Stephen P. Luby, Mahbubur Rahman, Benjamin F. Arnold, Leanne Unicomb et al.
BACKGROUND: Diarrhoea and growth faltering in early childhood are associated with subsequent adverse outcomes. We aimed to assess whether water quality, sanitation, and handwashing interventions alone or combined with nutrition interventions reduced diarrhoea or growth faltering. METHODS: The WASH B...
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...
Robert Dreibelbis, Peter J. Winch, Elli Leontsini, Kristyna R. S. Hulland et al.
BACKGROUND: Promotion and provision of low-cost technologies that enable improved water, sanitation, and hygiene (WASH) practices are seen as viable solutions for reducing high rates of morbidity and mortality due to enteric illnesses in low-income countries. A number of theoretical models, explanat...
Amy J. Pickering, Clair Null, Peter J. Winch, Goldberg Mangwadu et al.
Child stunting is a global problem and is only modestly responsive to dietary interventions. Numerous observational studies have shown that water quality, sanitation, and handwashing (WASH) in a household are strongly associated with linear growth of children living in the same household. We have co...
Jason Abaluck, Laura H. Kwong, Ashley Styczynski, Ashraful Haque et al.
Persuading people to mask Even in places where it is obligatory, people tend to optimistically overstate their compliance for mask wearing. How then can we persuade more of the population at large to act for the greater good? Abaluck et al . undertook a large, cluster-randomized trial in Bangladesh ...
Benjamin F. Arnold, Clair Null, Stephen P. Luby, Leanne Unicomb et al.
INTRODUCTION: Enteric infections are common during the first years of life in low-income countries and contribute to growth faltering with long-term impairment of health and development. Water quality, sanitation, handwashing and nutritional interventions can independently reduce enteric infections ...
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...
Gary L. Darmstadt, Nadia Badrawi, Paul A. Law, Saifuddin Ahmed et al.
BACKGROUND: Because the therapeutic options for managing infections in neonates in developing countries are often limited, innovative approaches to preventing infections are needed. Topical therapy with skin barrier-enhancing products may be an effective strategy for improving neonatal outcomes, par...
Allan W. Taylor, Dianna M. Blau, Quique Bassat, Dickens Onyango et al.
BACKGROUND: Sub-Saharan Africa and south Asia contributed 81% of 5·9 million under-5 deaths and 77% of 2·6 million stillbirths worldwide in 2015. Vital registration and verbal autopsy data are mainstays for the estimation of leading causes of death, but both are non-specific and focus on a single un...
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, Salahuddin Ahmed, Shams El Arifeen, Gary L. Darmstadt et al.
OBJECTIVE: To assess the effect of the timing of first postnatal home visit by community health workers on neonatal mortality. DESIGN: Analysis of prospectively collected data using time varying discrete hazard models to estimate hazard ratios for neonatal mortality according to day of first postnat...
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...
Kristyna R. S. Hulland, Elli Leontsini, Robert Dreibelbis, Leanne Unicomb et al.
BACKGROUND: In Bangladesh diarrhoeal disease and respiratory infections contribute significantly to morbidity and mortality. Handwashing with soap reduces the risk of infection; however, handwashing rates in infrastructure-restricted settings remain low. Handwashing stations--a dedicated, convenient...
Christine Marie George, Shirajum Monira, David A. Sack, Mahamud‐ur Rashid et al.
The risk for cholera infection is >100 times higher for household contacts of cholera patients during the week after the index patient seeks hospital care than it is for the general population. To initiate a standard of care for this high-risk population, we developed Cholera-Hospital-Based-Interven...