The impact of community based continuous training project on improving couples’ knowledge on birth preparedness and complication readiness in rural setting Tanzania;:A controlled quasi-experimental study

dc.contributor.authorMoshi, Fabiola V.
dc.contributor.authorKibusi, Stephen M.
dc.contributor.authorFabian, Flora Masumbuo
dc.date.accessioned2021-05-11T09:59:54Z
dc.date.available2021-05-11T09:59:54Z
dc.date.issued2021
dc.descriptionFull text article. Also available at: | https://doi.org/10.1371/journal.pone.0244845en_US
dc.description.abstractIt is widely accepted that community-based interventions are vital strategies towards reduction of maternal and neonatal mortalities in developing counties. This study aimed at finding the impact a Community Based Continuous Training (CBCT) project in improving couples’ knowledge on birth preparedness and complication readiness in rural Tanzania.The quasi-experimental study design with control was adopted to determine the impact of CBCT in improving knowledge on birth preparedness and complication readiness. The study was conducted from June 2017 until March 2018. A multi-stage sampling technique was employed to obtain 561couples. Pre-test and post-training intervention information were collected using semi-structured questionnaires. The impact of CBCT was determined using both independent t-test and paired t-test. Linear regression analysis was used to establish the association between the project and the change in knowledge mean scores. The effect size was calculated using Cohen’s d. At post-test assessment, knowledge mean scores were significantly higher in the intervention group among both pregnant women (m = 14.47±5.49) and their male partners (m = 14.1 ±5.76) as compared to control group among both pregnant women (m = 9.09±6.44) and their male partners (m = 9.98±6.65) with large effect size of 0.9 among pregnant women and medium effect size of 0.66 among male respondents. When the mean scores were compared within groups among both pregnant women and male partners in the intervention group, there were a significant increase in knowledge mean scores at post-test assessment as compared to pre-test assessment with large effect size of Cohen’s d = 1.4 among pregnant women and 1.5 among male partners. After adjusting for the confounders, the predictors of change in knowledge among pregnant women were the CBCT project (β= 0.346, p<0.000) and ethnic group [Mambwe (β= -0.524, p = 0.001)] and the predictors of change in knowledge among male partners were the CBCT project (β= 1.058, p<0.001) and walking distance [more than five kilometers (β= -0.55, p<0.05)]. This interventional study which focused on knowledge empowerment and behavior change among expecting couples was both feasible and effective on improving knowledge about birth preparedness and complication readiness in rural settings of Tanzania.en_US
dc.identifier.citationMoshi, F. V., Kibusi, S. M., & Fabian, F. M. (2021). The impact of community based continuous training project on improving couples’ knowledge on birth preparedness and complication readiness in rural setting Tanzania: A controlled quasi-experimental study. Plos one, 16(1), 1-20.en_US
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3016
dc.language.isoenen_US
dc.publisherPLOSen_US
dc.subjectCommunity-based interventionsen_US
dc.subjectCommunity Based Continuous Trainingen_US
dc.subjectCBCTen_US
dc.subjectBirth preparednessen_US
dc.subjectCouples knowledgeen_US
dc.subjectCouplesen_US
dc.subjectPregnant womenen_US
dc.subjectPost-test assessmenten_US
dc.subjectNeonatal mortalitiesen_US
dc.subjectMaternal mortalityen_US
dc.titleThe impact of community based continuous training project on improving couples’ knowledge on birth preparedness and complication readiness in rural setting Tanzania;:A controlled quasi-experimental studyen_US
dc.typeArticleen_US
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