FOIP: Effekt av en faciliterad intervention i hälsosystemet för förbättrad överlevnad av nyfödda: en kluster-randomiserad stu...
Tidsperiod: 2015-01-01 till 2017-12-31
Projektledare: Anna Bergström
Bidragstyp: Internationellt samarbete
Budget: 2 985 000 SEK
The past 20 years have witnessed major improvements in child survival, but the annual burden of 2.9 million newborn deaths and 2.7 million stillbirths remains a challenge. Although community-based participatory interventions are associated with an average 24% reduction in neonatal mortality there have been difficulties in taking these approaches to scale through health system integration. Recently, a community-based intervention in Vietnam, tested in a cluster-randomized trial, where local stakeholder groups (MNHG) worked with problem solving regarding maternal and newborn health supported by a facilitator resulted in reducing newborn mortality by half. Further reduction and reduction of stillbirth rate require improved quality of care at health facilities. This project responds to the need of a community and health facility intervention with the potential of health system integration for sustained effects. Aim: to study the effect of MNHGs at local municipality level and district hospitals on newborn deaths.