Skilled care during and immediately after delivery has been identified as one of the key strategies in reducing maternal mortality
Volunteer community health workers (CHWs) form an important element of many health systems, and in Kenya these volunteers are the foundation for promoting behavior change through health education, earlier case identification, and timely referral to trained health care providers
Despite having limited training, these TBAs were able to accurately identify critically ill neonates, initiate
treatment in the field, and refer for further care.
Knowledge of the relation between health-system factors and child mortality could help to inform health policy in low-income and middle-income countries.
Commentary urges 'extreme caution' on the scale-up of antenatal corticosteroids to reduce preterm deaths in low-income settings. But does it misdirect discussion towards speculation? Join the discussion.
Kishwar Azad and Anthony Costello emphasise maternal sepsis as a concern but cite only one trial in which dexamethasone resulted in a significant increase in fever that required antibiotic treatment compared with controls.
Kishwar Azad and Anthony Costello raise three important questions with respect to the efficacy, safety, and the appropriate gestational age at which to give corticosteroids to patients in low-income countries.
The Comment by Kishwar Azad and Anthony Costello opposing scale-up of antenatal corticosteroids misdirects the discussion of this topic towards speculation about differences in low-income settings.
We disagree with Azad and Costello’s comment about the effect of antenatal corticosteroid treatment on respiratory distress in infants at 34 weeks’ gestation.