Promoting Key Family Practices of Common Childhood Illnesses among Mothers with Under-Five Children in Selected Military Communities

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Abstract

Mothers are fundamental caregivers for under-five children and thus, family participation in child health services is very important. Therefore, a quasi-experimental study for promoting key family practices of mothers with under-five children was conducted among 278 respondents from Oaktwin Cantonment and Inndaing Cantonment in 2014. Data were collected by face-to-face interview with pretested structured questionnaire. Health promotion program including health education and advocacy for unit supports was implemented in study group. Before intervention, baseline data of respondents and pre-intervention knowledge and practices levels were identified. In the three-month and six-month after interventions, post-intervention data collection was done in both groups and data were analyzed. Findings show that there was a statistically significant difference of knowledge and practice scores between study group and control group after three-month interventions (t=10.827, p<0.0001, eta squared=0.297 and t=8.2, p<0.0001, eta squared=0.195, respectively), and six-month post-intervention (t=10.035, p<0.0001, eta squared=0.267 and t=8.773, p<0.0001, eta squared=0.304, respectively). Moreover, knowledge and practice level within study groups have a significant effect for time (F=160.45, p<0.0001 and F=113.06, p<0.0001, respectively) and the magnitude of this effect was also large (eta squared=0.699 for knowledge and 0.621 for practice). At the same time, knowledge and practice of control group have a significant effect for time (F=3.648, p=0.029 and F=19.564, p<0.0001, respectively) but this effect was very small. It can be asserted that health promotion program can improve the knowledge and practice of mothers regarding key family practices. The findings of current study might be a cornerstone for improvement of maternal knowledge and practice on caring for children in the military community.
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在选定的军事社区中,促进五岁以下儿童母亲常见儿童疾病的关键家庭实践
母亲是五岁以下儿童的基本照顾者,因此,家庭参与儿童保健服务非常重要。因此,本研究于2014年对奥克特温营和印大营的278名调查对象进行了一项促进五岁以下儿童母亲关键家庭实践的准实验研究。采用面对面访谈和预测结构化问卷的方式收集数据。在研究组实施健康促进计划,包括健康教育和倡导单位支持。干预前,确定被调查者的基线数据和干预前的知识和实践水平。在干预后3个月和6个月,对两组进行干预后数据收集和数据分析。结果显示,实验组与对照组干预3个月后(t=10.827, p<0.0001, eta平方=0.297,t=8.2, p<0.0001, eta平方=0.195)和干预6个月后(t=10.035, p<0.0001, eta平方=0.267,t=8.773, p<0.0001, eta平方=0.304)的知识和实践得分差异均有统计学意义。此外,研究组内的知识水平和实践水平对时间有显著影响(F=160.45, p<0.0001和F=113.06, p<0.0001),这种影响的幅度也很大(知识的平方=0.699,实践的平方= 0.621)。同时,对照组的知识和实践对时间有显著影响(F=3.648, p=0.029, F=19.564, p<0.0001),但这种影响非常小。可以断言,健康促进方案可以提高母亲对关键家庭做法的认识和做法。本研究结果可为提高军人社区母亲关爱儿童的知识和实践水平奠定基础。
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