ArticlePloS one2015
Assessing Community Based Improved Maternal Neonatal Child Survival (IMNCS) Program in Rural Bangladesh.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Community Health Worker Impact on Knowledge, Antenatal Care, And Birth Outcomes: A Systematic Review.Maternal and child health journal · 2022Pooled it
- Comprehensive review of the evidence regarding the effectiveness of community-based primary health care in improving maternal, neonatal and child health: 2. maternal health findings.Journal of global health · 2017Pooled it
- How Can We Improve the Consumption of a Nutritionally Balanced Maternal Diet in Rural Bangladesh? The Key Elements of the "Balanced Plate" Intervention.International journal of environmental research and public health · 2020Trial
- Integrating Nutrition Interventions into an Existing Maternal, Neonatal, and Child Health Program Increased Maternal Dietary Diversity, Micronutrient Intake, and Exclusive Breastfeeding Practices in Bangladesh: Results of a Cluster-Randomized Program Evaluation.The Journal of nutrition · 2017Trial
- Health Cadre Mentoring Model in Stunting Prevention Programs: A Systematic Literature Review.Journal of multidisciplinary healthcare · 2026Review
- Implementing a behaviour change communication interaction for enhancing male involvement in maternity care among the Saharia Tribes in Gwalior District, Madhya Pradesh: a feasibility study.BMC health services research · 2025Article
- Equity of maternal and child health services in Afghanistan: a spatiotemporal analysis of national survey datasets.BMJ global health · 2025Article
- Scoping review of interventions to improve continuity of postdischarge care for newborns in LMICs.BMJ global health · 2024Article
- Article
- Storytelling for persuasion: Insights from community health workers on how they engage family members to improve adoption of recommended maternal nutrition and breastfeeding behaviours in rural Bangladesh.Maternal & child nutrition · 2022Article
- Home-based newborn care (HBNC) under the national health mission in urban India - A cross country secondary analysis.Journal of family medicine and primary care · 2022Article
- Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income Countries.Frontiers in public health · 2021Article
- Article
- Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood: a post-program comparison study.Nutrition journal · 2019Article
- Article
- Article
- Importance of coverage and quality for impact of nutrition interventions delivered through an existing health programme in Bangladesh.Maternal & child nutrition · 2018Article
- The State of Essential Newborn Care by Delivery Location in Bangladesh.Maternal and child health journal · 2017Article
- A mixed methods study on evaluating the performance of a multi-strategy national health program to reduce maternal and child health disparities in Haryana, India.BMC public health · 2017Article
- A large-scale behavior change intervention to prevent Nipah transmission in Bangladesh: components and costs.BMC research notes · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesA community based approach before, during and after child birth has been proven effective address the burden of maternal, neonatal and child morbidity and mortality in the low and middle income countries. We aimed to examine the overall change in maternal and newborn health outcomes due the "Improved Maternal Newborn and Child Survival" (IMNCS) project, which was implemented by BRAC in rural communities of Bangladesh.
methodsThe intervention was implemented in four districts for duration of 5-years, while two districts served as comparison areas. The intervention was delivered by community health workers who were trained on essential maternal, neonatal and child health care services. A baseline survey was conducted in 2008 among 7, 200 women with pregnancy outcome in last year or having a currently alive child of 12-59 months. A follow-up survey was administered in 2012-13 among 4, 800 women of similar characteristics in the same villages.
findingsWe observed significant improvements in maternal and essential newborn care in intervention areas over time, especially in health care seeking behaviors. The proportion of births taking place at home declined in the intervention districts from 84.3% at baseline to 71.2% at end line (P<0.001). Proportion of deliveries with skilled attendant was higher in intervention districts (28%) compared to comparison districts (27.4%). The number of deliveries was almost doubled at public sector facility comparing with baseline (P<0.001). Significant improvement was also observed in healthy cord care practice, delayed bathing of the new-born and reduction of infant mortality in intervention districts compared to that of comparison districts.
conclusionsThis study demonstrates that community-based efforts offer encouraging evidence and value for combining maternal, neonatal and child health care package. This approach might be considered at larger scale in similar settings with limited resources.
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