Promotion of Care Seeking - Stillbirths Reduced - 39.1 vs. 48.7 per 1,000

Wed, 06/01/2022 - 07:55

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Strategy researched

Intervention package delivered by trained lady health workers (LHWs) through group sessions (promotion of antenatal care and maternal health education, use of clean delivery kits, facility births, immediate newborn care, identification of danger signs, and promotion of careseeking)

Impact achieved

39.1 stillbirths per 1,000 total births in intervention clusters vs. 48.7 per 1,000 in control (a 22% reduction in the neonatal mortality rate).

Country of study

Pakistan

Research methodology

Cluster randomized trial with 23,353 households

Journal

The Lancet; 2011

Journal paper title and link

Improvement of perinatal and newborn care in rural Pakistan through community-based strategies: a cluster-randomised effectiveness trial

Excerpt from Abstract

"Stillbirths were reduced in intervention clusters (39·1 stillbirths per 1000 total births) compared with control (48·7 per 1000; risk ratio [RR] 0·79, 95% CI 0·68–0·92; p=0·006). The neonatal mortality rate was 43·0 deaths per 1000 livebirths in intervention clusters compared with 49·1 per 1000 in control groups (RR 0·85, 0·76–0·96; p=0·02)."

Abstract at this link

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