NACER II: Reducing Prenatal Exposures to Household Air Pollution in Rural Guatemala Through a Gas Stove/Behavior Intervention to Improve Neonatal Health

NACER II: Reducing Prenatal Exposures to Household Air Pollution in Rural Guatemala Through a Gas Stove/Behavior Intervention to Improve Neonatal Health

Greater efforts are needed to bring affordable, clean stoves and adaptive behavioral strategies to the millions of households worldwide that continue to burn solid cooking fuels using inefficient stoves. Two of the leading causes of infant mortality, preterm birth and pneumonia, are associated with high exposures to household air pollution during pregnancy and early infancy. The proposed study will assess the feasibility and acceptability of an introduced liquid petroleum gas stove, complemented by two alternative approaches to delivering tailored behavioral change interventions, among pregnant women and their neonates.

Inclusion Criteria:

• Pregnant woman less than 20 weeks gestation
• Does not smoke cigarettes
• Uses an open fire or deteriorated woodstove for cooking
• Purchases wood
• Intends to stay in the study area for at least one year
• Uses Ministry of Health clinics for routine prenatal care
• Has a mobile phone
• Primary person responsible for cooking in the household
• Able to give Informed Consent

Exclusion Criteria:

• Multiple pregnancy (eg twins)
• Identified as a high-risk pregnancy by physician
• Regularly taking prescription medication
• Smokes cigarettes
• Routinely carries a child less than 2 years old on their back