International Health
Volume 2, Issue 1 , Pages 25-35 , March 2010

Understanding how women's groups improve maternal and newborn health in Makwanpur, Nepal: a qualitative study

  • J. Morrison

      Affiliations

    • UCL Centre for International Health and Development, Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 20 7905 2261/2883; fax: +44 20 7404 2062.
  • ,
  • R. Thapa

      Affiliations

    • Mother and Infant Research Activities (MIRA), PO Box 921, Kathmandu, Nepal
  • ,
  • S. Hartley

      Affiliations

    • UCL Centre for International Health and Development, Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK
  • ,
  • D. Osrin

      Affiliations

    • UCL Centre for International Health and Development, Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK
  • ,
  • M. Manandhar

      Affiliations

    • Mother and Infant Research Activities (MIRA), PO Box 921, Kathmandu, Nepal
  • ,
  • K. Tumbahangphe

      Affiliations

    • Mother and Infant Research Activities (MIRA), PO Box 921, Kathmandu, Nepal
  • ,
  • R. Neupane

      Affiliations

    • Mother and Infant Research Activities (MIRA), PO Box 921, Kathmandu, Nepal
  • ,
  • B. Budhathoki

      Affiliations

    • Mother and Infant Research Activities (MIRA), PO Box 921, Kathmandu, Nepal
  • ,
  • A. Sen

      Affiliations

    • Mother and Infant Research Activities (MIRA), PO Box 921, Kathmandu, Nepal
  • ,
  • N. Pace

      Affiliations

    • Mother and Infant Research Activities (MIRA), PO Box 921, Kathmandu, Nepal
  • ,
  • D.S. Manandhar

      Affiliations

    • Mother and Infant Research Activities (MIRA), PO Box 921, Kathmandu, Nepal
  • ,
  • A. Costello

      Affiliations

    • UCL Centre for International Health and Development, Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK

Received 18 August 2009 ,Accepted 27 November 2009.

References 

  1. Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: when, where, why?. Lancet. 2005 March;365(Neonatal Survival Series):9–18
  2. Nepal Ministry of Health and Population. Nepal Demographic and Health Survey. Kathmandu: Population Division, Ministry of Health and Population, Government of Nepal, New Era ORC Macro; 2006.
  3. Manandhar DS, Osrin D, Shrestha BP, Mesko N, Morrison J, Tumbahangphe KM, et al. Effect of a participatory intervention with women's groups on birth outcomes in Nepal: a cluster randomised controlled trial. Lancet. 2004;364:970–979
  4. Morrison J, Tamang S, Mesko N, Osrin D, Shrestha B, Manandhar M, et al. Women's health groups to improve perinatal care in rural Nepal. BMC Pregnancy Childbirth. 2005;5:6
  5. Wight D, Obasi A. Unpacking the black box: the importance of process data to explain outcomes. In:  Stephenson J,  Imrie J,  Bonell C editor. Effective sexual health interventions, issues in experimental evaluation. Oxford: Oxford University Press; 2003;
  6. Howard Grabman L. Planning together: developing community plans to address priority maternal and neonatal health problems in rural Bolivia. In:  De Koning K,  Martin M editor. Participatory research in health issues and experiences. London: Zed Books; 1996;
  7. Chambers R. Notes for participants in PRA–PLA familiarisation workshops in 2004. Brighton: Institute of Development Studies; 2004;
  8. Freire P. Pedagogy of the oppressed. London: Penguin; 1972;
  9. Rifkin S, Pridmore P. Partners in Planning. London: Macmillan Education Limited; 2001;
  10. HMG Nepal. Population Census 2001. Kathmandu: Central Bureau of Statistics; 2002.
  11. Mesko N, Osrin D, Tamang S, Shrestha B, Manandhar D, Manandhar M, et al. Care for perinatal illness in rural Nepal: a descriptive study with cross–sectional and qualitative components. BMC Int Health Hum Rights. 2003;3:3
  12. Osrin D, Tumbahangphe K, Shrestha D, Mesko N, Shrestha B, Manandhar M, et al. Cross sectional, community based study of care of newborn infants in Nepal. BMJ. 2002;325:1063–1066
  13. Osrin D, Mesko N, Shrestha B, Shrestha D, Tamang S, Thapa S, et al. Reducing childhood mortality in poor countries. Trans R Soc Trop Med Hyg. 2003;97:1–4
  14. Collier J. Visual Anthropology: photographs as a research method. New York: Holt, Reinhart, Winston; 1967;
  15. Wang C, Burris MA. Photovoice: concept, methodology, and use for participatory needs assessment. Health Ed Behaviour. 1997;24:369–387
  16. Wang C, Ling YY, Ling FM. Photovoice as a tool for participatory evaluation: the community's view of process and impact. J Contemp Health. 1996;4:47–49
  17. Graziano K. Oppression and resiliency in a post–apartheid South Africa: unheard voices of black gay men and lesbians. Cultur Divers Ethnic Minor Psychol. 2004;10:302–316
  18. Morrow V. Using qualitative methods to elicit young people's perspectives on their environments: some ideas for community health initiatives. Health Educ Res. 2001;16:255–268
  19. Ogilvie M, Ryan M. A sense of home. Melbourne, Australia: ANZMAC; 2002;
  20. Gallo M. Picture this: immigrant workers use photography for communication and change. J Workplace Learn. 2002;14:49–57
  21. Hubbard J. Shooting back: a photographic view of life by homeless children. San Francisco, CA: Chronicle Books; 1991;
  22. Hagedorn M. Hemeneutic photography: an innovative aesthetic technique for generating data in nursing research. Adv Nurs Sci. 1994;17:44–50
  23. Thoutenhoofd E. Method in a photographic enquiry of being deaf. Sociol Res Online. 1998;3(2):
  24. Wang C, Burris MA, Ping XY. Chinese village women as visual anthropologists: a participatory approach to reaching policy makers. Soc Sci Med. 1996;42:1391–1400
  25. Gold S. Israeli immigrants in the United States: the question of community. Qual Sociol. 1994;17:325–363
  26. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In:  Bryman A,  Burgess R editor. Analysing qualitative data:. London: Routledge; 1994;
  27. Morrison J, Thapa R, Sen A, Neupane R, Borghi J, Tumbahangphe K, et al. Utilisation and management of maternal and child health funds in rural Nepal. Community Dev J. 2008;
  28. Tamang S, Mesko N, Shrestha B, Osrin D, Manandhar M, Standing H, et al. A qualitative description of perinatal care practices in Makwanpur District, Nepal. Contrib Nepalese Stud. 2001;28:10–19
  29. Green CP. Mother Support Groups: A Review of Experience in Developing Countries. Arlington, VA: U.S. Agency for International Development, by the Basic Support for Institutionalizing Child Survival (BASICS) Project; 1998;
  30. Baum F. Participatory action research. J Epidemiol Community Health. 2006;60:854–857
  31. Tandon R. The historical roots and contemporary tendencies in participatory research: implications for health care. In:  De Koning K,  Martin M editor. Participatory research in health: issues and experiences. London: Zed Books; 1996;
  32. Rosato M, Laverack G, Howard Grabman L, Tripathy P, Nair N, Mwansambo C, et al. Community participation: lessons for maternal, newborn, and child health. Lancet. 2008;372:962–971
  33. Wallerstein N. Powerlessness, empowerment, and health: implications for health promotion programmes. Am J Health Promot. 1992;6:197–205
  34. Labonte R. Empowerment: notes on professional and community dimensions. Can Rev Soc Policy. 1990;26:64–75
  35. Rissel C. Empowerment: the holy grail of health promotion?. Health Promot Int. 1994;9:39–47
  36. Laverack G. Health promotion practice: building empowered communities. Maidenhead, Berkshire: Open University Press; 2007;
  37. Laverack G. An identification and interpretation of the organizational aspects of community empowerment. Community Dev J. 2001;36:134–145
  38. Rifkin S. Paradigms Lost: toward a new understanding of community participation in health programmes. Acta Trop. 1996;61:79–92
  39. Woelk GB. Cultural and structural influences in the creation of and participation in community health programmes. Soc Sci Med. 1992;35:419–424
  40. Walt G, Perera M, Heggengougen K. Are large–scale volunteer community health workers programmes feasible? The case of Sri Lanka. Soc Sci Med. 1989;29:599–608
  41. Zakus DL, Lysack C. Revisiting community participation. Health Policy Plan. 1998;13:1–12
  42. Costello A, Filippi V, Kubba T, Horton R. Research challenges to improve maternal and child survival. Lancet. 2007;369:1240–1243
  43. Towards 4+5.org.uk. London: Towards 4+5; ©2006 [updated 2009]. www.towards4and5.org.uk [accessed 13 June 2009].
  44. Bhutta ZA, Darmstadt GL, Hasan BS, Haws RA. Community based interventions for improving perinatal and neonatal health outcomes in developing countries: a review of the evidence. Pediatrics. 2005;115:519–617
  45. Baqui AH, El Arifeen S, Darmstadt GL, Ahmed S, Williams E, Seraji H, et al. Effect of community–based newborn–care intervention package implemented through two service–delivery strategies in Sylhet district, Bangladesh: a cluster–randomised controlled trial. Lancet. 2008;371:1936–1944
  46. Hawe P, Sheill A, Riley T, Gold L. Methods for exploring implementation variation and local context within a cluster randomised community intervention trial. J Epidemiol Community Health. 2004;58:788–793
  47. Oakley A, Strange V, Bonell C, Allen E, Stephenson J. Process evaluation in randomised controlled trials of complex interventions. BMJ. 2006;332:413–416
  48. K. Azad et al., unpublished data.

PII: S1876-3413(09)00064-3

doi: 10.1016/j.inhe.2009.11.004

International Health
Volume 2, Issue 1 , Pages 25-35 , March 2010