WFRF:(Hossen Munir)
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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04123naa a2200445 4500 | |
| 001 | oai:DiVA.org:umu-82844 | |
| 003 | SwePub | |
| 008 | 131111s2013 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-828442 URI |
| 024 | 7 | a https://doi.org/10.1001/jamapediatrics.2013.25342 DOI |
| 040 | a (SwePub)umu | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Fottrell, Edward4 aut |
| 245 | 1 0 | a The effect of increased coverage of participatory women's groups on neonatal mortality in Bangladesh :b A cluster randomized trial |
| 264 | 1 | b American Medical Association,c 2013 |
| 338 | a print2 rdacarrier | |
| 520 | a IMPORTANCE: Community-based interventions can reduce neonatal mortality when health systems are weak. Population coverage of target groups may be an important determinant of their effect on behavior and mortality. A women's group trial at coverage of 1 group per 1414 population in rural Bangladesh showed no effect on neonatal mortality, despite a similar intervention having a significant effect on neonatal and maternal death in comparable settings.OBJECTIVE: To assess the effect of a participatory women's group intervention with higher population coverage on neonatal mortality in Bangladesh.DESIGN: A cluster randomized controlled trial in 9 intervention and 9 control clusters.SETTING: Rural Bangladesh.PARTICIPANTS: Women permanently residing in 18 unions in 3 districts and accounting for 19 301 births during the final 24 months of the intervention.INTERVENTIONS: Women's groups at a coverage of 1 per 309 population that proceed through a participatory learning and action cycle in which they prioritize issues that affected maternal and neonatal health and design and implement strategies to address these issues.MAIN OUTCOMES AND MEASURES: Neonatal mortality rate.RESULTS: Analysis included 19 301 births during the final 24 months of the intervention. More than one-third of newly pregnant women joined the groups. The neonatal mortality rate was significantly lower in the intervention arm (21.3 neonatal deaths per 1000 live births vs 30.1 per 1000 in control areas), a reduction in neonatal mortality of 38% (risk ratio, 0.62 [95% CI, 0.43-0.89]) when adjusted for socioeconomic factors. The cost-effectiveness was US $220 to $393 per year of life lost averted. Cause-specific mortality rates suggest reduced deaths due to infections and those associated with prematurity/low birth weight. Improvements were seen in hygienic home delivery practices, newborn thermal care, and breastfeeding practices.CONCLUSIONS AND RELEVANCE: Women's group community mobilization, delivered at adequate population coverage, is a highly cost-effective approach to improve newborn survival and health behavior indicators in rural Bangladesh.TRIAL REGISTRATION: isrctn.org Identifier: ISRCTN01805825. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng |
| 700 | 1 | a Azad, Kishwar4 aut |
| 700 | 1 | a Kuddus, Abdul4 aut |
| 700 | 1 | a Younes, Layla4 aut |
| 700 | 1 | a Shaha, Sanjit4 aut |
| 700 | 1 | a Nahar, Tasmin4 aut |
| 700 | 1 | a Aumon, Bedowra Haq4 aut |
| 700 | 1 | a Hossen, Munir4 aut |
| 700 | 1 | a Beard, James4 aut |
| 700 | 1 | a Hossain, Tanvir4 aut |
| 700 | 1 | a Pulkki-Brännström, Anni-Maria4 aut |
| 700 | 1 | a Skordis-Worrall, Jolene4 aut |
| 700 | 1 | a Prost, Audrey4 aut |
| 700 | 1 | a Costello, Anthony4 aut |
| 700 | 1 | a Houweling, Tanja A J4 aut |
| 773 | 0 | t JAMA pediatricsd : American Medical Associationg 167:9, s. 816-25q 167:9<816-25x 2168-6211x 2168-6203 |
| 856 | 4 | u https://jamanetwork.com/journals/jamapediatrics/articlepdf/1688681/poi130049.pdf |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-82844 |
| 856 | 4 8 | u https://doi.org/10.1001/jamapediatrics.2013.2534 |
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