Abdullah H Baqui, Shams El Arifeen, Gary L. Darmstadt, Saifuddin Ahmed et al.
BACKGROUND Neonatal mortality accounts for a high proportion of deaths in children under the age of 5 years in Bangladesh. Therefore the project for advancing the health of newborns and mothers (Projahnmo) implemented a community-based intervention package through government and non-government organ...
Peter J. Winch, Ashraful Alam, Afsana Akther, Dilara Afroz et al.
Background Understanding of local knowledge and practices relating to the newborn period, as locally defined, is needed in the development of interventions to reduce neonatal mortality. We describe the organisation of the neonatal period in Sylhet District, Bangladesh, the perceived threats to the w...
Syed Moshfiqur Rahman, Nabeel Ashraf Ali, Larissa Jennings, M. Habibur R. Seraji et al.
BACKGROUND: Well-trained and highly motivated community health workers (CHWs) are critical for delivery of many community-based newborn care interventions. High rates of CHW attrition undermine programme effectiveness and potential for implementation at scale. We investigated reasons for high rates ...
Abdullah H Baqui, Shams El Arifeen, Emma Williams, Saifuddin Ahmed et al.
BACKGROUND: : Infections account for about half of neonatal deaths in low-resource settings. Limited evidence supports home-based treatment of newborn infections by community health workers (CHW). METHODS: : In one study arm of a cluster randomized controlled trial, CHWs assessed neonates at home, u...
Gary L. Darmstadt, Yoonjoung Choi, Shams El Arifeen, Sanwarul Bari et al.
BACKGROUND: To evaluate a delivery strategy for newborn interventions in rural Bangladesh. METHODS: A cluster-randomized controlled trial was conducted in Mirzapur, Bangladesh. Twelve unions were randomized to intervention or comparison arm. All women of reproductive age were eligible to participate...
Gary L. Darmstadt, Samir K. Saha, Yoonjoung Choi, Shams El Arifeen et al.
BACKGROUND: To devise treatment strategies for neonatal infections, the population-level incidence and antibiotic susceptibility of pathogens must be defined. METHODS: Surveillance for suspected neonatal sepsis was conducted in Mirzapur, Bangladesh, from February 2004 through November 2006. Communit...
Shams El Arifeen, Samir K. Saha, Sayedur Rahman, Kazi Mizanur Rahman et al.
BACKGROUND: Streptococcus pneumoniae infection is recognized as a global priority public health problem, and conjugate vaccines have been shown to prevent vaccine-type invasive pneumococcal disease (IPD) in children. However, better estimates of the disease burden and reliable population-based data ...
Sanwarul Bari, Ishtiaq Mannan, Mohammed Anisur Rahman, Gary L. Darmstadt et al.
The Projahnmo-II Project in Mirzapur upazila (sub-district), Tangail district, Bangladesh, is promoting care-seeking for sick newborns through health education of families, identification and referral of sick newborns in the community by community health workers (CHWs), and strengthening of neonatal...
Allisyn C. Moran, Peter J. Winch, Nighat Sultana, Nahid Kalim et al.
OBJECTIVE: Seeking care from a basic or comprehensive facility in response to obstetric complications is a key behaviour promoted in safe motherhood programmes. This study examined definitions of care seeking for maternal health complications used by families in rural Bangladesh, and the frequency a...
Amnesty LeFevre, Samuel D. Shillcutt, Hugh Waters, Sabbir Haider et al.
OBJECTIVE: To evaluate and compare the cost-effectiveness of two strategies for neonatal care in Sylhet division, Bangladesh. METHODS: In a cluster-randomized controlled trial, two strategies for neonatal care--known as home care and community care--were compared with existing services. For each stu...
Azadeh Farzin, Samir K. Saha, Abdullah H Baqui, Yoonjoung Choi et al.
BACKGROUND: The etiology of >90% of cases of suspected neonatal infection remains unknown. We conducted community-based surveillance in conjunction with hospital-based surveillance in a rural region in Bangladesh from June 2006 to September 2007 to assess the incidence and etiology of community-acqu...
Amnesty LeFevre, Samuel D. Shillcut, Hugh Waters, Sabbir Haider et al.