| Title |
Impact of a community-based perinatal and newborn preventive care package on perinatal and neonatal mortality in a remote mountainous district in Northern Pakistan
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, April 2015
|
| DOI | 10.1186/s12884-015-0538-8 |
| Pubmed ID | |
| Authors |
Zahid A Memon, Gul N Khan, Sajid B Soofi, Imam Y Baig, Zulfiqar A Bhutta |
| Abstract |
There is limited evidence from community-based interventions to guide the development of effective maternal, perinatal and newborn care practices and services in developing countries. We evaluated the impact of a low-cost package of community-based interventions implemented through government sector lady health workers (LHWs) and community health workers (CHWs) of a NGO namely Aga Khan Health Services on perinatal and neonatal outcomes in a sub-population of the remote mountainous district of Gilgit, Northern Pakistan. The package was evaluated using quasi experimental design included promotion of antenatal care, adequate nutrition, skilled delivery and healthy newborn care practices. Control areas continued to receive the routine standard health services. The intervention areas received intervention package in addition to the routine standard health services. Outcome measures included changes in maternal and newborn-care practices and perinatal and neonatal mortality rates between the intervention and control areas. The intervention was implemented in a population of 283324 over a 18 months period. 3200 pregnant women received the intervention. Significant improvements in antenatal care (92% vs 76%, p < .001), TT vaccination (67% vs 47%, p < .001), institutional delivery (85% vs 71%, p < .001), cord application (51% vs 71%, p < .001), delayed bathing (15% vs 43%, p < .001), colostrum administration (83% vs 64%, p < .001), and initiation of breastfeeding within 1 hour after birth (55% vs 40%, p < .001) were seen in intervention areas compared with control areas. Our results indicate significant reductions in mortality rates in intervention areas as compared to control areas from baseline in Perinatal Mortality Rate (from 47.1 to 35.3 per 1000 births, OR 0.62; 95% CI: 0.56-0.69; P 0.02) and neonatal mortality rates (from 26.0 to 22.8 per 1000 live births, 0.58; 95% CI: 0.48-0.68; P 0.03). The implementation of a set of low cost community-based intervention package within the health system settings in a mountainous region of Pakistan was found to be both feasible and beneficial. The interventions had a significant impact in reduction of the burden of perinatal and neonatal mortality. This study is registered, ClinicalTrial.gov NCT02412293 . |
X Demographics
The data shown below were collected from the profiles of 13 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| South Africa | 3 | 23% |
| Canada | 2 | 15% |
| Sweden | 1 | 8% |
| Australia | 1 | 8% |
| United States | 1 | 8% |
| Belgium | 1 | 8% |
| Pakistan | 1 | 8% |
| United Kingdom | 1 | 8% |
| Nigeria | 1 | 8% |
| Other | 0 | 0% |
| Unknown | 1 | 8% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 11 | 85% |
| Practitioners (doctors, other healthcare professionals) | 1 | 8% |
| Scientists | 1 | 8% |
Mendeley readers
The data shown below were compiled from readership statistics for 231 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Botswana | 1 | <1% |
| United States | 1 | <1% |
| Ethiopia | 1 | <1% |
| Unknown | 228 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 45 | 19% |
| Student > Ph. D. Student | 26 | 11% |
| Researcher | 24 | 10% |
| Student > Bachelor | 17 | 7% |
| Student > Doctoral Student | 14 | 6% |
| Other | 41 | 18% |
| Unknown | 64 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 61 | 26% |
| Nursing and Health Professions | 50 | 22% |
| Social Sciences | 19 | 8% |
| Economics, Econometrics and Finance | 7 | 3% |
| Agricultural and Biological Sciences | 6 | 3% |
| Other | 16 | 7% |
| Unknown | 72 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 August 2019.
All research outputs
#2,694,962
of 22,803,211 outputs
Outputs from BMC Pregnancy and Childbirth
#740
of 4,188 outputs
Outputs of similar age
#36,292
of 263,976 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#17
of 80 outputs
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So far Altmetric has tracked 4,188 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one has done well, scoring higher than 82% of its peers.
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