ArticleBMJ open quality2022
Impact of family-centred postnatal training on maternal and neonatal health and care practices in district hospitals in two states in India: a pre-post study.
Article in BMJ open quality, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.
- Effectiveness of discharge planning interventions on health-related outcomes among postpartum women: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- The Effectiveness of Regionalization of Perinatal Care and Specific Facility-Based Interventions: A Systematic Review.Neonatology · 2025Pooled it
- Effect of comfort care combined with family participatory care during the perioperative period of cesarean section in obstetrics and gynecology.Family practice · 2025Trial
- A mobile messaging service for families on postnatal knowledge and practices: a cluster randomized trial, India.Bulletin of the World Health Organization · 2025Trial
- The effects of predischarge postnatal care interventions following institutional deliveries in India on maternal and newborn health outcomes in the first year after discharge: A systematic review of quantitative and qualitative studies.Journal of family medicine and primary care · 2026Review
- Family caregiving as a pathway to strengthen health outcomes in India.Frontiers in public health · 2025Article
- Maternal Perspectives on and Preferences for an Enhanced Neonatal Jaundice Education Program: An Evaluation Using the Consolidated Framework for Implementation Research.Patient preference and adherence · 2024Article
- Improving neonatal health with family-centered, early postnatal care: A quasi-experimental study in India.PLOS global public health · 2023Article
- Qualitative assessment of family caregiver-centered neonatal education program in Karnataka, India.PLOS global public health · 2023Article
- Can training over phone calls help improve outcomes for COVID-19 positive patients under home isolation? An analysis of the COVID-19 Care Companion Program in Punjab, India.Clinical epidemiology and global healthArticle
- Community-Based Model:Iranian journal of nursing and midwifery researchArticle
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Authors and funding
13 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe Care Companion Program (CCP) is an in-hospital multitopic skill-based training programme provided to families to improve postdischarge maternal and neonatal health. The states of Punjab and Karnataka in India piloted the programme in 12 district hospitals in July 2017, and no study to date has evaluated its impact.
methodsWe compared telephonically self-reported maternal and neonatal care practices and health outcomes before and after the launch of the CCP programme in 11 facilities. Families in the preintervention group delivered between May to June 2017 (N=1474) while those in the intervention group delivered between August and October 2017 (N=3510). Programme effects were expressed as adjusted risk ratios obtained from logistic regression models.
resultsAt 2-week postdelivery, the practice of dry cord care improved by 4% (RR=1.04, 95% CI 1.02 to 1.06) and skin-to-skin care by 78% (RR=1.78, 95% CI 1.37 to 2.27) in the postintervention group as compared with preintervention group. Furthermore, newborn complications reduced by 16% (RR=0.84, 95% CI 0.76 to 0.91), mother complications by 12% (RR=0.88, 95% CI 0.79 to 0.97) and newborn readmissions by 56% (RR=0.44, 95% CI 0.31 to 0.61). Outpatient visits increased by 27% (RR=1.27, 95% CI 1.10 to 1.46). However, the practice of exclusive breastfeeding, unrestricted maternal diet, hand-hygiene and being instructed on warning signs were not statistically different.
conclusionPostnatal care should incorporate predischarge training of families. Our findings demonstrate that it is possible to improve maternal and neonatal care practices and outcomes through a family-centered programme integrated into public health facilities in low and middle-income countries.
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