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. 2015 Oct 7;10(10):e0138116. doi: 10.1371/journal.pone.0138116

Table 3. Studies that promote awareness of rights and document effects on maternal health care-seeking.

Author(s) and Year Geographic area Intervention(s) Study type and quality Study outcomes ANC Childbirth
Pandey, Sehfal, Roboud, Levine & Goyal 2007 - Rural India, Uttar Pradesh state-Study in 105 village clusters across 21 districts -Intervention with 22,495 households in 55 village clusters across 11 districts -4-6 public meetings during two visits spaced two weeks apart to disseminate information about entitled health and education services and village governance -Control areas received no intervention disseminating awareness of rights -Endline surveys carried out one year after the intervention and qualitative data collected two years after the intervention -Cluster randomized trial -Strong quality -Multivariate random-effects regression increased prenatal examinations 30%, p<0.001 n/a
Bjorkman & Svensson2009 -Rural Uganda, 4 regions, 9 districts-Study included 50 communities -Intervention with approximately 55,000 households in 25 communities -A community score card process with a week of meetings when communities and health facility staff review local priorities and action plans and agree on contracts monitored by communities, revisited in meetings six months later -Control areas had no participatory community scorecard intervention -Endline surveys carried out one year after the intervention started -Cluster randomized trial -Moderate quality -Difference in difference estimate for the average number of ANC visits provided at facility per month: 5.5 (not significant) -Difference-in-difference estimates for average facility deliveries per month:-Cross-sectional data: 3.5 (significant at 10%) -Value-added model: 6.3 (significant at 10%)
Ganju, Khanna, Taparia & Hardikar 2014 -Rural India, Dabhva and Sevaniya blocks in Dahod district, Gujarat state-Intervention with 10,374 people in 12 villages -Over two years local volunteers visit families and prospectively fill a monitoring tool for every woman once during pregnancy and once during post-partum. A report card is developed to dialogue with different stakeholders and support local action.-No control groups -Participatory action research-Weak quality -Registration of women for ANC within three months of pregnancy increased from 31.4% to 54.3% in Dhabva block and 17% to 41.8% in Sevaniya block. -Institutional deliveries increased from 57.1% to 84.6% in Dhabva block and 45.0% to 66.6% in Sevaniya block.
Sinha 2008 -Rural India, Andhra Pradesh state-Intervention with approximately 40,000 people in 37 villages and poor area of headquarter village in 1 district -Over 15 months awareness raising and community support for pregnant women through local government and youth committees; involvement of their families through monthly meetings; and home visits by a community organizer who worked with families to create a birth preparedness plan and support access to care. -No control groups -Pre- and post-intervention design-Weak quality -95.8% of women received 1 ANC Visit (vs. 90.3% at baseline) (p< = 0.001) -72.5% of women received 3+ ANC visits (vs. 61.0% at baseline) (p< = 0.001) -38.4% delivered at home (vs. 54.1% at baseline) (p< = 0.001)