SynthesisBulletin of the World Health Organization2017
Community-based approaches for neonatal survival: meta-analyses of randomized trial data.
Synthesis in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Effect of Maternal and Newborn Care Service Package on Perinatal and Newborn Mortality: A Cluster Randomized Clinical Trial.JAMA network open · 2024Trial
- Effectiveness of participatory women's groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India: a pragmatic cluster non-randomised controlled trial.BMJ global health · 2021Trial
- Pathways of change for essential newborn care practices and health care seeking: a process evaluation of Mamás del Río, a community-based, maternal and neonatal health intervention in the Peruvian Amazon.Health policy and planning · 2026Article
- Mothers' perception of the care of newborn in the home environment.Revista brasileira de enfermagem · 2024Article
- Preterm birth and neonatal mortality in selected slums in and around Dhaka City of Bangladesh: A cohort study.PloS one · 2024Article
- Effect of the Mamás del Río programme on essential newborn care: a three-year before-and-after outcome evaluation of a community-based, maternal and neonatal health intervention in the Peruvian Amazon.Lancet regional health. Americas · 2023Article
- Prevalence of essential newborn care in home and facility births in the Peruvian Amazon: analysis of census data from programme evaluation in three remote districts of the Loreto region.Lancet regional health. Americas · 2023Article
- Article
- From direct engagement to technical support: a programmatic evolution to improve large community health worker programs in Bihar, India.BMJ global health · 2021Article
- Are We Using the Right Approach to Change Newborn Care Practices in the Community? Qualitative Evidence From Ethiopia and Northern Nigeria.Global health, science and practice · 2020Article
- Review of the evidence for interventions to reduce perinatal mortality in low- and middle-income countries.International journal of pediatrics & adolescent medicine · 2020Review
- Effects of family conversation on health care practices in Ethiopia: a propensity score matched analysis.BMC pregnancy and childbirth · 2018Article
- Strengthening the capabilities of families and communities to improve child health in low and middle income countries.BMJ (Clinical research ed.) · 2018Article
- Measuring quality of health-care services: what is known and where are the gaps?Bulletin of the World Health Organization · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo analyse the impact of community approaches to improving newborn health and survival in low-resource countries.
methodsWe updated previous meta-analyses of published cluster randomized trials of community-based interventions for neonatal survival. For each study we extracted baseline data on the context: geographical area; available facilities and staffing; immediate breastfeeding and facility births; and neonatal mortality. We also extracted data on the primary outcome (neonatal survival) and intermediate outcomes of the interventions (changes in immediate breastfeeding and facility births). We used forest plots and pooled sub-group analysis to seek patterns in associations between the effect size and the context or type of intervention (home-based counselling or women's groups).
findingsWe included 17 trials, spanning years from 2001 to 2013. A 25% reduction in neonatal mortality (relative risk, RR: 0.75; 95% confidence interval, CI: 0.69-0.80) was found when pooling six studies in settings with 44 or more deaths per 1000 live births. In lower-mortality settings (pooling six studies with 32 or fewer deaths per 1000 live births) there was no evidence of an effect. We observed some evidence that community approaches had a stronger effect in south Asia than in sub-Saharan Africa. Community approaches had a lower impact on neonatal mortality in settings where at least 44% of women delivered in a facility.
conclusionAs neonatal mortality declined, the impact of community approaches on survival appeared to be lower, and the role of these approaches in supporting newborn care in weak health systems may need to be re-examined.
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