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Secular trend, seas...
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Eriksson, Leif,1971-Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Vårdvetenskap
(author)
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
- Article/chapterEnglish2018
Publisher, publication year, extent ...
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2018-05-15
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BMJ,2018
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-365036
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-365036URI
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https://doi.org/10.1136/jech-2017-209252DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:139230878URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-27702URI
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https://gup.ub.gu.se/publication/271658URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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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 and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Nga, Nguyen TResearch Institute for Child Health, Hanoi, Vietnam
(author)
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Hoa, Dinh T PhuongHanoi University of Public Health, Vietnam
(author)
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Duc, Duong MHanoi University of Public Health, Vietnam
(author)
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Bergström, Anna,1983-Uppsala universitet,Internationell barnhälsa och nutrition,Institute for Global Health, University College London, London, UK(Swepub:uu)annbe648
(author)
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Wallin, LarsGothenburg University,Göteborgs universitet,Högskolan Dalarna,Karolinska Institutet,Omvårdnad,Karolinska institutet; Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xwalak
(author)
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Målqvist, Mats,1971-Uppsala universitet,Internationell barnhälsa och nutrition(Swepub:uu)matma534
(author)
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Ewald, Uwe,1945-Uppsala universitet,Internationell barnhälsa och nutrition(Swepub:uu)uweewald
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Huy, Tran QDepartment of Medical Services Administration, Ministry of Health, Nursing office, Hanoi, Vietnam
(author)
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Thuy, Nguyen TVietnam-Sweden Uong Bi General Hospital, Uong Bi, Vietnam
(author)
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Do, Tran ThanhNational Institute of Nutrition (NIN), Ministry of Health, Hanoi, Vietnam
(author)
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Lien, Pham T LResearch Institute for Child Health, Hanoi, Vietnam
(author)
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Persson, Lars-Åke,1947-Uppsala universitet,Internationell barnhälsa och nutrition,London School of Hygiene & Tropical Medicine, London, UK(Swepub:uu)laper499
(author)
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Ekholm Selling, Katarina,1976-Uppsala universitet,Internationell barnhälsa och nutrition(Swepub:uu)katse272
(author)
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Uppsala universitetInternationell mödra- och barnhälsovård (IMCH)
(creator_code:org_t)
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In:Journal of Epidemiology and Community Health: BMJ72:9, s. 776-7820143-005X1470-2738
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