{"doi":"10.9745/ghsp-d-20-00349","title":"Participation in a Community-Based Women's Health Education Program and At-Risk Child Development in Rural Kenya: Developmental Screening Questionnaire Results Analysis","abstract":null,"journal":"Global Health: Science and Practice","year":2021,"id":643686,"datarank":0.26876392038420827,"base_score":1.791759469228055,"endowment":1.791759469228055,"self_citation_contribution":0.26876392038420827,"citation_network_contribution":0.0,"self_endowment_contribution":0.26876392038420827,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1674912,"name":"Lauren Y. Maldonado","orcid":null,"position":1,"is_corresponding":false},{"id":526569,"name":"Ziyi Yang","orcid":"0000-0002-6863-6393","position":2,"is_corresponding":false},{"id":1674913,"name":"Gertrude Anusu","orcid":null,"position":3,"is_corresponding":false},{"id":1674914,"name":"Evelyn Kaluhi","orcid":null,"position":4,"is_corresponding":false},{"id":1674915,"name":"Astrid Christoffersen-Deb","orcid":null,"position":5,"is_corresponding":false},{"id":1674917,"name":"Julia J. Songok","orcid":null,"position":6,"is_corresponding":false},{"id":729597,"name":"Laura J. Ruhl","orcid":"0000-0001-6646-9977","position":7,"is_corresponding":false},{"id":707857,"name":"Megan S. McHenry","orcid":"0000-0001-6753-0928","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Participation in a Community-Based Women's Health Education Program and At-Risk Child Development in Rural Kenya: Developmental Screening Questionnaire Results Analysis","abstract":"<h3>ABSTRACT</h3> <h3>Background:</h3> Over 43% of children living in low- and middle-income countries are at risk for developmental delays; however, access to protective interventions in these settings is limited. We evaluated the effect of maternal participation in Chamas for Change (Chamas)—a community-based women9s health education program during pregnancy and postpartum—and risk of developmental delay among their children in rural Kenya. <h3>Methods:</h3> We analyzed developmental screening questionnaire (DSQ) data from a cluster randomized controlled trial in Trans Nzoia County, Kenya (ClinicalTrials.gov, NCT03187873). Intervention clusters (Chamas) participated in community health volunteer-led, group-based health lessons twice a month during pregnancy and postpartum; controls had monthly home visits (standard of care). We screened all children born during the trial who were alive at 1-year follow-up. We labeled children with any positive item on the DSQ as “at-risk development.” We analyzed data using descriptive statistics and multilevel regression models (α=.05); analyses were intention-to-treat using individual-level data. <h3>Results:</h3> Between November 2017 and March 2018, we enrolled 1,920 pregnant women to participate in the parent trial. At 1-year follow-up, we screened 1,273 (689 intervention, 584 control) children born during the trial with the DSQ. Intervention mothers had lower education levels and higher poverty likelihood scores than controls (<i>P</i>&lt;.001 and <i>P</i>=.007, respectively). The overall rate of at-risk development was 3.5%. Children in Chamas clusters demonstrated significantly lower rates of at-risk development than controls (2.5% vs. 4.8%, <i>P</i>=.025). Adjusted analyses revealed lower odds for at-risk development in the intervention arm (OR=0.50; 95% confidence interval=0.27, 0.94). <h3>Conclusions:</h3> Maternal participation in a community-based women9s health education program was associated with lower rates of at-risk development compared to the standard of care. Overall, rates of at-risk development were lower than expected for this population, warranting further investigation. Chamas may help protect children from developmental delay in rural Kenya and other resource-limited settings.","is_dataset_classified":null,"base_score":1.791759469228055,"endowment":1.791759469228055,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"34933978","pmcid":"PMC8691876","openalex_id":"https://openalex.org/W4200450225","authors":[],"funders":[{"funder_name":"NIMH NIH HHS","grant_id":"K23 MH116808","title":null},{"funder_name":"National Institutes of Health","grant_id":"1K23MH116808-01A1","title":"Neurodevelopmental screening in children born to HIV-infected mothers in Kenya"}],"total_grants":2,"fwci":0.6666,"citation_percentile":0.74367769,"influential_citations":0,"citation_trend":[{"year":2023,"count":1},{"year":2024,"count":1},{"year":2025,"count":1},{"year":2026,"count":2}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.ghspjournal.org/content/ghsp/9/4/818.full.pdf","host_type":"journal"},{"url":"https://www.ghspjournal.org/content/ghsp/9/4/818.full.pdf","host_type":"publisher"},{"url":"https://syndication.highwire.org/content/doi/10.9745/GHSP-D-20-00349","host_type":"publisher"},{"url":"https://doi.org/10.9745/ghsp-d-20-00349","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/34933978","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8691876","host_type":"repository"},{"url":"https://hdl.handle.net/1805/42760","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC8691876","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC8691876?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.9745/GHSP-D-20-00349","host_type":""},{"url":"https://doi.org/https://doi.org/10.9745/GHSP-D-20-00349","host_type":""}],"fields_of_study":["Global Maternal and Child Health","Child Nutrition and Water Access","Maternal Mental Health During Pregnancy and Postpartum","03 medical and health sciences","0302 clinical medicine","Child","Child Development","Female","Health Education","Humans","Kenya","Pregnancy","Rural Population","Surveys and Questionnaires"],"mesh_terms":["Child","Child Development","Female","Health Education","Humans","Kenya","Pregnancy","Surveys and Questionnaires","Rural Population"],"keywords":["Medicine","Psychological intervention","Descriptive statistics","Cluster randomised controlled trial","Randomized controlled trial","Demography","Poverty","Cluster (spacecraft)","Pediatrics","Nursing","Rural Population","Risk child development","330","610","Pregnancy and postpartum","Child Development","Pregnancy","Surveys and Questionnaires","Humans","Child","Health Education","Women’s health education program","Kenya","Original Article","Female"],"sdg_mappings":[{"sdg_number":1,"sdg_label":"1. No poverty"},{"sdg_number":2,"sdg_label":"2. Zero hunger"},{"sdg_number":3,"sdg_label":"3. Good health"},{"sdg_number":4,"sdg_label":"4. Education"},{"sdg_number":5,"sdg_label":"5. Gender equality"},{"sdg_number":10,"sdg_label":"10. No inequality"},{"sdg_number":16,"sdg_label":"16. 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