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Erschienen in: Prevention Science 8/2016

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.
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Literatur
Zurück zum Zitat Aracena, M., Krause, M., Pérez, C., Méndez, M. J., Salvatierra, L., Soto, M., & Altimir, C. (2009). A cost-effectiveness evaluation of a home visit program for adolescent mothers. Journal of Health Psychology, 14, 878. doi:10.1177/1359105309340988.CrossRefPubMed Aracena, M., Krause, M., Pérez, C., Méndez, M. J., Salvatierra, L., Soto, M., & Altimir, C. (2009). A cost-effectiveness evaluation of a home visit program for adolescent mothers. Journal of Health Psychology, 14, 878. doi:10.​1177/​1359105309340988​.CrossRefPubMed
Zurück zum Zitat Black, M. M., & Aboud, F. E. (2011). Response feeding is embedded in a theoretical framework of responsive parenting. Journal of Nutrition, 141, 490–494.CrossRefPubMedPubMedCentral Black, M. M., & Aboud, F. E. (2011). Response feeding is embedded in a theoretical framework of responsive parenting. Journal of Nutrition, 141, 490–494.CrossRefPubMedPubMedCentral
Zurück zum Zitat Bolles, K., Speraw, C., Berggren, G., & Lafontant, J. G. (2002). Ti Foyer (hearth) community-based nutrition activities informed by the positive deviance approach in Leogane, Haiti: A programmatic description. Food & Nutrition Bulletin, 23, 9.CrossRef Bolles, K., Speraw, C., Berggren, G., & Lafontant, J. G. (2002). Ti Foyer (hearth) community-based nutrition activities informed by the positive deviance approach in Leogane, Haiti: A programmatic description. Food & Nutrition Bulletin, 23, 9.CrossRef
Zurück zum Zitat Bruner, J. (1985). Child’s talk: Learning to use language. Child Language Teaching and Therapy, 1, 111–114.CrossRef Bruner, J. (1985). Child’s talk: Learning to use language. Child Language Teaching and Therapy, 1, 111–114.CrossRef
Zurück zum Zitat Campbell, C., & Scott, K. (2011). Retreat from Alma Ata? The WHO’s report on Task Shifting to community health workers for AIDS care in poor countries. Global Public Health, 6, 125.CrossRefPubMed Campbell, C., & Scott, K. (2011). Retreat from Alma Ata? The WHO’s report on Task Shifting to community health workers for AIDS care in poor countries. Global Public Health, 6, 125.CrossRefPubMed
Zurück zum Zitat Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression—Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786.CrossRefPubMed Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression—Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786.CrossRefPubMed
Zurück zum Zitat Dawson, D. A., Grant, B. F., & Stinson, F. S. (2005). The AUDIT-C: Screening for alcohol use disorders and risk drinking in the presence of other psychiatric disorders. Comprehensive Psychiatry, 46, 405–416.CrossRefPubMed Dawson, D. A., Grant, B. F., & Stinson, F. S. (2005). The AUDIT-C: Screening for alcohol use disorders and risk drinking in the presence of other psychiatric disorders. Comprehensive Psychiatry, 46, 405–416.CrossRefPubMed
Zurück zum Zitat de Onis, M., & Blossner, M. (2003). The World Health Organization Global Database on Child Growth and Malnutrition: Methodology and applications. International Journal of Epidemiology, 32, 518–526.CrossRefPubMed de Onis, M., & Blossner, M. (2003). The World Health Organization Global Database on Child Growth and Malnutrition: Methodology and applications. International Journal of Epidemiology, 32, 518–526.CrossRefPubMed
Zurück zum Zitat Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1–15.CrossRefPubMed Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1–15.CrossRefPubMed
Zurück zum Zitat Dunn, L. M. (1965). Peabody Picture Vocabulary Test. Circle Pines: American Guidance Service. Dunn, L. M. (1965). Peabody Picture Vocabulary Test. Circle Pines: American Guidance Service.
Zurück zum Zitat Engle, P. L., & Black, M. M. (2008). The effect of poverty on child development and educational outcomes. Annals of the New York Academy of Sciences, 1136, 243–256. doi:10.1196/annals.1425.023. Engle, P. L., & Black, M. M. (2008). The effect of poverty on child development and educational outcomes. Annals of the New York Academy of Sciences, 1136, 243–256. doi:10.​1196/​annals.​1425.​023.
Zurück zum Zitat Gertler, P., Heckman, J., Pinto, R., Zanolini, A., Vermeersch, C., Walker, S., . . . Grantham-McGregor, S. (2014). Labor market returns to an early childhood stimulation intervention in Jamaica. Science, 344, 998–1001. doi:10.1126/science.1251178. Gertler, P., Heckman, J., Pinto, R., Zanolini, A., Vermeersch, C., Walker, S., . . . Grantham-McGregor, S. (2014). Labor market returns to an early childhood stimulation intervention in Jamaica. Science, 344, 998–1001. doi:10.​1126/​science.​1251178.
Zurück zum Zitat Grantham-McGregor, S. M., Powell, C. A., Walker, S. P., & Himes, J. H. (1991). Nutritional supplementation, psychosocial stimulation, and mental development of stunted children: The Jamaican Study. The Lancet, 338, 1. doi:10.1016/0140-6736(91)90001-6.CrossRef Grantham-McGregor, S. M., Powell, C. A., Walker, S. P., & Himes, J. H. (1991). Nutritional supplementation, psychosocial stimulation, and mental development of stunted children: The Jamaican Study. The Lancet, 338, 1. doi:10.​1016/​0140-6736(91)90001-6.CrossRef
Zurück zum Zitat Kalembo, F. W., & Zgambo, M. (2012). Loss to followup: A major challenge to successful implementation of prevention of mother-to-child transmission of HIV-1 programs in Sub-Saharan Africa. ISRN AIDS, 2012, 598817. doi:10.5402/2012/589817.CrossRef Kalembo, F. W., & Zgambo, M. (2012). Loss to followup: A major challenge to successful implementation of prevention of mother-to-child transmission of HIV-1 programs in Sub-Saharan Africa. ISRN AIDS, 2012, 598817. doi:10.​5402/​2012/​589817.CrossRef
Zurück zum Zitat Lawrie, T. A., Hofmeyr, G. J., de Jager, M., & Berk, M. (1998). Validation of the Edinburgh Postnatal Depression Scale on a cohort of South African women. The South African Medical Journal, 88, 1340–1344.PubMed Lawrie, T. A., Hofmeyr, G. J., de Jager, M., & Berk, M. (1998). Validation of the Edinburgh Postnatal Depression Scale on a cohort of South African women. The South African Medical Journal, 88, 1340–1344.PubMed
Zurück zum Zitat le Roux, I. M., Tomlinson, M., Harwood, J. M., O’Connor, M., Worthman, C. M., Mbewu, N., & Rotheram-Borus, M. J. (2013). Outcomes of home visits for pregnant mothers and their infants: A cluster randomised controlled trial. Aids, 27, 1461. doi:10.1097/QAD.0b013e3283601b53.CrossRefPubMed le Roux, I. M., Tomlinson, M., Harwood, J. M., O’Connor, M., Worthman, C. M., Mbewu, N., & Rotheram-Borus, M. J. (2013). Outcomes of home visits for pregnant mothers and their infants: A cluster randomised controlled trial. Aids, 27, 1461. doi:10.​1097/​QAD.​0b013e3283601b53​.CrossRefPubMed
Zurück zum Zitat Marmot, M., Friel, S., Bell, R., Houweling, T. A., Taylor, S., & Health, C. o. S. D. o. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet, 372, 1661–1669. doi:10.1016/S0140-6736(08)61690-6.CrossRefPubMed Marmot, M., Friel, S., Bell, R., Houweling, T. A., Taylor, S., & Health, C. o. S. D. o. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet, 372, 1661–1669. doi:10.​1016/​S0140-6736(08)61690-6.CrossRefPubMed
Zurück zum Zitat Maselko, J., Sikander, S., Bhalotra, S., Bangash, O., Ganga, N., Mukherjee, S., . . . Rahman, A. (2015). Effect of an early perinatal depression intervention on long-term child development outcomes: Follow-up of the Thinking Healthy Programme randomised controlled trial. Lancet Psychiatry, 2, 609–617. doi:10.1016/S2215-0366(15)00109-1. Maselko, J., Sikander, S., Bhalotra, S., Bangash, O., Ganga, N., Mukherjee, S., . . . Rahman, A. (2015). Effect of an early perinatal depression intervention on long-term child development outcomes: Follow-up of the Thinking Healthy Programme randomised controlled trial. Lancet Psychiatry, 2, 609–617. doi:10.​1016/​S2215-0366(15)00109-1.
Zurück zum Zitat Nahar, B., Hossain, M. I., Hamadani, J. D., Ahmed, T., Grantham-McGregor, S., & Persson, L. A. (2012). Effects of psychosocial stimulation on improving home environment and child-rearing practices: Results from a community-based trial among severely malnourished children in Bangladesh. BMC Public Health, 12, 622. doi:10.1186/1471-2458-12-622.CrossRefPubMedPubMedCentral Nahar, B., Hossain, M. I., Hamadani, J. D., Ahmed, T., Grantham-McGregor, S., & Persson, L. A. (2012). Effects of psychosocial stimulation on improving home environment and child-rearing practices: Results from a community-based trial among severely malnourished children in Bangladesh. BMC Public Health, 12, 622. doi:10.​1186/​1471-2458-12-622.CrossRefPubMedPubMedCentral
Zurück zum Zitat Pakendorf, C., & Alant, E. (1996). Culturally valid assessment tools: Northern Sotho translation of the Peabody Picture Vocabulary Test-Revised. The South African Journal of Communication Disorders, 44, 3–12. Pakendorf, C., & Alant, E. (1996). Culturally valid assessment tools: Northern Sotho translation of the Peabody Picture Vocabulary Test-Revised. The South African Journal of Communication Disorders, 44, 3–12.
Zurück zum Zitat Rahman, A., Iqbal, Z., Roberts, C., & Husain, N. (2009). Cluster randomized trial of a parent-based intervention to support early development of children in a low-income country. Child: Care, Health and Development, 35, 56. doi:10.1111/j.1365-2214.2008.00897.x. Rahman, A., Iqbal, Z., Roberts, C., & Husain, N. (2009). Cluster randomized trial of a parent-based intervention to support early development of children in a low-income country. Child: Care, Health and Development, 35, 56. doi:10.​1111/​j.​1365-2214.​2008.​00897.​x.
Zurück zum Zitat Rotheram-Borus, M. J., le Roux, I. M., Tomlinson, M., Mbewu, N., Comulada, W. S., le Roux, K., & Swendeman, D. (2011). Philani Plus (+): A Mentor Mother community health worker home visiting program to improve maternal and infants’ outcomes. Prevention Science, 12, 372. doi:10.1007/s11121-011-0238-1.CrossRefPubMedPubMedCentral Rotheram-Borus, M. J., le Roux, I. M., Tomlinson, M., Mbewu, N., Comulada, W. S., le Roux, K., & Swendeman, D. (2011). Philani Plus (+): A Mentor Mother community health worker home visiting program to improve maternal and infants’ outcomes. Prevention Science, 12, 372. doi:10.​1007/​s11121-011-0238-1.CrossRefPubMedPubMedCentral
Zurück zum Zitat Rotheram-Borus, M. J., Richter, L. M., van Heerden, A., van Rooyen, H., Tomlinson, M., Harwood, J. M., . . . Stein, A. (2014). A cluster randomized controlled trial evaluating the efficacy of peer mentors to support South African women living with HIV and their infants. PLoS One, 9, e84867. doi:10.1371/journal.pone.0084867. Rotheram-Borus, M. J., Richter, L. M., van Heerden, A., van Rooyen, H., Tomlinson, M., Harwood, J. M., . . . Stein, A. (2014). A cluster randomized controlled trial evaluating the efficacy of peer mentors to support South African women living with HIV and their infants. PLoS One, 9, e84867. doi:10.​1371/​journal.​pone.​0084867.
Zurück zum Zitat Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. Addiction, 88, 791. doi:10.1111/j.1360-0443.1993.tb02093.x.CrossRefPubMed Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. Addiction, 88, 791. doi:10.​1111/​j.​1360-0443.​1993.​tb02093.​x.CrossRefPubMed
Zurück zum Zitat Tomlinson, M., Cooper, P. J., Stein, A., Swartz, L., & Molteno, C. (2006). Post-partum depression and infant growth in a South African peri-urban settlement. Child: Care, Health and Development, 32, 81–86. doi:10.1111/j.1365-2214.2006.00598.x. Tomlinson, M., Cooper, P. J., Stein, A., Swartz, L., & Molteno, C. (2006). Post-partum depression and infant growth in a South African peri-urban settlement. Child: Care, Health and Development, 32, 81–86. doi:10.​1111/​j.​1365-2214.​2006.​00598.​x.
Zurück zum Zitat Tomlinson, M., Rotheram-Borus, M. J., Harwood, J., le Roux, I. M., O’Connor, M., & Worthman, C. (2015). Community health workers can improve child growth of antenatally-depressed, South African mothers: A cluster randomized controlled trial. BMC Psychiatry, 15, Artn 225. doi:10.1186/S12888-015-0606-7.CrossRef Tomlinson, M., Rotheram-Borus, M. J., Harwood, J., le Roux, I. M., O’Connor, M., & Worthman, C. (2015). Community health workers can improve child growth of antenatally-depressed, South African mothers: A cluster randomized controlled trial. BMC Psychiatry, 15, Artn 225. doi:10.​1186/​S12888-015-0606-7.CrossRef
Zurück zum Zitat Vally, Z., Murray, L., Tomlinson, M., & Cooper, P. J. (2015). The impact of dialogic book-sharing training on infant language and attention: A randomized controlled trial in a deprived South African community. Journal of Child Psychology and Psychiatry, 56, 865–873. doi:10.1111/jcpp.12352.CrossRefPubMed Vally, Z., Murray, L., Tomlinson, M., & Cooper, P. J. (2015). The impact of dialogic book-sharing training on infant language and attention: A randomized controlled trial in a deprived South African community. Journal of Child Psychology and Psychiatry, 56, 865–873. doi:10.​1111/​jcpp.​12352.CrossRefPubMed
Zurück zum Zitat Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., . . . Child Undernutrition Study, G. (2008). Maternal and child undernutrition: Consequences for adult health and human capital. Lancet, 371, 340–357. doi:10.1016/S0140-6736(07)61692-4. Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., . . . Child Undernutrition Study, G. (2008). Maternal and child undernutrition: Consequences for adult health and human capital. Lancet, 371, 340–357. doi:10.​1016/​S0140-6736(07)61692-4.
Zurück zum Zitat Waber, D. P., Vuori-Christiansen, L., Ortiz, N., Clement, J. R., Christiansen, N. E., Mora, J. O., . . . Herrera, M. G. (1981). Nutritional supplementation, maternal education, and cognitive development of infants at risk of malnutrition. The American Journal of Clinical Nutrition, 34, 807–813. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/7223696. Waber, D. P., Vuori-Christiansen, L., Ortiz, N., Clement, J. R., Christiansen, N. E., Mora, J. O., . . . Herrera, M. G. (1981). Nutritional supplementation, maternal education, and cognitive development of infants at risk of malnutrition. The American Journal of Clinical Nutrition, 34, 807–813. Retrieved from http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​7223696.
Metadaten
Titel
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
Publikationsdatum
20.07.2016
Verlag
Springer US
Erschienen in
Prevention Science / Ausgabe 8/2016
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-016-0676-x

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