ArticleBMC public health2026
Evaluation of a community-based education program on maternal and child health needs in a semi-urban locality: a university-community partnership pilot project in Lahore, Pakistan.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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5 authors.
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Abstract
backgroundPakistan faces high maternal and child mortality rates, with semi-urban and rural areas particularly affected. Community-based initiatives that emphasize local participation can address these challenges by fostering community ownership and sustainability. This study evaluated a community-based education (CBE) module, developed through a university-community partnership, in improving maternal and child health indicators in a semi-urban locality.
methodsThe study was conducted in four phases in Lahore, Pakistan: Phase one included a pre-assessment survey to identify health needs among 253 women and 371 children under-five. Phase two involved developing a CBE module based on these findings with input from key stakeholders. In phase three, the module was implemented, followed by a post-assessment in phase four with 222 mothers and 318 children to evaluate the CBE intervention. Descriptive and repeated measures analyses were performed using SPSS version 22.
resultsSignificant changes were observed in child growth indicators, including height (p < 0.001), weight (p < 0.001), head circumference (p < 0.001), and mid-upper arm circumference (p < 0.001). The prevalence of malnutrition decreased from 28% to 6%, with complete treatment of severely acute malnutrition cases. Maternal body mass index increased significantly (p = 0.002), although maternal anemia remained unchanged. Significant changes were also seen in water, sanitation, and hygiene practices, with increased use of filtered (p = 0.007) boiled water (p = 0.002), and safe storage (p = 0.026). Family planning awareness (p < 0.001) and joint decision-making regarding contraception increased over time (p < 0.001) with reduction in service access barriers.
conclusionsThe findings indicate significant improvements over time in maternal and child health indicators following implementation of the CBE module in a semi-urban setting. These results suggest that community-based education, delivered through a university-community partnership model, may contribute to positive changes in maternal and child health-related outcomes. Developing strategies that focus on the long-term sustainability and scalability of CBE modules will be instrumental for addressing persistent health challenges in low- and middle-income countries like Pakistan, where community-based interventions can play a vital role in improving health outcomes.
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