Table 5.
Quality Assessment | Summary of Findings | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Generalisability | Intervention | Control | |||||||||
No of studies (ref) | Intervention | Design | Limitations | Consistency | To population of interest | To intervention of interest | No. Events | No. births | No. events | No. births |
Effect size (95% CI) |
Neonatal Mortality (Tetanus Deaths): | |||||||||||
1 (18) | CBK and education | Before and after | Low quality | Masai population* | Yes | 0 | 1984 | 415 | 5716 | RR = 0.01 (0.001 - 0.09) |
|
1 (80) | CBK, TT plus multiple interventions | Before and after | Multiple interventions | India. Lady health worker delivered | Multiple interventions | 0 | 1951 | 2 | 1958 | OR = 0.20 (0.01 - 4.18) |
|
Neonatal Mortality (Sepsis Deaths): | |||||||||||
No studies identified | |||||||||||
Neonatal Mortality (All Cause): | |||||||||||
1 (81) | CBK plus multiple interventions | cRCT | Multiple interventions | Pakistan TBA delivered | Multiple interventions | 340 | 10092 | 439 | 19432 | aOR 0.71 (0.62 - 0.83) |
|
1 (18) | CBK and education | Before and after | Low quality | Masai population* | Yes | 99 | 1984 | 1984 | 5716 | RR = 0.17 (0.13 - 0.23) |
|
1 (80) | CBK, TT plus multiple interventions | Before and after | Multiple interventions | India lady health worker delivered | Multiple interventions | 35 | 1951 | 45 | 1958 | OR 0.78 (0.50 - 1.21) |
|
Neonatal Sepsis incidence: | |||||||||||
1 (84) | CBK and demonstration | Before and after | Observational | Papua New Guinea** | Yes | 1 | 67 | 8 | 64 | OR = 0.11 (0.01 - 0.84) |
|
Cord infection/oomphalitis: | |||||||||||
3 (56, 58, 59) | CBK use | Adopters vs non-adopters | Observational | Heterogeneous | Egypt, Tanzania, Nepal | Yes | aOR 0.08-0.45 | ||||
1 (11) | Use of individual items in CBK | Adopters vs non-adopters | Observational | Nepal | Yes | soap aRR = 0.49 (0.43-0.56)^ |
*Specific cultural practices and defined neonatal death as death occuring in first 6 weeks of life **Specific cultural practices
^ no effect of other components on multivariable analysis TT = tetanus toxoid vaccination