Development of Health Literate Organization in Antenatal Care Clinic: The Positive Outcomes and Communication to Promote Health Literacy
Keywords:
Pregnancy Outcome, Anemia in Pregnancy, Weigh Gain in Pregnancy, Health Literate Organization, Action ResearchAbstract
The health literate organization has indicated the key success of development a health care service. This action research aimed to study how to develop efficient health literacy practices in antenatal care clinics from 11 hospitals in Saraburi Province of Thailand. Research included techniques for effective communication, strategies to overcome obstacles, and suggestions for improving pregnant women’s health literacy. The development was divided in 4 stages: 1) policy implementation, 2) program implementation with trainings for healthcare professionals, 3) budget support, and 4) outcome evaluation, including a) increasing of hematocrit level was evaluated by collecting data from 53 pregnant women who had hematocrit level lower than 33 % at the first visit, and was followed-up at the 32nd week of gestation, b) gaining the body weight was evaluated by collecting data from 154 pregnant women at the 20th and 34th week of gestation, and c) the effective communication techniques to improve health literacy of pregnant women was evaluated by collecting data from a focus group of 10 professional nurses, and in-depth interview with 2 nurses. Quantitative data was analyzed by frequency and percentage. Qualitative data were analyzed by content analysis.
Results revealed the following.
1. 28 pregnant women’s hematocrit were increasing (≥ 33 %) at 57.1 %.
2. In terms of the body weight, it found that 30, 81, 27, and 16 were underweight, normal weights, overweighs, and obesities, respectively. The underweight (60%) and normal weight (34.6%) groups gained weight that met the standard criteria. However, the overweight and obesity group gained weight over standard criteria.
3. The effective communication techniques for improving pregnant health literacy included 5 steps, namely a) survey of health problems, b) asking in-depth questions, c) building participation, and selecting the ways for self-management based on client’ abilities, d) suggestion of benefit websites, and e) setting mutual goal for the next visit.
The barrier for improving health literacy was time-consuming.
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