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Community Participation - Reduced Childhood Mortality

Wed, 04/05/2023 - 10:02

Strategy researched

Community participation and employment of village health workers to support home-based child care (HBCC) in an impoverished area

Impact achieved

69.28% and 65.78% reduction in the infant mortality rate (IMR) and under-5 mortality rate (U5MR), respectively, in intervention areas (IAs) vs. increases in those rates in control areas. Neonatal mortality rate (NMR) and perinatal mortality rate (PMR) in IAs showed reductions from 50.76 to 22.67 (by 55.34%) and from 75.06 to 24.94 (by 66.77%) respectively. The impact was sustained for 10 years following the trial, compared with the standard of care clusters.

Country of study


Research methodology

Cluster RCT


BMJ Global Health; 2022

Journal paper title and link

Effect of home-based childcare on childhood mortality in rural Maharashtra, India: a cluster randomised controlled trial

Excerpt from Abstract

"The IMR and U5MR in IA were reduced from 106.60 and 147.21 to 32.75 and 50.38 (reduction by 69.28% and 65.78%, respectively) compared with increases in CA [control areas/clusters] from 67.67 and 105.3 to 86.83 and 122.8, respectively, from baseline to end of intervention. NMR and PMR in IA [intervention clusters/areas] showed reductions from 50.76 to 22.67 (by 55.34%) and from 75.06 to 24.94 (by 66.77%) respectively. These gains extended to villages in the service and replication phases."


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