Methods: A pre- and post-training questionnaire to assess Accredited Social Health Activists (n=201) knowledge and experience of preterm birth and salivary progesterone sampling was analysed using the McNemar test. Descriptive statistics for a cross-sectional survey of pregnant women (n=400) are presented in which the acceptability of this test for pregnant women is assessed. Structured interviews were undertaken with Accredited Social Health Activists (n=10) and pregnant women (n=9) and were analysed using Thematic Framework Analysis to explore the barriers and facilitators influencing the use of this test in rural India.
Results: Before training ASHAs knowledge of PTB (including risk factors, causes, postnatal support and testing) was very limited. After the training programme, there was a significant improvement in the ASHAs’ knowledge of PTB. All four hundred women reported the salivary test was acceptable with the majority finding it easy but not quick or better than drawing blood. For the qualitative aspects of the study analysis of interview data with ASHAs and women, our thematic framework comprised of three main areas: Implementation of Intervention; Networks of Influence; and Access to Healthcare. Qualitative data were stratified and presented as barriers and facilitators.
Conclusion: This study suggests support for ongoing investigations validating preterm birth testing using salivary progesterone in rural settings.
- Preterm Birth
- Salivary Progesterone