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...
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...
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...
for the ProjAHNMo Study Group in Bangladesh, Rashed Shah, Luke C. Mullany, Gary L. Darmstadt et al.
BACKGROUND: Globally, about 15 million neonates are born preterm and about 85% of global preterm birth occurs in Asia and Africa regions. We aimed to estimate the incidence and risk factors for preterm birth in a rural Bangladeshi cohort. METHODS: Between June 2007 and September 2009, community heal...
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...
Ishtiaq Mannan, Syed Moshfiqur Rahman, Ayesha Sania, Hasti Seraji et al.
Objective:Whether postpartum visits by trained community health workers (CHWs), reduce newborn breastfeeding problems.Method:Community health workers made antenatal and postpartum home visits promoting newborn care practices including breastfeeding. CHWs assessed neonates for adequacy of breastfeedi...
Amira Roess, Peter J. Winch, Afsana Akhter, Dilara Afroz et al.
Animal antimicrobial use and husbandry practices increase risk of emerging zoonotic disease and antibiotic resistance. We surveyed 700 households to elicit information on human and animal medicine use and husbandry practices. Households that owned livestock (n = 265/459, 57.7%) reported using animal...
Anne CC Lee, Luke C. Mullany, Karima Ladhani, Jamal Uddin et al.
BACKGROUND: Gestational age (GA) is frequently unknown or inaccurate in pregnancies in low-income countries. Early identification of preterm infants may help link them to potentially life-saving interventions. METHODS: We conducted a validation study in a community-based birth cohort in rural Bangla...
Abdullah H Baqui, Shams El Arifeen, Heather Rosen, Ishtiaq Mannan et al.
OBJECTIVES: To validate trained community health workers' recognition of signs and symptoms of newborn illnesses and classification of illnesses using a clinical algorithm during routine home visits in rural Bangladesh. METHODS: Between August 2005 and May 2006, 288 newborns were assessed independen...
Yoonjoung Choi, Shams El Arifeen, Ishtiaq Mannan, Syed Moshfiqur Rahman et al.
Objectives To validate maternal recognition of neonatal illnesses at home compared to assessment by community health workers (CHWs) during routine household surveillance for neonatal illness in rural Bangladesh. Methods Surveillance in the intervention arm of two cluster-randomized, controlled trial...
Gary L. Darmstadt, Shams El Arifeen, Yoonjoung Choi, Md Shafiqul Bari et al.
BACKGROUND: Effective and scalable community-based strategies are needed for identification and management of serious neonatal illness. METHODS: As part of a community-based, cluster-randomized controlled trial of the impact of a package of maternal-neonatal health care, community health workers (CH...
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...
For the Projahnmo Study Group in Bangladesh, Dipak Kumar Mitra, Luke C. Mullany, Meagan Harrison et al.
BACKGROUND: Infections cause about one fifth of the estimated 2.7 million annual neonatal deaths worldwide. Population-based data on burden and risk factors of neonatal infections are lacking in developing countries, which are required for the appropriate design of effective preventive and therapeut...
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...
Gulam Muhammed Al Kibria, Rasheda Khanam, Dipak Kumar Mitra, Arif Mahmud et al.
INTRODUCTION: Reducing neonatal mortality rate (NMR) is a challenge in many low- and middle-income countries including Bangladesh. In 2014, the estimated NMR in this country was 28 per 1,000 live births. This rate is higher in rural regions compared to the national average. Currently, Sylhet Divisio...
for the Projahnmo Study Group, Anne CC Lee, Mohammad Abdul Quaiyum, Luke C. Mullany et al.
BACKGROUND: Approximately half of preterm births are attributable to maternal infections, which are commonly undetected and untreated in low-income settings. Our primary aim is to determine the impact of early pregnancy screening and treatment of maternal genitourinary tract infections on the incide...
for the Projahnmo Study Group in Bangladesh, Rasheda Khanam, Saifuddin Ahmed, Andreea A. Creanga et al.
BACKGROUND: Despite impressive improvements in maternal survival throughout the world, rates of antepartum complications remain high. These conditions also contribute to high rates of perinatal deaths, which include stillbirths and early neonatal deaths, but the extent is not well studied. This stud...
Rashed Shah, Luke C. Mullany, Gary L. Darmstadt, Mohammad Radwanur Talukder et al.
BACKGROUND: Preterm birth leads to an estimated 35% of neonatal deaths worldwide. Our study analyses neonatal mortality risks among preterm births in rural Bangladesh. METHODS: Trained community health workers (CHW) prospectively collected data between June 2007 and September 2009. RESULTS: Among 32...
Sayedur Rahman, Aziz Ahmed Choudhury, Rasheda Khanam, Syed Mamun Ibne Moin et al.
BACKGROUND: According to the Bangladesh Demographic and Health Survey 2014, only approximately 37 percent of women deliver in a health facility. Among the eight administrative divisions of Bangladesh, the facility delivery rate is lowest in the Sylhet division (22.6 percent) where we assessed the ef...
Rasheda Khanam, Anne Shee CC Lee, Malathi Ram, MA Quaiyum et al.
OBJECTIVE: The present study examined the prevalence of and risk factors for malnutrition in a population-based cohort of women of childbearing age in rural Bangladesh. DESIGN: A cross-sectional study that collected pre-pregnancy weight, height, and data on selected risk factors for nutritional stat...