Assessing Community Based Improved Maternal Neonatal Child Survival (IMNCS) Program in Rural Bangladesh

PloS One
Mahfuzar RahmanKaosar Afsana

Abstract

A community based approach before, during and after child birth has been proven effective address the burden of maternal, neonatal and child morbidity and mortality in the low and middle income countries. We aimed to examine the overall change in maternal and newborn health outcomes due the "Improved Maternal Newborn and Child Survival" (IMNCS) project, which was implemented by BRAC in rural communities of Bangladesh. The intervention was implemented in four districts for duration of 5-years, while two districts served as comparison areas. The intervention was delivered by community health workers who were trained on essential maternal, neonatal and child health care services. A baseline survey was conducted in 2008 among 7, 200 women with pregnancy outcome in last year or having a currently alive child of 12-59 months. A follow-up survey was administered in 2012-13 among 4, 800 women of similar characteristics in the same villages. We observed significant improvements in maternal and essential newborn care in intervention areas over time, especially in health care seeking behaviors. The proportion of births taking place at home declined in the intervention districts from 84.3% at baseline to 71.2% at end line (P<0.001). Propor...Continue Reading

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Citations

Dec 1, 2018·BMJ : British Medical Journal·Zulfiqar A BhuttaRenuka Jayatissa
Aug 24, 2019·PloS One·Md Belal HossainMd Hasinur Rahaman Khan
Sep 3, 2020·International Journal of Environmental Research and Public Health·Ashraful AlamCamille Raynes-Greenow
Jul 18, 2017·Maternal and Child Health Journal·Eunsoo Timothy Kim, Kavita Singh

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