Authors: Tanvir M Huda, Suman Kanti Chowdhury, Jatan Bhowmick, Sabrina Sharmin Priyanka, Mohammad Sohel Shomik, Qazi Sadeq-Ur Rahman, Mizanur Rahman, Ishtiaq Mannan, Shams El Arifeen
The purpose of this study was to outline an intervention package that included CHW-assisted pregnancy and birth surveillance, postnatal visits to access newborns, referral for facility-based care, and establishment of a newborn stabilization unit. A quasi-experimental controlled study was conducted in Bangladesh to measure the effectiveness of this intervention. Primary outcomes of interest were all-cause neonatal mortality rate and case fatality of severe illness. Secondary outcomes were the proportion of neonates with signs and symptoms of severe illness who sought care in a hospital or from a medically qualified provider. Results demonstrated a significant reduction in the risk of neonatal mortality and case fatality among newborns in rural Bangladesh. In addition, there was a significant increase in care-seeking for severe illness at the first-level referral facility. These findings emphasize the potential effectiveness of CHW-assisted interventions, in reducing neonatal mortality and case fatality from severe illness in rural Bangladesh.
Link: Impact of integrated community-facility interventions model on neonatal mortality in rural Bangladesh- a quasi-experimental study
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Resource Topic: CHW, Community-facility interventions, Neonatal mortality
Resource Type: Research
Year: 2023
Region: Asia
Country: Bangladesh
Publisher May Restrict Access: No