{"title":"视频健康教育对埃塞俄比亚南部diashe地区母亲出生结局和贫血状况的影响：一项随机对照试验","authors":"Wanzahun Godana Boynito, Kidus Temesgen Worsa, Befikadu Tariku Gutema, Yordanos Gizachew Yeshitila, Godana Yaya Tessema, Tsegaye Yohanis, Stefaan De Henauw, Piet Cools, Bruno Levecke, Souheila Abbeddou","doi":"10.1111/mcn.70122","DOIUrl":null,"url":null,"abstract":"<p><p>Undernutrition and infections during pregnancy result in low birth weight (LBW) and maternal anaemia. Social behaviour change communication (SBCC) can promote recommended health practices, potentially improving maternal and neonatal outcomes. This cluster-randomized controlled trial assessed the effects of video-based health education on adherence to iron-folic acid (IFA) supplementation, pregnancy outcomes, and anaemia status among pregnant women in rural Dirashe District, South Ethiopia. Pregnant women in their first trimester across 16 villages were cluster-randomized into either the intervention or control arms. The control arm received standard antenatal care counselling, while the intervention arm received biweekly video-based nutrition and health education at home until delivery. The primary outcomes included adherence to IFA supplementation, birth outcomes, including neonatal length and weight, and maternal haemoglobin concentrations (Hb) throughout pregnancy. Among 596 enroled pregnant women, 519 provided data until delivery. The intervention significantly improved adherence to IFA supplementation, with a mean difference (95% Confidence Interval) of 25.98 (15.60, 36.36) in IFA disappearance rate and a mean percent difference of 14.80% (3.42, 63.99) in self-reported adherence. The intervention significantly improved birth weight, with a mean difference of 204.9 g (38.7, 371.2). Maternal Hb near delivery improved statistically with a mean difference of 0.22 g/dL (0.15, 0.42), with lower anaemia (Hb < 11.0 g/dL) prevalence, with a mean percent difference of -0.08% (-0.12, -0.04). However, no significant effect on birth length or LBW was observed. Video-based SBCC improved IFA adherence, birth weight, and reduced anaemia near delivery. It is a promising approach for community health education in resource-limited settings. REGISTRATION: The study was registered as a clinical trial with the US National Institute of Health (www//.ClinicalTrials.gov; NCT04414527).</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70122"},"PeriodicalIF":2.6000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of Video-Based Health Education on Birth Outcomes and Anaemia Status of Mothers in Dirashe District South Ethiopia: A Cluster Randomized Controlled Trial.\",\"authors\":\"Wanzahun Godana Boynito, Kidus Temesgen Worsa, Befikadu Tariku Gutema, Yordanos Gizachew Yeshitila, Godana Yaya Tessema, Tsegaye Yohanis, Stefaan De Henauw, Piet Cools, Bruno Levecke, Souheila Abbeddou\",\"doi\":\"10.1111/mcn.70122\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Undernutrition and infections during pregnancy result in low birth weight (LBW) and maternal anaemia. Social behaviour change communication (SBCC) can promote recommended health practices, potentially improving maternal and neonatal outcomes. This cluster-randomized controlled trial assessed the effects of video-based health education on adherence to iron-folic acid (IFA) supplementation, pregnancy outcomes, and anaemia status among pregnant women in rural Dirashe District, South Ethiopia. Pregnant women in their first trimester across 16 villages were cluster-randomized into either the intervention or control arms. The control arm received standard antenatal care counselling, while the intervention arm received biweekly video-based nutrition and health education at home until delivery. The primary outcomes included adherence to IFA supplementation, birth outcomes, including neonatal length and weight, and maternal haemoglobin concentrations (Hb) throughout pregnancy. Among 596 enroled pregnant women, 519 provided data until delivery. The intervention significantly improved adherence to IFA supplementation, with a mean difference (95% Confidence Interval) of 25.98 (15.60, 36.36) in IFA disappearance rate and a mean percent difference of 14.80% (3.42, 63.99) in self-reported adherence. The intervention significantly improved birth weight, with a mean difference of 204.9 g (38.7, 371.2). Maternal Hb near delivery improved statistically with a mean difference of 0.22 g/dL (0.15, 0.42), with lower anaemia (Hb < 11.0 g/dL) prevalence, with a mean percent difference of -0.08% (-0.12, -0.04). However, no significant effect on birth length or LBW was observed. Video-based SBCC improved IFA adherence, birth weight, and reduced anaemia near delivery. It is a promising approach for community health education in resource-limited settings. REGISTRATION: The study was registered as a clinical trial with the US National Institute of Health (www//.ClinicalTrials.gov; NCT04414527).</p>\",\"PeriodicalId\":51112,\"journal\":{\"name\":\"Maternal and Child Nutrition\",\"volume\":\" \",\"pages\":\"e70122\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Maternal and Child Nutrition\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/mcn.70122\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Maternal and Child Nutrition","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/mcn.70122","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Effects of Video-Based Health Education on Birth Outcomes and Anaemia Status of Mothers in Dirashe District South Ethiopia: A Cluster Randomized Controlled Trial.
Undernutrition and infections during pregnancy result in low birth weight (LBW) and maternal anaemia. Social behaviour change communication (SBCC) can promote recommended health practices, potentially improving maternal and neonatal outcomes. This cluster-randomized controlled trial assessed the effects of video-based health education on adherence to iron-folic acid (IFA) supplementation, pregnancy outcomes, and anaemia status among pregnant women in rural Dirashe District, South Ethiopia. Pregnant women in their first trimester across 16 villages were cluster-randomized into either the intervention or control arms. The control arm received standard antenatal care counselling, while the intervention arm received biweekly video-based nutrition and health education at home until delivery. The primary outcomes included adherence to IFA supplementation, birth outcomes, including neonatal length and weight, and maternal haemoglobin concentrations (Hb) throughout pregnancy. Among 596 enroled pregnant women, 519 provided data until delivery. The intervention significantly improved adherence to IFA supplementation, with a mean difference (95% Confidence Interval) of 25.98 (15.60, 36.36) in IFA disappearance rate and a mean percent difference of 14.80% (3.42, 63.99) in self-reported adherence. The intervention significantly improved birth weight, with a mean difference of 204.9 g (38.7, 371.2). Maternal Hb near delivery improved statistically with a mean difference of 0.22 g/dL (0.15, 0.42), with lower anaemia (Hb < 11.0 g/dL) prevalence, with a mean percent difference of -0.08% (-0.12, -0.04). However, no significant effect on birth length or LBW was observed. Video-based SBCC improved IFA adherence, birth weight, and reduced anaemia near delivery. It is a promising approach for community health education in resource-limited settings. REGISTRATION: The study was registered as a clinical trial with the US National Institute of Health (www//.ClinicalTrials.gov; NCT04414527).
期刊介绍：
Maternal & Child Nutrition addresses fundamental aspects of nutrition and its outcomes in women and their children, both in early and later life, and keeps its audience fully informed about new initiatives, the latest research findings and innovative ways of responding to changes in public attitudes and policy. Drawing from global sources, the Journal provides an invaluable source of up to date information for health professionals, academics and service users with interests in maternal and child nutrition. Its scope includes pre-conception, antenatal and postnatal maternal nutrition, women''s nutrition throughout their reproductive years, and fetal, neonatal, infant, child and adolescent nutrition and their effects throughout life.
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