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Subseries Maternal and Child Health - An Integrated Approach to Determine Appropriate Model for Promoting Knowledge on Maternal and Child Health to Communities through MCH Networking

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TH 2000 Kanchanaburi-Research-Maternal and Child Health


An Integrated Approach to Determine Appropriate Model for Promoting Knowledge on Maternal and Child Health to Communities through MCH Networking


  • 2002 (Creation)

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IPSR (1971)

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Despite a high profile police to improve health care of mother and child in Thailand and the adoption of a safe motherhood programme as a priority of maternal and child health strategy by the Thai government, it is not clear whether previously observed declines in maternal and child health have been reversed. This study attempts to investigate, within the context of maternal and child health in particular, knowledge, attitude and behaviour of mothers during pregnancy and after birth. It covers the aspects of child care which are affected by maternal health during and after birth including risk behaviour which may affect the child. It use and integrated approach to determine an appropriate model for promoting knowledge of maternal and child health in communities, through MCH networking. The study was conducted in Saiyok district, Kanchanaburi province. Combined of methods were used in this study, consisting of structured-interviews, in-depth interviews, focus group discussions and participant observation. The study also used public meetings and community participation to allow stakeholders to become more responsive to need and therefore increases uptake of services available. This from of meeting proved particularly used for conducting in community health research.
The findings suggest that mothers of children under 5 years had inadequate knowledge of immunization, and of iron folate tablets. A large majority of the mothers had made four visits for ante-natal care; however, not all were on appointment. About a quarter of the mothers had caesarean section or assisted delivery, whilst low birth weight (<2500 grams) was about 12%. The findings also suggest that many mothers had inadequate knowledge or understanding about beneficial foods, breastfeeding and self-care during pregnancy and after birth. In addition, they also suggest that the social and economic environment may have contributed to low birth weight. Thus, not individual factors (life style) or structural factors (socio-economic, community, health care provider) can totally account for increasing knowledge and understanding and mother’s behaviours about maternal and child health, since there is a high degree of synergy between them. There is consequently a need to deepen understanding of the overall context for maternal and child health to be improved, and a deeper understanding of causes needs to be addressed for further study.

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