Early Postpartum and Newborn Care, Maternal Mortality, Neonatal Mortality
Conditions
Keywords
Post partum, Neonate, community health care workers
Brief summary
Introduction of a community-based intervention package including prevention strategies, early recognition and management of common postpartum & neonatal problems, as well as prompt referral of high risk/complicated cases through trained first level primary health care workers, will result in a significant reduction in Postpartum maternal and neonatal mortality in Pakistan
Detailed description
Introduction of a community-based intervention package including prevention strategies, early recognition and management of common postpartum & neonatal problems, as well as prompt referral of high risk/complicated cases through trained first level primary health care workers, will result in a significant reduction in Postpartum maternal and neonatal mortality in Pakistan.
Interventions
OTHERIntervention
A comprehensive package of intervention will be developed for the mothers and newborn infants which will be comprised of; 1. Provision of postpartum maternal and immediate newborn care, including postpartum visit, maternal nutrition supplementation (iron & vitamin A), cord care, eye care, Kangaroo Care, delayed bathing, colostrum administration and linkages to immunization services), complications/illness management through stabilization/referral of cases. 2. Provision of Information on family planning, birth spacing, LAM counseling, hygiene, danger signs recognition and complications readiness. 3. Nutrition counseling regarding immediate and exclusive breastfeeding and optimum postpartum diets. 5\. Danger signs of newborn illnesses and maternal complications associated with labor and the postpartum period, care seeking. Early referral for subsequent maternal and newborn morbidities, such as anemia, postpartum depression, fistulas, prolapsed uterus and infections.
Sponsors
United States Agency for International Development (USAID)
Pakistan Ministry of Health
John Snow, Inc.
Population Council
Aga Khan University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 28 Days
Healthy volunteers
Yes
Inclusion criteria
* Neonates delivered within the study area
Exclusion criteria
* Neonates delivered outside the study area
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visit by LHWs | Within 48 - 72 hours of birth | The aim is to increase the visits of LHWs and examine the newborn within 48- 72 hours of birth |
Countries
Pakistan
Outcome results
None listed