Testing a scalable community-based approach to improve maternal and neonatal health in rural Nepal

S. Hodgins, R. McPherson, B. K. Suvedi, R. B. Shrestha, R. C. Silwal, B. Ban, S. Neupane, Abdullah Baqui

Research output: Contribution to journalArticle

Abstract

Objective:The aim of the study was to determine the feasibility of improved maternal-neonatal care-seeking and household practices using an approach scalable under Nepal's primary health-care services.Study Design:Impact was assessed by pre- and post-intervention surveys of women delivering within the previous 12 months. Each district sample comprised 30 clusters, each with 30 respondents. The intervention consisted primarily of community-based antenatal counseling and dispensing and an early postnatal home visit; most activities were carried out by community-based health volunteers.Result:There were notable improvements in most household practice and service utilization indicators, although results regarding care-seeking for danger signs were mixed.Conclusion:It is feasible in a Nepal setting to significantly improve utilization of maternal-neonatal services and household practices, using the resources available under the government primary health-care system. This has the potential to significantly reduce neonatal mortality.

Original languageEnglish (US)
Pages (from-to)388-395
Number of pages8
JournalJournal of perinatology : official journal of the California Perinatal Association
Volume30
Issue number6
DOIs
StatePublished - Jun 2010

Fingerprint

Nepal
Primary Health Care
Mothers
House Calls
Infant Mortality
Health Services
Counseling
Volunteers
Delivery of Health Care
Health
Infant Health
Maternal Health
Surveys and Questionnaires

Keywords

  • Care-seeking
  • Community health worker
  • Community-based
  • Essential newborn care

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Testing a scalable community-based approach to improve maternal and neonatal health in rural Nepal. / Hodgins, S.; McPherson, R.; Suvedi, B. K.; Shrestha, R. B.; Silwal, R. C.; Ban, B.; Neupane, S.; Baqui, Abdullah.

In: Journal of perinatology : official journal of the California Perinatal Association, Vol. 30, No. 6, 06.2010, p. 388-395.

Research output: Contribution to journalArticle

Hodgins, S. ; McPherson, R. ; Suvedi, B. K. ; Shrestha, R. B. ; Silwal, R. C. ; Ban, B. ; Neupane, S. ; Baqui, Abdullah. / Testing a scalable community-based approach to improve maternal and neonatal health in rural Nepal. In: Journal of perinatology : official journal of the California Perinatal Association. 2010 ; Vol. 30, No. 6. pp. 388-395.
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