ArticleBMC pregnancy and childbirth2021
The knowledge of danger signs of obstetric complications among women in rural India: evaluating an integrated microfinance and health literacy program.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 21 citations in OpenAlex.
- Determinants, Pathways, and Outcomes of Health Literacy in India: A System Dynamics Modelling Study.Cureus · 2025Review
- Maternal health education and social support needs across the perinatal continuum of care: a thematic analysis of interviews with postpartum women in Punjab, India.BMC pregnancy and childbirth · 2025Article
- Preliminary impact of an mHealth education and social support intervention on maternal health knowledge and outcomes among postpartum mothers in Punjab, India.BMC pregnancy and childbirth · 2025Article
- Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women.Journal of education and health promotion · 2024Article
- Preliminary impact of an mHealth education and social support intervention on maternal health knowledge and outcomes among postpartum mothers in Punjab, India.Research square · 2023Article
- Challenges and Strategies of Providing Effective Antenatal Education Services in Oman's Public Healthcare System: Perspectives of service providers and pregnant women.Sultan Qaboos University medical journal · 2023Article
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- Health literacy strengths and challenges among residents of a resource-poor village in rural India: Epidemiological and cluster analyses.PLOS global public health · 2023Article
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- Changing scenario of C-section delivery in India: Understanding the maternal health concern and its associated predictors.Journal of family medicine and primary care · 2021Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal mortality can be prevented in low-income settings through early health care seeking during maternity complications. While health system reforms in India prioritised institutional deliveries, inadequate antenatal and postnatal services limit the knowledge of danger signs of obstetric complications to women, which delays the recognition of complications and seeking appropriate health care. Recently, a novel rapidly scalable community-based program combining maternal health literacy delivery through microfinance-based women-only self-help groups (SHG) was implemented in rural India. This study evaluates the impact of the integrated microfinance and health literacy (IMFHL) program on the knowledge of maternal danger signs in marginalised women from one of India's most populated and poorer states - Uttar Pradesh. Additionally, the study evaluates the presence of a diffusion effect of the knowledge of maternal danger signs from SHG members receiving health literacy to non-members in program villages.
methodsSecondary data from the IMFHL program comprising 17,232 women from SHG and non-member households in rural Uttar Pradesh was included. Multivariate logistic regression models were used to identify the program's effects on the knowledge of maternal danger signs adjusting for a comprehensive range of confounders at the individual, household, and community level.
resultsSHG member women receiving health literacy were 27% more likely to know all danger signs as compared with SHG members only. Moreover, the results showed that the SHG network facilitates diffusion of knowledge of maternal danger signs from SHG members receiving health literacy to non-members in program villages. The study found that the magnitude of the program impact on outcome remained stable even after controlling for other confounding effects suggesting that the health message delivered through the program reaches all women uniformly irrespective of their socioeconomic and health system characteristics.
conclusionsThe findings can guide community health programs and policy that seek to impact maternal health outcomes in low resource settings by demonstrating the differential impact of SHG alone and SHG plus health literacy on maternal danger sign knowledge.
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