Addressing Critical Knowledge Gaps in Newborn Health

Improving Newborn Survival in Low-Income Countries: Community-Based Approaches and Lessons from South Asia

Improving Newborn Survival in Low-Income Countries: Community-Based Approaches and Lessons from South Asia
By Nair N, Tripathy P, Prost A, Costello A, Osrin D,
2010
2.666665
India
Articles

Summary

 
Obstacles to improving survival include: many newborn infants are invisible to health services; care-seeking for maternal and newborn ailments is limited; health workers are often not skilled and confident in caring for newborn infants; and there are inequalities across all these factors.
 
The best community-based approach is a combination of community mobilization and home visits by community-based workers. Both timing of visits and treatment interventions are critical.
 
It is not clear how community-based approaches should be balanced, and whether they are effective outside South Asia and when introduced into public sector systems. Operational challenges include integrating community-based activities into public health systems, and questions of how to achieve coverage at scale.
 
The possibility of partnership between the public and nongovernment sectors should be explored, particularly in terms of novel large-scale collaborations.

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Along with these accessible and affordable community based interventions for improving neonatal survival it would be better to integrate comprehensive maternal mortality reduction strategies that have been proven success in different resource-poor settings. This is because neonates and mothers are inseparable so if appropriate interventions can be implemented both including families, societies and nations will be benefitted in the long run.

We have to think about sustainable and affordable approaches because everything looks promising while doing in a small scale because resources are mobilised intensively.

To learn about successful strategies in reducing maternal and neonatal mortalities please visit http://lnweb90.worldbank.org/ext/epic.nsf/ImportDocs/8525729D0055F87B852...

4

A very nice and accessible summary of community based interventions for improved neonatal survival.