SwePub
Tyck till om SwePub Sök här!
Sök i LIBRIS databas

  Extended search

WFRF:(Tripathy Prasanta)
 

Search: WFRF:(Tripathy Prasanta) > Kuddus Abdul > Women's groups prac...

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist
  • Prost, Audrey (author)

Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings : a systematic review and meta-analysis

  • Article/chapterEnglish2013

Publisher, publication year, extent ...

  • 2013
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-82845
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-82845URI
  • https://doi.org/10.1016/S0140-6736(13)60685-6DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • FUNDING: Wellcome Trust, Ammalife, and National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Birmingham and the Black Country programme.
  • BACKGROUND: Maternal and neonatal mortality rates remain high in many low-income and middle-income countries. Different approaches for the improvement of birth outcomes have been used in community-based interventions, with heterogeneous effects on survival. We assessed the effects of women's groups practising participatory learning and action, compared with usual care, on birth outcomes in low-resource settings.METHODS: We did a systematic review and meta-analysis of randomised controlled trials undertaken in Bangladesh, India, Malawi, and Nepal in which the effects of women's groups practising participatory learning and action were assessed to identify population-level predictors of effect on maternal mortality, neonatal mortality, and stillbirths. We also reviewed the cost-effectiveness of the women's group intervention and estimated its potential effect at scale in Countdown countries.FINDINGS: Seven trials (119,428 births) met the inclusion criteria. Meta-analyses of all trials showed that exposure to women's groups was associated with a 37% reduction in maternal mortality (odds ratio 0.63, 95% CI 0.32-0.94), a 23% reduction in neonatal mortality (0.77, 0.65-0.90), and a 9% non-significant reduction in stillbirths (0.91, 0.79-1.03), with high heterogeneity for maternal (I(2)=58.8%, p=0.024) and neonatal results (I(2)=64.7%, p=0.009). In the meta-regression analyses, the proportion of pregnant women in groups was linearly associated with reduction in both maternal and neonatal mortality (p=0.026 and p=0.011, respectively). A subgroup analysis of the four studies in which at least 30% of pregnant women participated in groups showed a 55% reduction in maternal mortality (0.45, 0.17-0.73) and a 33% reduction in neonatal mortality (0.67, 0.59-0.74). The intervention was cost effective by WHO standards and could save an estimated 283,000 newborn infants and 41,100 mothers per year if implemented in rural areas of 74 Countdown countries.INTERPRETATION: With the participation of at least a third of pregnant women and adequate population coverage, women's groups practising participatory learning and action are a cost-effective strategy to improve maternal and neonatal survival in low-resource settings.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Colbourn, Tim (author)
  • Seward, Nadine (author)
  • Azad, Kishwar (author)
  • Coomarasamy, Arri (author)
  • Copas, Andrew (author)
  • Houweling, Tanja A J (author)
  • Fottrell, Edward (author)
  • Kuddus, Abdul (author)
  • Lewycka, Sonia (author)
  • MacArthur, Christine (author)
  • Manandhar, Dharma (author)
  • Morrison, Joanna (author)
  • Mwansambo, Charles (author)
  • Nair, Nirmala (author)
  • Nambiar, Bejoy (author)
  • Osrin, David (author)
  • Pagel, Christina (author)
  • Phiri, Tambosi (author)
  • Pulkki-Brännström, Anni-Maria (author)
  • Rosato, Mikey (author)
  • Skordis-Worrall, Jolene (author)
  • Saville, Naomi (author)
  • More, Neena Shah (author)
  • Shrestha, Bhim (author)
  • Tripathy, Prasanta (author)
  • Wilson, Amie (author)
  • Costello, Anthony (author)

Related titles

  • In:The Lancet381:9879, s. 1736-460140-67361474-547X

Internet link

Find in a library

  • The Lancet (Search for host publication in LIBRIS)

To the university's database

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view