TY - JOUR
T1 - Trends in use of referral hospital services for care of sick newborns in a community-based intervention in Tangail district, Bangladesh
AU - Bari, Sanwarul
AU - Mannan, Ishtiaq
AU - Rahman, Mohammed Anisur
AU - Darmstadt, Gary L.
AU - Seraji, M. Habibur R.
AU - Baqui, Abdullah H.
AU - El Arifeen, Shams
AU - Rahman, Syed Moshfiqur
AU - Saha, Samir K.
AU - Nawshad Uddin Ahmed, A. S.M.
AU - Ahmed, Saifuddin
AU - Santosham, Mathuram
AU - Black, Robert E.
AU - Winch, Peter J.
AU - Ali, Nabeel Ashraf
AU - Anwar, Tariq
AU - Begum, Nazma
AU - Chowdhury, Atique Iqbal
AU - Chowdhury, Sameena
AU - Fazlul Haque, A. K.M.
AU - Hasan, Quamrul
AU - Poddar, Dulal
AU - Rahman, Qazi Sadequr
AU - Siddik, Ashrafuddin
PY - 2006/12/1
Y1 - 2006/12/1
N2 - The Projahnmo-II Project in Mirzapur upazila (sub-district), Tangail district, Bangladesh, is promoting care-seeking for sick newborns through health education of families, identification and referral of sick newborns in the community by community health workers (CHWs), and strengthening of neonatal care in Kumudini Hospital, Mirzapur. Data were drawn from records maintained by the CHWs, referral hospital registers, a baseline household survey of recently-delivered women conducted from March to June 2003, and two interim household surveys in January and September 2005. Increases were observed in self-referral of sick newborns for care, compliance after referral by the CHWs, and care-seeking from qualified providers and from the Kumudini Hospital, and decreases were observed in care-seeking from unqualified providers in the intervention arm. An active surveillance for illness by the CHWs in the home, education of families by them on recognition of danger signs and counselling to seek immediate care for serious illness, and improved linkages between the community and the hospital can produce substantial increases in care-seeking for sick newborns.
AB - The Projahnmo-II Project in Mirzapur upazila (sub-district), Tangail district, Bangladesh, is promoting care-seeking for sick newborns through health education of families, identification and referral of sick newborns in the community by community health workers (CHWs), and strengthening of neonatal care in Kumudini Hospital, Mirzapur. Data were drawn from records maintained by the CHWs, referral hospital registers, a baseline household survey of recently-delivered women conducted from March to June 2003, and two interim household surveys in January and September 2005. Increases were observed in self-referral of sick newborns for care, compliance after referral by the CHWs, and care-seeking from qualified providers and from the Kumudini Hospital, and decreases were observed in care-seeking from unqualified providers in the intervention arm. An active surveillance for illness by the CHWs in the home, education of families by them on recognition of danger signs and counselling to seek immediate care for serious illness, and improved linkages between the community and the hospital can produce substantial increases in care-seeking for sick newborns.
KW - Bangladesh
KW - Care-seeking
KW - Community health workers
KW - Delivery of healthcare
KW - Health services
KW - Maternal health
KW - Neonatal health
KW - Referral and consultation
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M3 - Article
C2 - 17591349
AN - SCOPUS:34249731514
VL - 24
SP - 519
EP - 529
JO - Journal of Health, Population and Nutrition
JF - Journal of Health, Population and Nutrition
SN - 1606-0997
IS - 4
ER -