Table 1.
Description of intervention package
Intervention clusters | Control clusters | |
---|---|---|
LHWs' programme of support and training | ||
Recognition of high-risk pregnancies and neonatal danger | Yes | Yes |
Promotion of antenatal care and use of iron or folate in pregnancy | Yes | Yes |
Promotion of adequate maternal diet and rest | Yes | Yes |
Provision of clean delivery kit to pregnant women | Yes | No |
Immediate neonatal care | Yes | Yes |
Promotion of exclusive and early breastfeeding | Yes | Yes |
Cord care (dry, clean, and avoid any traditional application) | Yes | Yes |
Delayed bathing | Yes | Yes |
Recognition and domiciliary care of neonates with birth asphyxia, low birthweight, and suspected sepsis, and referral | Yes | No |
LHWs present at home births | Yes | No |
Domiciliary care with bag and mask for asphyxiated neonates and referral for aftercare | Yes | No |
Improved thermal care for low-birthweight and premature babies (frequent breastfeeding, waddling, co-bedding, early referral in case of any danger sign) | Yes | No |
Provision of first dose of amoxicillin to suspected infected neonates and referral to referral hospital; daily follow-up and provision of amoxicillin for 7 days in case of refused referral to hospital | Yes | No |
Provision of inflatable bag and mask, sucker bulb, amoxicillin, clean delivery kits, and management protocols to LHWs | Yes | No |
Support group (health education) training | ||
Exclusive training on support group methods, communication, and counselling skills for LHWs | Yes | No |
Male motivators training | Yes | No |
Incorporation of three flip charts on birth asphyxia, low birthweight, and sepsis in LHW curriculums | Yes | No |
Orientation for traditional birth attendants (dais) | ||
Basic essential neonatal care training and linkage with LHWs | Yes | No |
Health facility strengthening | ||
Health-care providers training on essential neonatal care and management of birth asphyxia, low-birthweight babies, and neonatal sepsis | Yes | No |
Health-care providers training on essential neonatal care and management of sick newborn infants according to WHO guidelines | No | Yes |
Provision of inflatable bag and mask and oral amoxicillin with management protocols | Yes | No |
LHW=lady health workers.