ArticleBMC pregnancy and childbirth2015
Impact of a community-based perinatal and newborn preventive care package on perinatal and neonatal mortality in a remote mountainous district in Northern Pakistan.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02412293 (Community-based Perinatal and Newborn Care in Gilgit District, Northern Areas, Pakistan), which is not on this map. Cited by 39 papers, 7 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.
Community-based Perinatal and Newborn Care in Gilgit District, Northern Areas, Pakistan: an AKU-AKHSP Collaboration
Who cites it
39 citing papers in PubMed, 7 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Pooled it
- Community Health Worker Impact on Knowledge, Antenatal Care, And Birth Outcomes: A Systematic Review.Maternal and child health journal · 2022Pooled it
- Pooled it
- Effectiveness and cost-effectiveness of home-based postpartum care on neonatal mortality and exclusive breastfeeding practice in low-and-middle-income countries: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2019Pooled 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
- Community-based approaches for neonatal survival: meta-analyses of randomized trial data.Bulletin of the World Health Organization · 2017Pooled it
- Assessment and support during early labour for improving birth outcomes.The Cochrane database of systematic reviews · 2017Pooled it
- Evaluation of community health worker's performance at home-based newborn assessment supported by mHealth in rural Bangladesh.BMC pediatrics · 2022Trial
- Trial
- Effect of provision of home-based curative health services by public sector health-care providers on neonatal survival: a community-based cluster-randomised trial in rural Pakistan.The Lancet. Global health · 2017Trial
- Antenatal Care and Perinatal Mortality in Low- and Middle-Income Countries: Insights for Maternal and Newborn Health System.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Equity of maternal and child health services in Afghanistan: a spatiotemporal analysis of national survey datasets.BMJ global health · 2025Article
- A decade of perinatal mortality in Pakistan: Systematic review of patterns and challenges (2013-2022).Journal of Taibah University Medical Sciences · 2025Review
- Association between antenatal care visits and under-five mortality: An Analysis of the Pakistan demographic and health surveys.PloS one · 2025Article
- Analyzing the usage of theories of change for routine immunization programs -- a review of impact evaluations from LMICs.Journal of health, population, and nutrition · 2024Review
- A Concept Analysis of Maternal Resilience against Pregnancy-Related Mental Health Challenges in Low- and Middle-Income Countries.Healthcare (Basel, Switzerland) · 2024Review
- Association of maternal, obstetric, fetal, and neonatal mortality outcomes with Lady Health Worker coverage from a cross-sectional survey of >10,000 households in Gilgit-Baltistan, Pakistan.PLOS global public health · 2024Article
- Interventions addressing routine childhood immunization and its behavioral and social drivers.Frontiers in public health · 2024Review
- Article
- An integrated newborn care kit (iNCK) to save newborn lives and improve health outcomes in Gilgit Baltistan (GB), Pakistan: study protocol for a cluster randomized controlled trial.BMC public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is limited evidence from community-based interventions to guide the development of effective maternal, perinatal and newborn care practices and services in developing countries. We evaluated the impact of a low-cost package of community-based interventions implemented through government sector lady health workers (LHWs) and community health workers (CHWs) of a NGO namely Aga Khan Health Services on perinatal and neonatal outcomes in a sub-population of the remote mountainous district of Gilgit, Northern Pakistan.
methodsThe package was evaluated using quasi experimental design included promotion of antenatal care, adequate nutrition, skilled delivery and healthy newborn care practices. Control areas continued to receive the routine standard health services. The intervention areas received intervention package in addition to the routine standard health services. Outcome measures included changes in maternal and newborn-care practices and perinatal and neonatal mortality rates between the intervention and control areas.
resultsThe intervention was implemented in a population of 283324 over a 18 months period. 3200 pregnant women received the intervention. Significant improvements in antenatal care (92% vs 76%, p < .001), TT vaccination (67% vs 47%, p < .001), institutional delivery (85% vs 71%, p < .001), cord application (51% vs 71%, p < .001), delayed bathing (15% vs 43%, p < .001), colostrum administration (83% vs 64%, p < .001), and initiation of breastfeeding within 1 hour after birth (55% vs 40%, p < .001) were seen in intervention areas compared with control areas. Our results indicate significant reductions in mortality rates in intervention areas as compared to control areas from baseline in perinatal mortality rate (from 47.1 to 35.3 per 1000 births, OR 0.62; 95% CI: 0.56-0.69; P 0.02) and neonatal mortality rates (from 26.0 to 22.8 per 1000 live births, 0.58; 95% CI: 0.48-0.68; P 0.03).
conclusionsThe implementation of a set of low cost community-based intervention package within the health system settings in a mountainous region of Pakistan was found to be both feasible and beneficial. The interventions had a significant impact in reduction of the burden of perinatal and neonatal mortality.
trial registrationThis study is registered, ClinicalTrial.gov NCT02412293 .
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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.