For the world's 60 million non-facility births, addressing who is currently attending these births and what effect they have on birth outcomes is a key starting point toward improving care during childbirth. Skilled childbirth care is recommended for all pregnant women, and community strategies need to be linked to prompt, high-quality emergency obstetric care. CHWs may … [Read more...] about 60 Million non-facility births: who can deliver in community settings to reduce intrapartum-related deaths?
Birth Preparedness
The Uganda Newborn Study (UNEST): an effectiveness study on improving newborn health and survival in rural Uganda through a community-based intervention linked to health facilities – study protocol for a cluster randomized controlled trial.
Studies in Asia and South America have shown that neonatal mortality can be reduced through community-based interventions, but these have not been adapted to scalable intervention packages for sub-Saharan Africa where the culture, health system and policy environment is different. The aim of the present study is to adapt, develop and cost an integrated maternal-newborn care … [Read more...] about The Uganda Newborn Study (UNEST): an effectiveness study on improving newborn health and survival in rural Uganda through a community-based intervention linked to health facilities – study protocol for a cluster randomized controlled trial.
Nike-Footed Health Workers deal with the problems of adolescent pregnancy.
Working principally to prevent repeat teen pregnancy, improve birth outcomes to teen mothers, and build adolescent parenting skills, the Nike (sneaker)-Footed Health Worker Project (NFHW) draws trainees from the target population of parenting adolescents. The Nike-Footed Health Worker Project is designed to allow adolescent mothers to complete high school while they are … [Read more...] about Nike-Footed Health Workers deal with the problems of adolescent pregnancy.
Evidence-based training of frontline health workers for door-to-door health promotion: a pilot randomized controlled cluster trial with Lady Health Workers in Sindh Province, Pakistan.
In an effort to improve access to care for women and children, the Pakistan National Programme for Family Planning and Primary Health Care recruits women and trains them to provide family planning services and primary health care in their own communities. Known as lady health workers (LHWs), they are the front line of health care in many … [Read more...] about Evidence-based training of frontline health workers for door-to-door health promotion: a pilot randomized controlled cluster trial with Lady Health Workers in Sindh Province, Pakistan.
Administration of misoprostol by trained traditional birth attendants to prevent postpartum haemorrhage in homebirths in Pakistan: a randomised placebo-controlled trial
This trial sought to determine if misoprostol is safe and efficacious in preventing postpartum haemorrhage (PPH) when administered by trained birth attendants (TBAs) at home deliveries. The authors found that the administration of misoprostol by trained TBAs at home deliveries reduced the rate of PPH by 24%. The authors note that continued training and skill building for TBAs, … [Read more...] about Administration of misoprostol by trained traditional birth attendants to prevent postpartum haemorrhage in homebirths in Pakistan: a randomised placebo-controlled trial