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Subsequently, CHWs began providing registered pregnant women with birth preparedness messages and materials.
However, it is not clear why birth preparedness messages do not translate to utilisation of facility delivery.
Furthermore, outreaches from existing health care programs could utilize experienced fathers as a source of guidance to new fathers by providing birth and complications preparedness messages.
All people need to prepare, and preparedness messages that address the layers of risk and resources for personal readiness and adaptation are vital.
It is, therefore, important for health workers to provide proper information about the onset and progression of labour when providing birth preparedness messages.
It is important to innovate on how the community reinforces BP/CR, such as using insurance schemes, community health fund, and providing information on birth preparedness messages through among others community health workers.
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For instance, if the at-risk population is predominantly Spanish-speaking, then preparedness messaging should be done in Spanish.
Consequently, for sustained readiness it is imperative to address both the pertinent social-cognitive constructs of preparedness messaging [ 48, 81, 82], and the decisional balance between intention and action that an individual encounters after receiving readiness cues [ 112, 113, 150].
In New Zealand, the Crown Ministries and emergency management offices are increasingly integrating more tsunami risk assessment, evacuation planning, and preparedness messaging in disaster studies and plans [ 8, 107- 109, 142- 145].
Two studies describe interventions in Nepal and Indonesia that used social marketing or mass media campaigns to reach men and other key family and community members with safe motherhood and birth preparedness and complications readiness messages (Sood et al. 2004a, 2004b).
Additional behaviours promoted included: birth preparedness, with messages about the importance of health facility delivery and of preparing clean cloths, soap, gloves, a clean blade, a clean cord tie, and money; delayed bathing of the baby; and putting nothing on the cord.
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