Satoshi Yanagisawa|Ayako Soyano|Hisato Igarashi|Midori Ura|Yasuhide Nakamura
Effect of a maternal and child health handbook on maternal knowledge and behaviour: a community-based controlled trial in rural Cambodia
Aichi Prefectural University|Saku University|Shinshu University|Shinshu University Hospital|Osaka University of Human Sciences
maternal child health mch handbooks comprehensive homebased booklets designed integrate mch records although empirical evidence suggests handbooks effective current cardtype records scientifically demonstrated objectives study evaluate impact mch handbook maternal knowledge behaviour measured antenatal care anc attendance delivery skilled birth attendants sbas delivery health facility cambodian version mch handbook developed introduced two health centres two health centres served controls preintervention postintervention surveys conducted 320 women intervention areas 320 women control areas given birth within 1 year survey evaluated impact handbook using differenceindifferences analysis calculated adjusted odds ratios prepost changes key indicators using logistic regression addition interviewed multiparous women health staff health volunteers assess acceptance cultural appropriateness handbook content analysis performed englishtranslated transcriptions analyses revealed key indicators increased intervention group counterfactual assumptions intervention also increased maternal knowledge topics addressed except risk severe bleeding delivery may attributable influence cultural belief logistic regression showed intervention increased anc attendance delivery sbas delivery health facility even adjusting maternal age education economic conditions qualitative data indicated handbook well received culturally appropriate thus mch handbook reasonable superior alternative current cardtype maternal records