Trial reportBMC pregnancy and childbirth2010
Communities, birth attendants and health facilities: a continuum of emergency maternal and newborn care (the Global Network's EmONC trial).
Trial report in BMC pregnancy and childbirth, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01073488 (Evaluation of an Emergency Obstetric and Neonatal Care), which is not on this map. Cited by 38 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of an Emergency Obstetric and Neonatal Care (EmONC) Intervention Package to Reduce Adverse Pregnancy Outcomes in Low Resource Settings (The EmONC Trial)
Who cites it
38 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Community-based maternal and newborn educational care packages for improving neonatal health and survival in low- and middle-income countries.The Cochrane database of systematic reviews · 2019Pooled it
- Home-based neonatal care by community health workers for preventing mortality in neonates in low- and middle-income countries: a systematic review.Journal of perinatology : official journal of the California Perinatal Association · 2016Pooled it
- Pooled it
- Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes.The Cochrane database of systematic reviews · 2015Pooled it
- Traditional birth attendant training for improving health behaviours and pregnancy outcomes.The Cochrane database of systematic reviews · 2012Pooled it
- An Intervention to Enhance Obstetric and Newborn Care in India: A Cluster Randomized-Trial.Maternal and child health journal · 2015Trial
- A population-based, multifaceted strategy to implement antenatal corticosteroid treatment versus standard care for the reduction of neonatal mortality due to preterm birth in low-income and middle-income countries: the ACT cluster-randomised trial.Lancet (London, England) · 2015Trial
- First look: a cluster-randomized trial of ultrasound to improve pregnancy outcomes in low income country settings.BMC pregnancy and childbirth · 2014Trial
- A combined community- and facility-based approach to improve pregnancy outcomes in low-resource settings: a Global Network cluster randomized trial.BMC medicine · 2013Trial
- Assessment of obstetric and neonatal health services in developing country health facilities.American journal of perinatology · 2013Trial
- A matched pair cluster randomized implementation trail to measure the effectiveness of an intervention package aiming to decrease perinatal mortality and increase institution-based obstetric care among indigenous women in Guatemala: study protocol.BMC pregnancy and childbirth · 2013Trial
- Antenatal corticosteroids trial in preterm births to increase neonatal survival in developing countries: study protocol.Reproductive health · 2012Trial
- The Maternal and Newborn Health Registry Study of the Global Network for Women's and Children's Health Research.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2012Trial
- Availability and readiness of health facilities to provide emergency obstetric care in eight low- and lower-middle-income countries: insights from nationally representative health facility surveys.BMJ global health · 2026Article
- Prevalence of Maternal Third Delays in Emergency Obstetric Care and Determinant Factors Among Women Giving Birth in Government Hospitals in East Gojjam Zone, Northwest Ethiopia: A Cross-Sectional Study.Health science reports · 2026Article
- Unravelling the nuances: A scoping review on fatherhood and men's participation in antenatal care in rural Sub-Saharan Africa.PloS one · 2025Article
- Third delay and associated factors among women who gave birth at public health facilities of Gurage zone, southern Ethiopia.BMC women's health · 2023Article
- Association of parity with birthweight and neonatal death in five sites: The Global Network's Maternal Newborn Health Registry study.Reproductive health · 2020Article
- Looking beyond the numbers: quality assurance procedures in the Global Network for Women's and Children's Health Research Maternal Newborn Health Registry.Reproductive health · 2020Article
- Tracking and debriefing birth data at scale: A mobile phone application to improve obstetric and neonatal care in Bihar, India.Nursing open · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
25 authors.
Funding
Abstract
backgroundMaternal and newborn mortality rates remain unacceptably high, especially where the majority of births occur in home settings or in facilities with inadequate resources. The introduction of emergency obstetric and newborn care services has been proposed by several organizations in order to improve pregnancy outcomes. However, the effectiveness of emergency obstetric and neonatal care services has never been proven. Also unproven is the effectiveness of community mobilization and community birth attendant training to improve pregnancy outcomes. METHODS/
designWe have developed a cluster-randomized controlled trial to evaluate the impact of a comprehensive intervention of community mobilization, birth attendant training and improvement of quality of care in health facilities on perinatal mortality in low and middle-income countries where the majority of births take place in homes or first level care facilities. This trial will take place in 106 clusters (300-500 deliveries per year each) across 7 sites of the Global Network for Women's and Children's Health Research in Argentina, Guatemala, India, Kenya, Pakistan and Zambia. The trial intervention has three key elements, community mobilization, home-based life saving skills for communities and birth attendants, and training of providers at obstetric facilities to improve quality of care. The primary outcome of the trial is perinatal mortality. Secondary outcomes include rates of stillbirth, 7-day neonatal mortality, maternal death or severe morbidity (including obstetric fistula, eclampsia and obstetrical sepsis) and 28-day neonatal mortality. DISCUSSION: In this trial, we are evaluating a combination of interventions including community mobilization and facility training in an attempt to improve pregnancy outcomes. If successful, the results of this trial will provide important information for policy makers and clinicians as they attempt to improve delivery services for pregnant women and newborns in low-income countries.
trial registrationClinicalTrials.gov NCT01073488.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.