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Secular trend, seas...
Secular trend, seasonality and effects of a community-based intervention on neonatal mortality : follow-up of a cluster-randomised trial in Quang Ninh province, Vietnam
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- Eriksson, Leif, 1971- (author)
- Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Vårdvetenskap
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- Nga, Nguyen T (author)
- Research Institute for Child Health, Hanoi, Vietnam
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- Hoa, Dinh T Phuong (author)
- Hanoi University of Public Health, Vietnam
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- Duc, Duong M (author)
- Hanoi University of Public Health, Vietnam
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- Bergström, Anna, 1983- (author)
- Uppsala universitet,Internationell barnhälsa och nutrition,Institute for Global Health, University College London, London, UK
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- Wallin, Lars (author)
- Gothenburg University,Göteborgs universitet,Högskolan Dalarna,Karolinska Institutet,Omvårdnad,Karolinska institutet; Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
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- Målqvist, Mats, 1971- (author)
- Uppsala universitet,Internationell barnhälsa och nutrition
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- Ewald, Uwe, 1945- (author)
- Uppsala universitet,Internationell barnhälsa och nutrition
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- Huy, Tran Q (author)
- Department of Medical Services Administration, Ministry of Health, Nursing office, Hanoi, Vietnam
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- Thuy, Nguyen T (author)
- Vietnam-Sweden Uong Bi General Hospital, Uong Bi, Vietnam
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- Do, Tran Thanh (author)
- National Institute of Nutrition (NIN), Ministry of Health, Hanoi, Vietnam
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- Lien, Pham T L (author)
- Research Institute for Child Health, Hanoi, Vietnam
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- Persson, Lars-Åke, 1947- (author)
- Uppsala universitet,Internationell barnhälsa och nutrition,London School of Hygiene & Tropical Medicine, London, UK
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- Ekholm Selling, Katarina, 1976- (author)
- Uppsala universitet,Internationell barnhälsa och nutrition
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(creator_code:org_t)
- 2018-05-15
- 2018
- English.
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In: Journal of Epidemiology and Community Health. - : BMJ. - 0143-005X .- 1470-2738. ; 72:9, s. 776-782
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Abstract
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- Background: Little is know about whether the effects of community engagement interventions for child survival in low-income and middle-income settings are sustained. Seasonal variation and secular trend may blur the data. Neonatal mortality was reduced in a cluster-randomised trial in Vietnam where laywomen facilitated groups composed of local stakeholders employing a problem-solving approach for 3 years. In this analysis, we aim at disentangling the secular trend, the seasonal variation and the effect of the intervention on neonatal mortality during and after the trial.Methods: In Quang Ninh province, 44 communes were allocated to intervention and 46 to control. Births and neonatal deaths were assessed in a baseline survey in 2005, monitored during the trial in 2008–2011 and followed up by a survey in 2014. Time series analyses were performed on monthly neonatal mortality data.Results: There were 30 187 live births and 480 neonatal deaths. The intervention reduced the neonatal mortality from 19.1 to 11.6 per 1000 live births. The reduction was sustained 3 years after the trial. The control areas reached a similar level at the time of follow-up. Time series decomposition analysis revealed a downward trend in the intervention areas during the trial that was not found in the control areas. Neonatal mortality peaked in the hot and wet summers.Conclusions: A community engagement intervention resulted in a lower neonatal mortality rate that was sustained but not further reduced after the end of the trial. When decomposing time series of neonatal mortality, a clear downward trend was demonstrated in intervention but not in control areas.Trial registration number: ISRCTN44599712, Post-results.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- International Health
- Internationell hälsa
- Epidemiologi
- Epidemiology
- Pediatrik
- Pediatrics
- neonatal
- Hälsa och välfärd
- survival
- newborn
- health
- settings
Publication and Content Type
- ref (subject category)
- art (subject category)
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Eriksson, Leif, ...
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Nga, Nguyen T
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Hoa, Dinh T Phuo ...
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Duc, Duong M
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Bergström, Anna, ...
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Wallin, Lars
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Målqvist, Mats, ...
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Ewald, Uwe, 1945 ...
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Huy, Tran Q
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Thuy, Nguyen T
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Do, Tran Thanh
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Lien, Pham T L
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Persson, Lars-Åk ...
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Ekholm Selling, ...
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Uppsala University
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Karolinska Institutet
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Högskolan Dalarna
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University of Gothenburg