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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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| Published in: | Global health science and practice 2021-12, Vol.9 (4), p.818-831 |
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| creator | McHenry, Megan S Maldonado, Lauren Y Yang, Ziyi Anusu, Gertrude Kaluhi, Evelyn Christoffersen-Deb, Astrid Songok, Julia J Ruhl, Laura J |
| description | 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 ( |
| doi_str_mv | 10.9745/GHSP-D-20-00349 |
| format | article |
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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 (
<.001 and
=.007, respectively). The overall rate of at-risk development was 3.5%. Children in Chamas clusters demonstrated significantly lower rates of at-risk development than controls (2.5% vs. 4.8%,
=.025). Adjusted analyses revealed lower odds for at-risk development in the intervention arm (OR=0.50; 95% confidence interval=0.27, 0.94).
Maternal participation in a community-based women's health education program was associated with lower rates of at-risk development compared to the standard of care. Overall, rates of at-risk development were lower than expected for this population, warranting further investigation. Chamas may help protect children from developmental delay in rural Kenya and other resource-limited settings.</description><identifier>ISSN: 2169-575X</identifier><identifier>EISSN: 2169-575X</identifier><identifier>DOI: 10.9745/GHSP-D-20-00349</identifier><identifier>PMID: 34933978</identifier><language>eng</language><publisher>United States: Global Health: Science and Practice</publisher><subject>Child ; Child Development ; Female ; Health Education ; Humans ; Kenya ; Original ; Pregnancy ; Rural Population ; Surveys and Questionnaires</subject><ispartof>Global health science and practice, 2021-12, Vol.9 (4), p.818-831</ispartof><rights>McHenry et al.</rights><rights>McHenry et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-4c9d4f730e87b8730eff704a8aefe1ebfa2899420539d9c2ea6228b33b066bc53</citedby><cites>FETCH-LOGICAL-c393t-4c9d4f730e87b8730eff704a8aefe1ebfa2899420539d9c2ea6228b33b066bc53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691876/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691876/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34933978$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McHenry, Megan S</creatorcontrib><creatorcontrib>Maldonado, Lauren Y</creatorcontrib><creatorcontrib>Yang, Ziyi</creatorcontrib><creatorcontrib>Anusu, Gertrude</creatorcontrib><creatorcontrib>Kaluhi, Evelyn</creatorcontrib><creatorcontrib>Christoffersen-Deb, Astrid</creatorcontrib><creatorcontrib>Songok, Julia J</creatorcontrib><creatorcontrib>Ruhl, Laura J</creatorcontrib><title>Participation in a Community-Based Women's Health Education Program and At-Risk Child Development in Rural Kenya: Developmental Screening Questionnaire Results Analysis</title><title>Global health science and practice</title><addtitle>Glob Health Sci Pract</addtitle><description>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 (
<.001 and
=.007, respectively). The overall rate of at-risk development was 3.5%. Children in Chamas clusters demonstrated significantly lower rates of at-risk development than controls (2.5% vs. 4.8%,
=.025). Adjusted analyses revealed lower odds for at-risk development in the intervention arm (OR=0.50; 95% confidence interval=0.27, 0.94).
Maternal participation in a community-based women's health education program was associated with lower rates of at-risk development compared to the standard of care. Overall, rates of at-risk development were lower than expected for this population, warranting further investigation. Chamas may help protect children from developmental delay in rural Kenya and other resource-limited settings.</description><subject>Child</subject><subject>Child Development</subject><subject>Female</subject><subject>Health Education</subject><subject>Humans</subject><subject>Kenya</subject><subject>Original</subject><subject>Pregnancy</subject><subject>Rural Population</subject><subject>Surveys and Questionnaires</subject><issn>2169-575X</issn><issn>2169-575X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVkU9v1DAQxSMEolXpmRvyDS6hjp0_NgekZbd0EZVYtiC4WRNnsmtI7MVOKu036sesw5Zq8WUsz5vfPOslycuMvpVVXlxcLW9W6SJlNKWU5_JJcsqyUqZFVfx8enQ_Sc5D-EXjkXnGpHienEQ157ISp8ndCvxgtNnBYJwlxhIgc9f3ozXDPv0AARvyw_VoXweyROiGLblsRn1Qr7zbeOgJ2IbMhnRtwm8y35quIQu8xc7t4twwMdejh458RruHd8e9-HijPaI1dkO-jhgmrAXjkawxjN0QyMxCtw8mvEietdAFPH-oZ8n3j5ff5sv0-svVp_nsOtVc8iHNtWzytuIURVWLqbZtRXMQgC1mWLfAhJQ5owWXjdQMoWRM1JzXtCxrXfCz5P2BuxvrHhsdXUbvaudND36vHBj1f8eardq4WyVKmYmqjIA3DwDv_kxfUr0JGrsOLLoxKFZmrIrGch6lFwep9i4Ej-3jmoyqKWI1RawWilH1N-I48erY3aP-X6D8HoB5psA</recordid><startdate>20211231</startdate><enddate>20211231</enddate><creator>McHenry, Megan S</creator><creator>Maldonado, Lauren Y</creator><creator>Yang, Ziyi</creator><creator>Anusu, Gertrude</creator><creator>Kaluhi, Evelyn</creator><creator>Christoffersen-Deb, Astrid</creator><creator>Songok, Julia J</creator><creator>Ruhl, Laura J</creator><general>Global Health: Science and Practice</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211231</creationdate><title>Participation in a Community-Based Women's Health Education Program and At-Risk Child Development in Rural Kenya: Developmental Screening Questionnaire Results Analysis</title><author>McHenry, Megan S ; Maldonado, Lauren Y ; Yang, Ziyi ; Anusu, Gertrude ; Kaluhi, Evelyn ; Christoffersen-Deb, Astrid ; Songok, Julia J ; Ruhl, Laura J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-4c9d4f730e87b8730eff704a8aefe1ebfa2899420539d9c2ea6228b33b066bc53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Child</topic><topic>Child Development</topic><topic>Female</topic><topic>Health Education</topic><topic>Humans</topic><topic>Kenya</topic><topic>Original</topic><topic>Pregnancy</topic><topic>Rural Population</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McHenry, Megan S</creatorcontrib><creatorcontrib>Maldonado, Lauren Y</creatorcontrib><creatorcontrib>Yang, Ziyi</creatorcontrib><creatorcontrib>Anusu, Gertrude</creatorcontrib><creatorcontrib>Kaluhi, Evelyn</creatorcontrib><creatorcontrib>Christoffersen-Deb, Astrid</creatorcontrib><creatorcontrib>Songok, Julia J</creatorcontrib><creatorcontrib>Ruhl, Laura J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Global health science and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McHenry, Megan S</au><au>Maldonado, Lauren Y</au><au>Yang, Ziyi</au><au>Anusu, Gertrude</au><au>Kaluhi, Evelyn</au><au>Christoffersen-Deb, Astrid</au><au>Songok, Julia J</au><au>Ruhl, Laura J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Participation in a Community-Based Women's Health Education Program and At-Risk Child Development in Rural Kenya: Developmental Screening Questionnaire Results Analysis</atitle><jtitle>Global health science and practice</jtitle><addtitle>Glob Health Sci Pract</addtitle><date>2021-12-31</date><risdate>2021</risdate><volume>9</volume><issue>4</issue><spage>818</spage><epage>831</epage><pages>818-831</pages><issn>2169-575X</issn><eissn>2169-575X</eissn><abstract>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 (
<.001 and
=.007, respectively). The overall rate of at-risk development was 3.5%. Children in Chamas clusters demonstrated significantly lower rates of at-risk development than controls (2.5% vs. 4.8%,
=.025). Adjusted analyses revealed lower odds for at-risk development in the intervention arm (OR=0.50; 95% confidence interval=0.27, 0.94).
Maternal participation in a community-based women's health education program was associated with lower rates of at-risk development compared to the standard of care. Overall, rates of at-risk development were lower than expected for this population, warranting further investigation. Chamas may help protect children from developmental delay in rural Kenya and other resource-limited settings.</abstract><cop>United States</cop><pub>Global Health: Science and Practice</pub><pmid>34933978</pmid><doi>10.9745/GHSP-D-20-00349</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Child Child Development Female Health Education Humans Kenya Original Pregnancy Rural Population Surveys and Questionnaires |
| title | Participation in a Community-Based Women's Health Education Program and At-Risk Child Development in Rural Kenya: Developmental Screening Questionnaire Results Analysis |
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