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

  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},
  volume={22 4},
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… 

Figures and Tables from this paper

Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes.

Assessment of the effectiveness of community-based intervention packages in reducing maternal and neonatal morbidity and mortality; and improving neonatal outcomes suggests concerns regarding insufficient information on sequence generation and regarding failure to adequately address incomplete outcome data.

Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes.

A review of 18 prospective randomised and quasi-experimental trials evaluating the effectiveness of community-based intervention packages in reducing maternal and neonatal mortality and morbidities; and improving neonatal outcomes found no reduction in maternal mortality and significant reduction was observed in maternal morbidity.

Implementing an intrapartum package of interventions to improve quality of care to reduce the burden of preterm birth in Kenya and Uganda

This work details how the PTBi implemented an integrated package of interventions through a pair-matched cluster randomized control trial in 20 health facilities in Migori County, Kenya, and the Busoga region in east central Uganda from 2016 to 2019 to improve quality of care.

Community-based intervention packages for improving perinatal health in developing countries: a review of the evidence.

All published, large-scale, controlled studies that were implemented in a rural setting, included a control group, and reported neonatal and/or perinatal mortality as outcomes are identified.

Community-based intervention packages for reducing maternal morbidity and mortality and improving neonatal outcomes 1

Encouraging evidence is offered of the value of integrating maternal and newborn care in community settings through a range of strategies, many of which can be packaged effectively for delivery through community health workers.

A New Look at Care in Pregnancy: Simple, Effective Interventions for Neglected Populations

Simple interventions delivered during pregnancy have considerable potential impact on important mortality outcomes, and more programmatic effort is warranted to ensure high effective coverage.

Saving newborn lives in Asia and Africa: cost and impact of phased scale-up of interventions within the continuum of care.

Modelling costs and impact of intervention packages scaled up incrementally as health systems capacity increases can assist programme planning and help policy makers and donors identify stepwise targets for investments in newborn health.

Perinatal interventions and survival in resource-poor settings: which work, which don't, which have the jury out?

  • D. OsrinA. Prost
  • Medicine, Political Science
    Archives of Disease in Childhood
  • 2010
Differences in the interpretation of ‘intervention’ to improve perinatal survival are considered, and three types of intervention are identified: a single action, a collection of actions delivered in a package and a broader social or system approach.

Effective non-drug interventions for improving outcomes and quality of maternal health care in sub-Saharan Africa: a systematic review

While the evidence on the effectiveness of interventions to improve maternal health is varied, study findings underscore the importance of implementing comprehensive interventions that strengthen different components of the health care systems, both in the community and at the health facilities, coupled with a supportive policy environment.



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?