Impact of packaged interventions on neonatal health: a review of the evidence.

@article{Haws2007ImpactOP,
  title={Impact of packaged interventions on neonatal health: a review of the evidence.},
  author={Rachel A. Haws and Abigail L Thomas and Zulfiqar Ahmed Bhutta and Gary L. Darmstadt},
  journal={Health policy and planning},
  year={2007},
  volume={22 4},
  pages={
          193-215
        }
}
A disproportionate burden of infant and under-five childhood mortality occurs during the neonatal period, usually within a few days of birth and against a backdrop of socio-economic deprivation in developing countries. To guide programmes aimed at averting these 4 million annual deaths, recent reviews have evaluated the efficacy and cost-effectiveness of individual interventions during the antenatal, intrapartum and postnatal periods in reducing neonatal mortality, and packages of interventions… 

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References

SHOWING 1-10 OF 93 REFERENCES

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

A package of priority interventions to include in programs is identified and research priorities for advancing the state of the art in neonatal health care are formulated for future research and program learning.

Evidence-based, cost-effective interventions: how many newborn babies can we save?

Achieving universal coverage with health interventions

Impact of community organization of women on perinatal outcomes in rural Bolivia.

It is demonstrated that community organization can improve maternal and child health in remote areas by reducing perinatal mortality rates and obstetric behavior and developing women's skills in problem identification and prioritization.

The impact of traditional birth attendant training on delivery complications in Ghana.

It was found that the evidence for a beneficial impact of TBA training was not compelling and sponsors should consider alternative health investments and, where TBA training remains the intervention of choice, be realistic about expectations of impact.

An intervention involving traditional birth attendants and perinatal and maternal mortality in Pakistan.

Training traditional birth attendants and integrating them into an improved health care system were achievable and effective in reducing perinatal mortality and this model could result in large improvements inperinatal and maternal health in developing countries.

Why are 4 million newborn babies dying each year?

4 million neonatal deaths: When? Where? Why?

...