The Philani Mentor Mothers Project aims to improve the health and well-being of vulnerable pregnant mothers and infants from low-income households, through a strategy of home visits by specially trained para-professional “mentor mothers”.
Pregnant South African women with histories of drinking alcohol, abuse by violent partners, depression, and living with HIV are likely to have their post-birth trajectories over 36 months significantly influenced by these risks. This intervention employs home visiting included prenatal and postnatal visits by community health workers or mentor mothers, focusing on general maternal and child health, HIV/tuberculosis, alcohol use, and nutrition.
Mothers were assessed in pregnancy and at 18 and 36 months post birth: 80.6% of mothers completed all assessments between 2009 and 2014 and were included in these analyses performed in 2014. Longitudinal structural equation modeling examined alcohol use, partner violence, and depression at the baseline and 18-month interviews as predictors of maternal outcomes at 36 months post birth.
Authors: Mary Jane Rotheram-Borus, PhD (Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California at Los Angeles), Mark Tomlinson, PhD, (Department of Psychology, Stellenbosch University, Matieland, Stellenbosch, South Africa) Ingrid Le Roux, MD, (Philani Maternal, Child Health and Nutrition Programme, Elonwabeni, Cape Town, South Africa), and Judith A. Stein, PhD (Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California at Los Angeles).
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