Effect of participatory women's groups facilitated by Accredited Social Health Activists on birth outcomes in rural eastern India: a cluster-randomised controlled trial

The Lancet Global Health
Prasanta TripathyAudrey Prost

Abstract

A quarter of the world's neonatal deaths and 15% of maternal deaths happen in India. Few community-based strategies to improve maternal and newborn health have been tested through the country's government-approved Accredited Social Health Activists (ASHAs). We aimed to test the effect of participatory women's groups facilitated by ASHAs on birth outcomes, including neonatal mortality. In this cluster-randomised controlled trial of a community intervention to improve maternal and newborn health, we randomly assigned (1:1) geographical clusters in rural Jharkhand and Odisha, eastern India to intervention (participatory women's groups) or control (no women's groups). Study participants were women of reproductive age (15-49 years) who gave birth between Sept 1, 2009, and Dec 31, 2012. In the intervention group, ASHAs supported women's groups through a participatory learning and action meeting cycle. Groups discussed and prioritised maternal and newborn health problems, identified strategies to address them, implemented the strategies, and assessed their progress. We identified births, stillbirths, and neonatal deaths, and interviewed mothers 6 weeks after delivery. The primary outcome was neonatal mortality over a 2 year follow up....Continue Reading

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Citations

Jan 30, 2016·The Lancet Global Health·Vinod K Paul
Jul 20, 2016·Current Opinion in Pediatrics·Omolara T UwemedimoChristiana M Russ
Nov 1, 2017·International Quarterly of Community Health Education·Emma SacksHenry B Perry
Jan 4, 2018·Journal of Health, Population, and Nutrition·Kumudha AruldasP S Mohanan
Oct 13, 2017·International Journal of Epidemiology·Tanja A J HouwelingAnthony Costello
Oct 17, 2018·International Journal of Epidemiology·Sam Harper
Dec 1, 2018·BMJ : British Medical Journal·Zulfiqar A BhuttaRenuka Jayatissa
Nov 16, 2016·Science·Timothy Powell-Jackson
Jun 13, 2017·Bulletin of the World Health Organization·Claudia HansonJoanna Schellenberg
Apr 11, 2018·BMJ Paediatrics Open·Binu Pappachan, Imti Choonara

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