Reproductive health for refugees by refugees in Guinea III: maternal health

N Howard, A Woodward, Y Souare, S Kollie, D Blankhart, A von Roenne, M Borchert

    Research output: Contribution to journalA4: Article in journal not included in A1, A2 or A3

    Abstract

    BACKGROUND: Maternal mortality can be particularly high in conflict and chronic emergency settings, partly due to inaccessible maternal care. This paper examines associations of refugee-led health education, formal education, age, and parity on maternal knowledge, attitudes, and practices among reproductive-age women in refugee camps in Guinea. METHODS: Data comes from a 1999 cross-sectional survey of 444 female refugees in 23 camps. Associations of reported maternal health outcomes with exposure to health education (exposed versus unexposed), formal education (none versus some), age (adolescent versus adult), or parity (nulliparous, parous, grand multiparous), were analysed using logistic regression. RESULTS: No significant differences were found in maternal knowledge or attitudes. Virtually all respondents said pregnant women should attend antenatal care and knew the importance of tetanus vaccination. Most recognised abdominal pain (75%) and headaches (24%) as maternal danger signs and recommended facility attendance for danger signs. Most had last delivered at a facility (67%), mainly for safety reasons (99%). Higher odds of facility delivery were found for those exposed to RHG health education (adjusted odds ratio 2.03, 95%CI 1.23-3.01), formally educated (adjusted OR 1.93, 95%CI 1.05-3.92), or grand multipara (adjusted OR 2.13, 95%CI 1.21-3.75). Main reasons for delivering at home were distance to a facility (94%) and privacy (55%). CONCLUSIONS: Refugee-led maternal health education appeared to increase facility delivery for these refugee women. Improved knowledge of danger signs and the importance of skilled birth attendance, while vital, may be less important in chronic emergency settings than improving facility access where quality of care is acceptable.
    Original languageEnglish
    JournalConflict and Health
    Volume5
    Issue number5
    Pages (from-to)1-8
    Number of pages8
    ISSN1752-1505
    DOIs
    Publication statusPublished - 2011

    Keywords

    • B780-tropical-medicine
    • Reproductive health
    • Maternal health
    • Epidemiology
    • Refugees
    • Peer education
    • Health education
    • KAP
    • Knowledge
    • Attitudes
    • Practices
    • Associations
    • Educational status
    • Women
    • Pregnancy
    • Antenatal care
    • Tetanus
    • Vaccination
    • Health care delivery
    • Accessibility
    • Refugee camps
    • Guinea
    • Africa-West

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