Participation in a Community-Based Women's Health Education Program and At-Risk Child Development in Rural Kenya: Developmental Screening Questionnaire Results Analysis

Over 43% of children living in low- and middle-income countries are at risk for developmental delays; however, access to protective interventions in these settings is limited. We evaluated the effect of maternal participation in Chamas for Change (Chamas)-a community-based women's health educat...

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Bibliographic Details
Published in:Global health science and practice 2021-12, Vol.9 (4), p.818-831
Main Authors: McHenry, Megan S, Maldonado, Lauren Y, Yang, Ziyi, Anusu, Gertrude, Kaluhi, Evelyn, Christoffersen-Deb, Astrid, Songok, Julia J, Ruhl, Laura J
Format: Article
Language:English
Subjects:
Child
Child Development
Female
Health Education
Humans
Kenya
Original
Pregnancy
Rural Population
Surveys and Questionnaires
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Summary:Over 43% of children living in low- and middle-income countries are at risk for developmental delays; however, access to protective interventions in these settings is limited. We evaluated the effect of maternal participation in Chamas for Change (Chamas)-a community-based women's health education program during pregnancy and postpartum-and risk of developmental delay among their children in rural Kenya. We analyzed developmental screening questionnaire (DSQ) data from a cluster randomized controlled trial in Trans Nzoia County, Kenya (ClinicalTrials.gov, NCT03187873). Intervention clusters (Chamas) participated in community health volunteer-led, group-based health lessons twice a month during pregnancy and postpartum; controls had monthly home visits (standard of care). We screened all children born during the trial who were alive at 1-year follow-up. We labeled children with any positive item on the DSQ as "at-risk development." We analyzed data using descriptive statistics and multilevel regression models (α=.05); analyses were intention-to-treat using individual-level data. Between November 2017 and March 2018, we enrolled 1,920 pregnant women to participate in the parent trial. At 1-year follow-up, we screened 1,273 (689 intervention, 584 control) children born during the trial with the DSQ. Intervention mothers had lower education levels and higher poverty likelihood scores than controls (
ISSN:2169-575X
2169-575X
DOI:10.9745/GHSP-D-20-00349