Building social networks for maternal and newborn health in poor urban settlements: a cross-sectional study in Bangladesh
The beneficial influence of social networks on health and wellbeing is well-established. In poor urban settlements in Bangladesh, BRAC's Manoshi programme trains community health workers (CHWs) to support women through pregnancy, delivery and postpartum periods. This paper test the hypothesis t...
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| description | The beneficial influence of social networks on health and wellbeing is well-established. In poor urban settlements in Bangladesh, BRAC's Manoshi programme trains community health workers (CHWs) to support women through pregnancy, delivery and postpartum periods. This paper test the hypothesis that the introduction of CHWs as weak ties into the social networks of Manoshi members mediates improvements in maternal and neonatal health (MNH) best practices by providing support, facilitating ideational change, connecting mother to resources, and strengthening or countering the influence of strong ties.
1000 women who had given birth in the last three months were identified and interviewed as part of ongoing monitoring of 5 poor urban settlements in Dhaka, Bangladesh. A social networks questionnaire was administered which elicited women's perceived networks around pregnancy, delivery and post-partum periods. Mediation analysis was performed to test the hypothesis that penetration of Manoshi CHWs into women's perceived networks has a beneficial effect on MNH best practises.
The presence and influence of Manoshi CHWs in women's networks significantly mediated the effect of Manoshi membership on MNH best practices. Respondents who were Manoshi members and who listed Manoshi CHWs as part of their support networks were significantly more likely to deliver with a trained birth attendant (OR 3.61; 95%CI 2.36-5.51), to use postnatal care (OR 3.09; 95%CI 1.83-5.22), and to give colostrum to their newborn (OR 7.51; 95%CI 3.51-16.05).
Manoshi has succeeded in penetrating the perceived pregnancy, delivery and post-partum networks of poor urban women through the introduction of trained CHWs. Study findings demonstrate the benefits of moving beyond urban health care delivery models that concentrate on the provision of clinical services by medical providers, to an approach that nurtures the power of social networks as a means to support the poorest and most marginalized in changing behaviour and effectively accessing appropriate maternal services. |
| doi_str_mv | 10.1371/journal.pone.0123817 |
| format | Article |
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1000 women who had given birth in the last three months were identified and interviewed as part of ongoing monitoring of 5 poor urban settlements in Dhaka, Bangladesh. A social networks questionnaire was administered which elicited women's perceived networks around pregnancy, delivery and post-partum periods. Mediation analysis was performed to test the hypothesis that penetration of Manoshi CHWs into women's perceived networks has a beneficial effect on MNH best practises.
The presence and influence of Manoshi CHWs in women's networks significantly mediated the effect of Manoshi membership on MNH best practices. Respondents who were Manoshi members and who listed Manoshi CHWs as part of their support networks were significantly more likely to deliver with a trained birth attendant (OR 3.61; 95%CI 2.36-5.51), to use postnatal care (OR 3.09; 95%CI 1.83-5.22), and to give colostrum to their newborn (OR 7.51; 95%CI 3.51-16.05).
Manoshi has succeeded in penetrating the perceived pregnancy, delivery and post-partum networks of poor urban women through the introduction of trained CHWs. Study findings demonstrate the benefits of moving beyond urban health care delivery models that concentrate on the provision of clinical services by medical providers, to an approach that nurtures the power of social networks as a means to support the poorest and most marginalized in changing behaviour and effectively accessing appropriate maternal services.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0123817</identifier><identifier>PMID: 25910191</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Analysis ; Bangladesh - epidemiology ; Birth ; Colostrum ; Cross-Sectional Studies ; Female ; Health ; Health care ; Health services ; Humans ; Infant Health ; Infant, Newborn ; Maternal Health Services ; Medical personnel ; Models, Statistical ; Neonates ; Newborn babies ; Newborn infants ; Occupational health ; Postpartum ; Poverty Areas ; Pregnancy ; Public Health Surveillance ; Risk Factors ; Social interactions ; Social Networking ; Social networks ; Social organization ; Social Support ; Training ; Urban areas ; Urban poor ; Urban Population ; Workers ; Young Adult</subject><ispartof>PloS one, 2015-04, Vol.10 (4), p.e0123817-e0123817</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Adams et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Adams et al 2015 Adams et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c585t-32fec778640d3353149c28ac91e63ad3e5850d0301b442564d5743f1a1800c9e3</citedby><cites>FETCH-LOGICAL-c585t-32fec778640d3353149c28ac91e63ad3e5850d0301b442564d5743f1a1800c9e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409321/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409321/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25910191$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adams, Alayne M</creatorcontrib><creatorcontrib>Nababan, Herfina Y</creatorcontrib><creatorcontrib>Hanifi, S M Manzoor Ahmed</creatorcontrib><title>Building social networks for maternal and newborn health in poor urban settlements: a cross-sectional study in Bangladesh</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The beneficial influence of social networks on health and wellbeing is well-established. In poor urban settlements in Bangladesh, BRAC's Manoshi programme trains community health workers (CHWs) to support women through pregnancy, delivery and postpartum periods. This paper test the hypothesis that the introduction of CHWs as weak ties into the social networks of Manoshi members mediates improvements in maternal and neonatal health (MNH) best practices by providing support, facilitating ideational change, connecting mother to resources, and strengthening or countering the influence of strong ties.
1000 women who had given birth in the last three months were identified and interviewed as part of ongoing monitoring of 5 poor urban settlements in Dhaka, Bangladesh. A social networks questionnaire was administered which elicited women's perceived networks around pregnancy, delivery and post-partum periods. Mediation analysis was performed to test the hypothesis that penetration of Manoshi CHWs into women's perceived networks has a beneficial effect on MNH best practises.
The presence and influence of Manoshi CHWs in women's networks significantly mediated the effect of Manoshi membership on MNH best practices. Respondents who were Manoshi members and who listed Manoshi CHWs as part of their support networks were significantly more likely to deliver with a trained birth attendant (OR 3.61; 95%CI 2.36-5.51), to use postnatal care (OR 3.09; 95%CI 1.83-5.22), and to give colostrum to their newborn (OR 7.51; 95%CI 3.51-16.05).
Manoshi has succeeded in penetrating the perceived pregnancy, delivery and post-partum networks of poor urban women through the introduction of trained CHWs. Study findings demonstrate the benefits of moving beyond urban health care delivery models that concentrate on the provision of clinical services by medical providers, to an approach that nurtures the power of social networks as a means to support the poorest and most marginalized in changing behaviour and effectively accessing appropriate maternal services.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis</subject><subject>Bangladesh - epidemiology</subject><subject>Birth</subject><subject>Colostrum</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health</subject><subject>Health care</subject><subject>Health services</subject><subject>Humans</subject><subject>Infant Health</subject><subject>Infant, Newborn</subject><subject>Maternal Health Services</subject><subject>Medical personnel</subject><subject>Models, Statistical</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Newborn infants</subject><subject>Occupational health</subject><subject>Postpartum</subject><subject>Poverty Areas</subject><subject>Pregnancy</subject><subject>Public Health Surveillance</subject><subject>Risk Factors</subject><subject>Social interactions</subject><subject>Social Networking</subject><subject>Social networks</subject><subject>Social organization</subject><subject>Social Support</subject><subject>Training</subject><subject>Urban areas</subject><subject>Urban poor</subject><subject>Urban Population</subject><subject>Workers</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkl1v0zAUhiMEYmPwDxBYQkLcpNixHSe7QNomPiZN4gaurRPbaVNcu9gOU_89TptNLeLK1jnPec9nUbwmeEGoIB_XfgwO7GLrnVlgUtGGiCfFOWlpVdYVpk-P_mfFixjXGHPa1PXz4qziLcGkJefF7nocrB7cEkWvBrDImXTvw6-Ieh_QBpKZkiBwOnvuOx8cWhmwaYUGh7Y-M2PowKFoUrJmY1yKlwiQCj7GMhqVBj_FxzTq3RRyDW5pQZu4elk868FG82p-L4qfXz7_uPlW3n3_entzdVcq3vBU0qo3SoimZlhTyilhraoaUC0xNQVNTaawxhSTjrGK10xzwWhPgDQYq9bQi-LtQXdrfZTz1KIktagJxxXnmbg9ENrDWm7DsIGwkx4GuTf4sJQQ0qCskW3fUdKTtquhZ0a1wFtWY2gE77XIxqz1ac42dhujVR5IAHsieupxw0ou_R_JGM7bIlngwywQ_O_RxCQ3Q1TGWnDGj_u6BRUcM5rRd_-g_-9uppaQGxhc73NeNYnKK1ZVnDVYTGnfH1GHFUdvx2l_8RRkB3C_4mD6x94IltNhPhQhp8OU82HmsDfHc3kMerhE-hejZuBl</recordid><startdate>20150424</startdate><enddate>20150424</enddate><creator>Adams, Alayne M</creator><creator>Nababan, Herfina Y</creator><creator>Hanifi, S M Manzoor Ahmed</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150424</creationdate><title>Building social networks for maternal and newborn health in poor urban settlements: a cross-sectional study in Bangladesh</title><author>Adams, Alayne M ; Nababan, Herfina Y ; Hanifi, S M Manzoor Ahmed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c585t-32fec778640d3353149c28ac91e63ad3e5850d0301b442564d5743f1a1800c9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Analysis</topic><topic>Bangladesh - epidemiology</topic><topic>Birth</topic><topic>Colostrum</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health</topic><topic>Health care</topic><topic>Health services</topic><topic>Humans</topic><topic>Infant Health</topic><topic>Infant, Newborn</topic><topic>Maternal Health Services</topic><topic>Medical personnel</topic><topic>Models, Statistical</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Newborn infants</topic><topic>Occupational health</topic><topic>Postpartum</topic><topic>Poverty Areas</topic><topic>Pregnancy</topic><topic>Public Health Surveillance</topic><topic>Risk Factors</topic><topic>Social interactions</topic><topic>Social Networking</topic><topic>Social networks</topic><topic>Social organization</topic><topic>Social Support</topic><topic>Training</topic><topic>Urban areas</topic><topic>Urban poor</topic><topic>Urban Population</topic><topic>Workers</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adams, Alayne M</creatorcontrib><creatorcontrib>Nababan, Herfina Y</creatorcontrib><creatorcontrib>Hanifi, S M Manzoor Ahmed</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adams, Alayne M</au><au>Nababan, Herfina Y</au><au>Hanifi, S M Manzoor Ahmed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Building social networks for maternal and newborn health in poor urban settlements: a cross-sectional study in Bangladesh</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-04-24</date><risdate>2015</risdate><volume>10</volume><issue>4</issue><spage>e0123817</spage><epage>e0123817</epage><pages>e0123817-e0123817</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The beneficial influence of social networks on health and wellbeing is well-established. In poor urban settlements in Bangladesh, BRAC's Manoshi programme trains community health workers (CHWs) to support women through pregnancy, delivery and postpartum periods. This paper test the hypothesis that the introduction of CHWs as weak ties into the social networks of Manoshi members mediates improvements in maternal and neonatal health (MNH) best practices by providing support, facilitating ideational change, connecting mother to resources, and strengthening or countering the influence of strong ties.
1000 women who had given birth in the last three months were identified and interviewed as part of ongoing monitoring of 5 poor urban settlements in Dhaka, Bangladesh. A social networks questionnaire was administered which elicited women's perceived networks around pregnancy, delivery and post-partum periods. Mediation analysis was performed to test the hypothesis that penetration of Manoshi CHWs into women's perceived networks has a beneficial effect on MNH best practises.
The presence and influence of Manoshi CHWs in women's networks significantly mediated the effect of Manoshi membership on MNH best practices. Respondents who were Manoshi members and who listed Manoshi CHWs as part of their support networks were significantly more likely to deliver with a trained birth attendant (OR 3.61; 95%CI 2.36-5.51), to use postnatal care (OR 3.09; 95%CI 1.83-5.22), and to give colostrum to their newborn (OR 7.51; 95%CI 3.51-16.05).
Manoshi has succeeded in penetrating the perceived pregnancy, delivery and post-partum networks of poor urban women through the introduction of trained CHWs. Study findings demonstrate the benefits of moving beyond urban health care delivery models that concentrate on the provision of clinical services by medical providers, to an approach that nurtures the power of social networks as a means to support the poorest and most marginalized in changing behaviour and effectively accessing appropriate maternal services.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25910191</pmid><doi>10.1371/journal.pone.0123817</doi><oa>free_for_read</oa></addata></record> |
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| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Analysis Bangladesh - epidemiology Birth Colostrum Cross-Sectional Studies Female Health Health care Health services Humans Infant Health Infant, Newborn Maternal Health Services Medical personnel Models, Statistical Neonates Newborn babies Newborn infants Occupational health Postpartum Poverty Areas Pregnancy Public Health Surveillance Risk Factors Social interactions Social Networking Social networks Social organization Social Support Training Urban areas Urban poor Urban Population Workers Young Adult |
| title | Building social networks for maternal and newborn health in poor urban settlements: a cross-sectional study in Bangladesh |
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