scholarly journals The equity impact of participatory women’s groups to reduce neonatal mortality in India: secondary analysis of a cluster-randomised trial

2013 ◽  
Vol 42 (2) ◽  
pp. 520-532 ◽  
Author(s):  
Tanja AJ Houweling ◽  
Prasanta Tripathy ◽  
Nirmala Nair ◽  
Shibanand Rath ◽  
Suchitra Rath ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Randomised Trial ◽  
Secondary Analysis ◽  
Cluster Randomised Trial ◽  
Women's Groups ◽  
Cluster Randomised ◽  
Women’S Groups

scholarly journals Secular trend, seasonality and effects of a community-based intervention on neonatal mortality: follow-up of a cluster-randomised trial in Quang Ninh province, Vietnam

2018 ◽  
Vol 72 (9) ◽  
pp. 776-782
Author(s):  
Leif Eriksson ◽  
Nguyen T Nga ◽  
Dinh T Phuong Hoa ◽  
Duong M Duc ◽  
Anna Bergström ◽  
...  
Keyword(s):  
Time Series ◽  
Neonatal Mortality ◽  
Secular Trend ◽  
Randomised Trial ◽  
Cluster Randomised Trial ◽  
Neonatal Deaths ◽  
Live Births ◽  
Cluster Randomised ◽  
Quang Ninh

BackgroundLittle is know about whether the effects of community engagement interventions for child survival in low-income and middle-income settings are sustained. Seasonal variation and secular trend may blur the data. Neonatal mortality was reduced in a cluster-randomised trial in Vietnam where laywomen facilitated groups composed of local stakeholders employing a problem-solving approach for 3 years. In this analysis, we aim at disentangling the secular trend, the seasonal variation and the effect of the intervention on neonatal mortality during and after the trial.MethodsIn Quang Ninh province, 44 communes were allocated to intervention and 46 to control. Births and neonatal deaths were assessed in a baseline survey in 2005, monitored during the trial in 2008–2011 and followed up by a survey in 2014. Time series analyses were performed on monthly neonatal mortality data.ResultsThere were 30 187 live births and 480 neonatal deaths. The intervention reduced the neonatal mortality from 19.1 to 11.6 per 1000 live births. The reduction was sustained 3 years after the trial. The control areas reached a similar level at the time of follow-up. Time series decomposition analysis revealed a downward trend in the intervention areas during the trial that was not found in the control areas. Neonatal mortality peaked in the hot and wet summers.ConclusionsA community engagement intervention resulted in a lower neonatal mortality rate that was sustained but not further reduced after the end of the trial. When decomposing time series of neonatal mortality, a clear downward trend was demonstrated in intervention but not in control areas.Trial registration numberISRCTN44599712, Post-results.

scholarly journals Saving babies’ lives (SBL) – a programme to reduce neonatal mortality in rural Cambodia: study protocol for a stepped-wedge cluster-randomised trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kaajal Patel ◽  
Sopheakneary Say ◽  
Daly Leng ◽  
Manila Prak ◽  
Koung Lo ◽  
...  
Keyword(s):  
Data Collection ◽  
Neonatal Mortality ◽  
Rural Areas ◽  
Health Workers ◽  
Randomised Trial ◽  
Scale Up ◽  
Cluster Randomised Trial ◽  
Stepped Wedge ◽  
Cluster Randomised ◽  
The Continuum

Abstract Background Neonatal mortality remains unacceptably high. Many studies successful at reducing neonatal mortality have failed to realise similar gains at scale. Effective implementation and scale-up of interventions designed to tackle neonatal mortality is a global health priority. Multifaceted programmes targeting the continuum of neonatal care, with sustainability and scalability built into the design, can provide practical insights to solve this challenge. Cambodia has amongst the highest neonatal mortality rates in South-East Asia, with rural areas particularly affected. The primary objective of this study is the design, implementation, and assessment of the Saving Babies’ Lives programme, a package of interventions designed to reduce neonatal mortality in rural Cambodia. Methods This study is a five-year stepped-wedge cluster-randomised trial conducted in a rural Cambodian province with an estimated annual delivery rate of 6615. The study is designed to implement and evaluate the Saving Babies’ Lives programme, which is the intervention. The Saving Babies’ Lives programme is an iterative package of neonatal interventions spanning the continuum of care and integrating into the existing health system. The Saving Babies’ Lives programme comprises two major components: participatory learning and action with community health workers, and capacity building of primary care facilities involving facility-based mentorship. Standard government service continues in control arms. Data collection covering the whole study area includes surveillance of all pregnancies, verbal and social autopsies, and quality of care surveys. Mixed methods data collection supports iteration of the complex intervention, and facilitates impact, outcome, process and economic evaluation. Discussion Our study uses a robust study design to evaluate and develop a holistic, innovative, contextually relevant and sustainable programme that can be scaled-up to reduce neonatal mortality. Trial registration ClinicalTrials.gov: NCT04663620. Registered on 11th December 2020, retrospectively registered.

scholarly journals Effect of facilitation of local maternal-and-newborn stakeholder groups on neonatal mortality: a cluster randomised trial

2014 ◽  
Vol 14 (Suppl 2) ◽  
pp. O28
Author(s):  
Lars Persson ◽  
Nga T ◽  
Mats Målqvist ◽  
Hoa Thi Phuong ◽  
Leif Eriksson ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Randomised Trial ◽  
Cluster Randomised Trial ◽  
Stakeholder Groups ◽  
Cluster Randomised ◽  
Maternal And Newborn

Completeness of assisted bathing in nursing homes related to dementia and bathing method: results from a secondary analysis of cluster-randomised trial data

2015 ◽  
Vol 11 (2) ◽  
pp. 121-129 ◽  
Author(s):  
Theo van Achterberg ◽  
Betsie G.I. van Gaal ◽  
Wytske W. Geense ◽  
Geert Verbeke ◽  
Carine van der Vleuten ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Randomised Trial ◽  
Secondary Analysis ◽  
Trial Data ◽  
Cluster Randomised Trial ◽  
Cluster Randomised

The effect of cord cleansing with chlorhexidine on neonatal mortality in rural Bangladesh: a community-based, cluster-randomised trial

The Lancet ◽  
2012 ◽  
Vol 379 (9820) ◽  
pp. 1022-1028 ◽  
Author(s):  
Shams El Arifeen ◽  
Luke C Mullany ◽  
Rasheduzzaman Shah ◽  
Ishtiaq Mannan ◽  
Syed M Rahman ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Randomised Trial ◽  
Cluster Randomised Trial ◽  
Community Based ◽  
Rural Bangladesh ◽  
Cluster Randomised
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