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Table 5 Category 1: Detailed results for HIV negative women

From: The role of Community Mobilization in maternal care provision for women in sub-Saharan Africa- A systematic review of studies using an experimental design

Citation Country Study Design Community Mobilization Component Process results Outcome
1. [36] Tanzania Longitudinal Community Capacity Building & Empowerment support for village health workers; (2) developing community-based plans for transportation to health facilities; & (3) increasing participation by community members in planning; Significant improvement in access t health facilities due to increased transport options
Increased attention to Obstetric complications by 275
Deliveries attended by a relative/community member or no one decreased 4% & 6%, respectively but by a TBA increased 200%
 
2. [8] Malawi randomized controlled trial Established participatory women’s groups to mobilize communities around maternal and newborn health   A combined community and facility approach using participatory women's groups and quality improvement at health centers reduced newborn mortality in rural Malawi
3. [17] Malawi Randomized trial Established Community women’s groups to ensure provision of socioeconomic support Better health outcomes for infants reduction in disease for both mother and child
Better health-seeking behavior
Increased Uptake of HIV testing
Reduced MMR, NMR and IMR in treated group,
Conclusion: Community mobilisation through women's groups and volunteer peer counsellor health education are methods to improve maternal and child health outcomes in poor rural populations in Africa.
4. [37] Kenya Randomized control trials Involvement of Community Health Workers in provision of maternal health services Increased visits to health center, increased deliveries by skilled personnel,
“Conclusion increase in essential maternal and neonatal care practices
 
5. [38] Ethiopia randomized controlled trial Mother to Mother support in recognizing maternal health risks   Reduced MMR, NMR and IMR in treated group
6. [34] Angola longitudinal Involvement of traditional birth attendants (TBAs) prenatal, delivery, and postnatal care   Better MMR, NMR and IMR outcomes
7. [33] Sahel Longitudinal Involving TBAs to promote safe motherhood - High levels of retained knowledge of risk factors, hygiene and malaria prophylaxis in 2-year followup survey.
- Low levels of knowledge of postpartum haemorrhage management, low number of births attended for most”
 
8. [27] Nigeria Longitudinal “Involved traditional birth attendants (TBAs) in a rural community maternal health care provision - Increased referrals to health centers increased use of family planning Reduced haemorrhage, oedema, extended labour cases
14. [18] Sudan Longitudinal Involvement of Village TBAs to detect high-risk pregnancy and newborns complications Increased reporting of complications
Increased detection of complications
25% reduction in cases of stillbirth and neonatal death