ArticlePLOS global public health2025
The effectiveness of community engagement using M-Mama champions in improving awareness of obstetric danger signs, birth preparedness and complication readiness among pregnant women in Bahi, Dodoma: A cluster randomized pragmatic implementation trial.
Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06325319 (Effectiveness of Community Engagement Using M-Mama Champions in Improving Literacy of Obstetric Danger Signs, Birth Preparedness and Complication Readiness Among Pregnant Women in Bahi, Dodoma), which is not on this map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Effectiveness of Community Engagement Using M-Mama Champions in Improving Literacy of Obstetric Danger Signs, Birth Preparedness and Complication Readiness Among Pregnant Women in Bahi, Dodoma
Who cites it
3 citing papers in PubMed.
- Co-designed interventions package for enhancing women's resilience in reproductive and child health through income-generating associations: a human-centered design study in Tanzania.Frontiers in health services · 2026Article
- Formal and informal digital health in Tanzania: healthcare workforce, regulatory and trust implications of e-patients and virtual care and the development of the TRUST framework.Frontiers in health services · 2026Review
- Factors associated with birth preparedness and complication readiness knowledge among pregnant women before implementation of a culturally adapted training intervention in rural Iringa, Tanzania.Frontiers in global women's health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal mortality remains a catastrophic condition for reproductive-age women in Tanzania. Inadequate ANC visits impair the efficiency of education programs for pregnant women on obstetric danger signs, birth preparedness and complication readiness, hence negatively influencing health behaviour and decision-making processes, contributing to maternal mortality. In this case, a complementary health education intervention for pregnant women in the community is necessary. M-MAMA Champions were introduced to determine their effectiveness in creating awareness of obstetric danger signs, birth preparedness complication readiness and their practice to complement the health system.
methodsA parallel arms, cluster-randomized pragmatic implementation trial, whereby pregnant women were recruited from four clusters and randomised at a ratio of 1:1. M-MAMA Champions empowered pregnant women with obstetric danger signs, birth preparedness and complication readiness in addition to standard care. Difference-in-difference analysis determined the intervention's effect.
resultsThe majority of 124 pregnant women recruited from intervention (N = 60) and control (N = 64) arms, were aged 16 to 19, 31.3% (n = 20) vs 20 to 24, 35.0% (n = 21) and had primary education 48.4% (n = 31) vs 51.7% (n = 31) in the control and intervention arms respectively. Awareness of Obstetric danger signs, birth preparedness complication readiness and their practice improved significantly by 64.2%, (P < 0.0001), 26.3%, (P = 0.00190 and 33.9%, (P = 0.0006) respectively.
conclusionM-MAMA Champions, the facilitators of women groups in community engagement are effective in improving awareness of obstetric danger signs, birth preparedness and complication readiness among pregnant women. It's, therefore worth an adoption for wider application.
trial registrationNCT06325319 (Effect of Community Engagement Using M-Mama Champions), registered on 15th March 2024.
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Registered trials
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