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Table 2 Community participation interventions versus combined health service and community interventions or other types of community-based interventions

From: Systematic review of community participation interventions to improve maternal health outcomes in rural South Asia

Study/Year published

Country

Duration of intervention

Design

Population

n

Risk of Bias a

Community and Health Service Intervention

Health Service Intervention

Outcome

OR

RR

Acharya 2015 [57]

India

2005 to 2011

RCT

Women becoming pregnant or giving birth during the study period (average age 27 years) and their families

 

1. Low

2. Unclear

3. Unclear

4. Low

5. Low

6. Low

7. Unclear

Overall: Low

Community mobilisation at community level (L2)

Community mobilisation at community level combined with health care messages at district level (L1 and L2)

Antenatal care

  

Any

1.21 [0.86, 1.70]*

1.04 [0.97, 1.10]*

Skilled birth attendant

0.90 [0.56, 1.43]*

0.91 [0.61, 1.35]*

Delivery at a health facility

(N = number of women for all outcomes)

1.10 [1.03, 1.17]**

1.04 [1.02, 1.07]**

     

Community mobilisation at community level (L2)

Healthcare messages at district level (L1)

Antenatal care:

  

Any

 

1.07 [0.98, 1.17]*

Skilled birth attendant

 

0.83 [0.64, 1.07]*

Delivery at a health facility

 

1.09 [1.06, 1.13]**

(N = number of women for all outcomes)

     

Community mobilisation at community level (L2) involving ‘Sure Start’ community field workers working directly with ASHAs and strengthening village health and sanitation committees, and health care messages at district level (L1)

Healthcare messages at district level (L1)

Antenatal care:

  

Any

 

0.76 [0.19, 3.08]*

Skilled birth attendant

 

0.83 [0.64, 1.07]*

Delivery at a health facility (any)

 

1.05 [1.02, 1.08]**

(N = number of women for all outcomes)

  

Baqui [49]

Bangladesh

2003 to 2006

Cluster RCT

24 clusters

All married women of reproductive age

(15–49 years)

 

1.Low

2.Low

3.High

4.High

5.High

6.Low

7.Low

Overall: High

Community mobilisation:

home care with female mobilisers visiting every 8 months

Community mobilisation:

Community care with Male mobilisers visiting every 10 months and Female mobilisers visiting every 4 months

Antenatal care:

  

Any

 

0.76 [0.19, 3.08]*

(N = number of live births, % = cluster averages)

 

0.94 [0.89, 1.00]**

Midhet** [53]

Pakistan 1998–2002

Cluster randomised trial

32 clusters

Women and men of reproductive age (all ever-married women under 50 years of age)

1.Low

2.Unclear

3.Unclear

4.Unclear

5.High

6.Unclear

7.Low

Overall: High

Women’s and men’s education groups

Women’s education groups

Antenatal care

  

Any

1.42 [0.99, 2.05]*

1.05 [0.89, 1.24]*

Delivery at a health facility

(N = number of pregnant women for all outcomes)

1.01 [0.65, 1.56]**

1.01 [0.67, 1.53]**

  1. aRisk of Bias tool (Cochrane)
  2. *Adjusted estimate using outcome specific ICC (Page 1)
  3. **Adjusted estimate reported by authors – adjusted for clustering and stratification
  4. ***Unadjusted estimate reported by authors
  5. #Adjusted estimate reported by authors – adjusted for clustering, stratification and baseline covariates
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BMC Pregnancy and Childbirth

ISSN: 1471-2393

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