Reproductive health for refugees by refugees in Guinea III: maternal health
Open accessAbstract
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.
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In a study in Guinea, despite a general lack of maternal health knowledge, most respondents said ANC was important and would seek professional health support in case of danger signs, but still preferred delivery by a TBA.
“in a study in Guinea, despite a general lack of maternal health knowledge, most respondents said that ANC was important and that they would seek professional health support in case of danger signs, but they still preferred delivery by a TBA.”
From Mother, child and adolescent health outcomes in two long-term refugee camp settings at the Thai-Myanmar border 2000–2018: a retrospective analysis (2024) · cites this paper as Howard et al., 2011
The Discussion supports the claims about limited maternal-health knowledge, the importance respondents placed on ANC, and seeking professional help for danger signs. But it says many women preferred facility delivery, not delivery by a traditional birth attendant. The Results also report that most had last delivered at a facility (67%). (LLM, conf=0.88)
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Experimental — accuracy not yet measuredThose exposed to health education had higher odds of facility deliveries.
“Those exposed to health education had higher odds of facility deliveries (Howard et al., 2011).”
From Mother, child and adolescent health outcomes in two long-term refugee camp settings at the Thai-Myanmar border 2000–2018: a retrospective analysis (2024) · cites this paper as Howard et al., 2011
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References 31 · Cited by 17
Research works printed but not linked: 23
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- Authors
- Howard, N., Woodward, A., Souare, Y., Kollie, S., Blankhart, D., von Roenne, A., & Borchert, M.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Instituut voor Tropische Geneeskunde (BE)
- Corresponding author
- Howard, Natasha
- Venue
- Conflict and Health
- Published
- 2011-04-12
- Volume
- 5
- Issue
- 1
- Pages
- 5-5
- ISSN
- 1752-1505 (ISSN-L)
- PMC
- PMC3080804
- OpenAlex
- W2145066171
- Cited by
- 17
- References
- 31
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 1 · 2015: 2 · 2014: 3 · 2013: 2
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Conflict and Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- maternal health, refugee women, institutional delivery, skilled birth attendance, prenatal care, tetanus vaccination, parity, formal education, women of reproductive age, refugee camps, Guinea, conflict settings, home birth
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