recently delivered women husbands mothersinlawthe booklet shared among household members promotes discussion referred questions arise emergencies booklet cards danger signs nutritious foods particularly wellreceived cards family planning certain aspects birth preparedness generate less interest husbands mothersinlaw control decisionmaking maternal newborn careseeking related householdlevel behaviorsinterpersonal peer communication trusted communitylevel volunteers acceptable primary strategy nepal promotion householdlevel behaviors content number messages simplified streamlined scaledup minimize intervention complexity redundant communication