Testing a scalable community-based approach to improve maternal and neonatal health in rural Nepal.
J Perinatol
; 30(6): 388-95, 2010 Jun.
Article
em En
| MEDLINE
| ID: mdl-19907428
ABSTRACT
OBJECTIVE:
The aim of the study was to determine the feasibility of improved maternal-neonatal care-seeking and household practices using an approach scalable under Nepal's primary health-care services. STUDYDESIGN:
Impact was assessed by pre- and post-intervention surveys of women delivering within the previous 12 months. Each district sample comprised 30 clusters, each with 30 respondents. The intervention consisted primarily of community-based antenatal counseling and dispensing and an early postnatal home visit; most activities were carried out by community-based health volunteers.RESULT:
There were notable improvements in most household practice and service utilization indicators, although results regarding care-seeking for danger signs were mixed.CONCLUSION:
It is feasible in a Nepal setting to significantly improve utilization of maternal-neonatal services and household practices, using the resources available under the government primary health-care system. This has the potential to significantly reduce neonatal mortality.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
5_ODS3_mortalidade_materna
Base de dados:
MEDLINE
Assunto principal:
Cuidado Pré-Natal
/
Agentes Comunitários de Saúde
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Newborn
/
Pregnancy
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Perinatol
Ano de publicação:
2010
Tipo de documento:
Article