1. Thirty-Six-Month Outcomes of a Generalist Paraprofessional Perinatal Home Visiting Intervention in South Africa on Maternal Health and Child Health and Development.
- Author
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Tomlinson, Mark, Rotheram-Borus, Mary, Roux, Ingrid, Youssef, Maryann, Nelson, Sandahl, Scheffler, Aaron, Weiss, Robert, O'Connor, Mary, Worthman, Carol, Rotheram-Borus, Mary Jane, le Roux, Ingrid M, Nelson, Sandahl H, Weiss, Robert E, and Worthman, Carol M
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MATERNITY nursing , *HOME care services , *MATERNAL health , *CHILDREN'S health , *CHILD development , *COMMUNITY health workers , *COMPARATIVE studies , *RESEARCH methodology , *MEDICAL cooperation , *HEALTH outcome assessment , *POSTPARTUM depression , *RESEARCH , *RESEARCH funding , *STATISTICAL sampling , *EVALUATION research , *RANDOMIZED controlled trials , *THERAPEUTICS - Abstract
Almost all pregnant women (98 %) in 24 Cape Town neighborhoods were randomized by neighborhood to (1) the standard care (SC) condition (n = 12 neighborhoods; n = 594 pregnant women) or (2) the Philani Intervention Program (PIP) in which home visits by Community Health Workers (CHW) were conducted (n = 12 neighborhoods; n = 644 pregnant women). At 36 months post-birth (84.6 % follow-up), PIP mothers were significantly less depressed compared to the SC mothers. Children in PIP were significantly less likely to be stunted (24.3 vs 18.1 %, p = 0.013), to have better vocabularies, and were less likely to be hospitalized than children in the SC condition. These data suggest home visits may need to continue for several years post-birth. Sustainable, scalable perinatal intervention models are needed in LMIC. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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