Erschienen in:
20.07.2016
Thirty-Six-Month Outcomes of a Generalist Paraprofessional Perinatal Home Visiting Intervention in South Africa on Maternal Health and Child Health and Development
verfasst von:
Mark Tomlinson, Mary Jane Rotheram-Borus, Ingrid M. le Roux, Maryann Youssef, Sandahl H. Nelson, Aaron Scheffler, Robert E. Weiss, Mary O’Connor, Carol M. Worthman
Erschienen in:
Prevention Science
|
Ausgabe 8/2016
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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.