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NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol

BACKGROUND: Tackling neonatal mortality is essential for the achievement of the child survival millennium development goal. There are just under 4 million neonatal deaths, accounting for 38% of the 10.8 million deaths among children younger than 5 years of age taking place each year; 99% of these oc...

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Autores principales: Kirkwood, Betty R, Manu, Alexander, Tawiah-Agyemang, Charlotte, ten Asbroek, Guus, Gyan, Thomas, Weobong, Benedict, Lewandowski, R Eric, Soremekun, Seyi, Danso, Samuel, Pitt, Catherine, Hanson, Kara, Owusu-Agyei, Seth, Hill, Zelee
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890650/
https://www.ncbi.nlm.nih.gov/pubmed/20478070
http://dx.doi.org/10.1186/1745-6215-11-58
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author Kirkwood, Betty R
Manu, Alexander
Tawiah-Agyemang, Charlotte
ten Asbroek, Guus
Gyan, Thomas
Weobong, Benedict
Lewandowski, R Eric
Soremekun, Seyi
Danso, Samuel
Pitt, Catherine
Hanson, Kara
Owusu-Agyei, Seth
Hill, Zelee
author_facet Kirkwood, Betty R
Manu, Alexander
Tawiah-Agyemang, Charlotte
ten Asbroek, Guus
Gyan, Thomas
Weobong, Benedict
Lewandowski, R Eric
Soremekun, Seyi
Danso, Samuel
Pitt, Catherine
Hanson, Kara
Owusu-Agyei, Seth
Hill, Zelee
author_sort Kirkwood, Betty R
collection PubMed
description BACKGROUND: Tackling neonatal mortality is essential for the achievement of the child survival millennium development goal. There are just under 4 million neonatal deaths, accounting for 38% of the 10.8 million deaths among children younger than 5 years of age taking place each year; 99% of these occur in low- and middle-income countries where a large proportion of births take place at home, and where postnatal care for mothers and neonates is either not available or is of poor quality. WHO and UNICEF have issued a joint statement calling for governments to implement "Home visits for the newborn child: a strategy to improve survival", following several studies in South Asia which achieved substantial reductions in neonatal mortality through community-based approaches. However, their feasibility and effectiveness have not yet been evaluated in Africa. The Newhints study aims to do this in Ghana and to develop a feasible and sustainable community-based approach to improve newborn care practices, and by so doing improve neonatal survival. METHODS: Newhints is an integrated intervention package based on extensive formative research, and developed in close collaboration with seven District Health Management Teams (DHMTs) in Brong Ahafo Region. The core component is training the existing community based surveillance volunteers (CBSVs) to identify pregnant women and to conduct two home visits during pregnancy and three in the first week of life to address essential care practices, and to assess and refer very low birth weight and sick babies. CBSVs are supported by a set of materials, regular supervisory visits, incentives, sensitisation activities with TBAs, health facility staff and communities, and providing training for essential newborn care in health facilities. Newhints is being evaluated through a cluster randomised controlled trial, and intention to treat analyses. The clusters are 98 supervisory zones; 49 have been randomised for implementation of the Newhints intervention, with the other 49 acting as controls. Data on neonatal mortality and care practices will be collected from approximately 15,000 babies through surveillance of women of child-bearing age in the 7 districts. Detailed process, cost and cost-effectiveness evaluations are also being carried out. TRIAL REGISTRATION: http://www.clinicaltrials.gov (identifier NCT00623337)
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spelling pubmed-28906502010-06-24 NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol Kirkwood, Betty R Manu, Alexander Tawiah-Agyemang, Charlotte ten Asbroek, Guus Gyan, Thomas Weobong, Benedict Lewandowski, R Eric Soremekun, Seyi Danso, Samuel Pitt, Catherine Hanson, Kara Owusu-Agyei, Seth Hill, Zelee Trials Study protocol BACKGROUND: Tackling neonatal mortality is essential for the achievement of the child survival millennium development goal. There are just under 4 million neonatal deaths, accounting for 38% of the 10.8 million deaths among children younger than 5 years of age taking place each year; 99% of these occur in low- and middle-income countries where a large proportion of births take place at home, and where postnatal care for mothers and neonates is either not available or is of poor quality. WHO and UNICEF have issued a joint statement calling for governments to implement "Home visits for the newborn child: a strategy to improve survival", following several studies in South Asia which achieved substantial reductions in neonatal mortality through community-based approaches. However, their feasibility and effectiveness have not yet been evaluated in Africa. The Newhints study aims to do this in Ghana and to develop a feasible and sustainable community-based approach to improve newborn care practices, and by so doing improve neonatal survival. METHODS: Newhints is an integrated intervention package based on extensive formative research, and developed in close collaboration with seven District Health Management Teams (DHMTs) in Brong Ahafo Region. The core component is training the existing community based surveillance volunteers (CBSVs) to identify pregnant women and to conduct two home visits during pregnancy and three in the first week of life to address essential care practices, and to assess and refer very low birth weight and sick babies. CBSVs are supported by a set of materials, regular supervisory visits, incentives, sensitisation activities with TBAs, health facility staff and communities, and providing training for essential newborn care in health facilities. Newhints is being evaluated through a cluster randomised controlled trial, and intention to treat analyses. The clusters are 98 supervisory zones; 49 have been randomised for implementation of the Newhints intervention, with the other 49 acting as controls. Data on neonatal mortality and care practices will be collected from approximately 15,000 babies through surveillance of women of child-bearing age in the 7 districts. Detailed process, cost and cost-effectiveness evaluations are also being carried out. TRIAL REGISTRATION: http://www.clinicaltrials.gov (identifier NCT00623337) BioMed Central 2010-05-17 /pmc/articles/PMC2890650/ /pubmed/20478070 http://dx.doi.org/10.1186/1745-6215-11-58 Text en Copyright ©2010 Kirkwood et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study protocol
Kirkwood, Betty R
Manu, Alexander
Tawiah-Agyemang, Charlotte
ten Asbroek, Guus
Gyan, Thomas
Weobong, Benedict
Lewandowski, R Eric
Soremekun, Seyi
Danso, Samuel
Pitt, Catherine
Hanson, Kara
Owusu-Agyei, Seth
Hill, Zelee
NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol
title NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol
title_full NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol
title_fullStr NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol
title_full_unstemmed NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol
title_short NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol
title_sort newhints cluster randomised trial to evaluate the impact on neonatal mortality in rural ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol
topic Study protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890650/
https://www.ncbi.nlm.nih.gov/pubmed/20478070
http://dx.doi.org/10.1186/1745-6215-11-58
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