Community-based maternal and newborn educational care packages for improving neonatal health and survival in low- and middle-income countries

Lassi, Zohra S; Kedzior, Sophie G. E.; Bhutta, Zulfiqar A

doi:10.1002/14651858.cd007647.pub2

Cited by 33 publications

(61 citation statements)

References 184 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there were considerable challenges in achieving this for some higher risk infants and sustaining progress post-discharge in the absence of community follow-up [ 87 ]. Educating family members, such as fathers and mothers-in-laws, has also shown a positive effect on neonatal mortality and feeding practices, emphasizing the importance of an inclusive approach and considering the wider family dynamics that influence feeding practices [ 37 , 90 ]. Breastfeeding support packages in the workplace have shown positive impacts on breastfeeding initiation and duration.…”

Section: Discussionmentioning

confidence: 99%

“…Other education, counselling and peer support. Twelve reviews evaluated nutritional interventions containing an educational component focusing on topics beyond breastfeeding practices for pregnant women and/or breastfeeding women [28,[34][35][36][37][38][39][40][41][42][43][44]. Five reviews analysed just counselling and education interventions, while seven included counselling/education alongside other interventions e.g.…”

Section: Plos Onementioning

confidence: 99%

See 1 more Smart Citation

Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

et al. 2021

View full text Add to dashboard Cite

Background Small and nutritionally at-risk infants under 6 months (<6m) are a vulnerable group at increased risk of mortality, morbidity, poor growth and sub-optimal development. Current national and international (World Health Organization) management guidelines focus mainly on infants’ needs, yet growing evidence suggests that maternal factors also influence infant outcomes. We aimed to inform future guidelines by exploring the impacts of maternal-focused interventions on infant feeding and growth. Methods We conducted a systematic review of reviews published since 2008 (PROSPERO, register number CRD 42019141724). We explored five databases and a wide variety of maternal-focused interventions based in low- and middle-income countries. Infant outcomes of interest included anthropometric status, birthweight, infant mortality, breastfeeding and complementary feeding practices. Given heterogenous interventions, we present a narrative synthesis of the extracted data. Results We included a total of 55 systematic reviews. Numerous maternal interventions were effective in improving infant growth or feeding outcomes. These included breastfeeding promotion, education, support and counselling interventions. Maternal mental health, while under-researched, showed potential to positively impact infant growth. There was also some evidence for a positive impact of: women’s empowerment, m-health technologies, conditional cash transfers, water, sanitation and hygiene and agricultural interventions. Effectiveness was increased when implemented as part of a multi-sectoral program. Antenatal supplementation with macronutrient, multiple micronutrients, Vitamin D, zinc, iron folic acid and possibly calcium, iodine and B12 in deficient women, improved birth outcomes. In contrast, evidence for postnatal supplementation was limited as was evidence directly focusing on small and nutritionally at-risk infants; most reviews focused on the prevention of growth faltering. Conclusion Our findings suggest sufficient evidence to justify greater inclusion of mothers in more holistic packages of care for small and nutritionally at-risk infants aged <6m. Context specific approaches are likely needed to support mother-infant dyads and ensure infants survive and thrive.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The home visits administered by CHWs, which may include basic antenatal and newborn care, diagnoses. and management of chronic conditions, as well as the distribution of essential medicine, have been associated with reduced maternal and newborn mortality in urban poor populations (Lassi et al 2016;Nwameme et al 2018). Equipping CHWs with digital health tools and resources tailored to their communities can assist CHWs in collecting patient health data, providing reminders and alerts, providing referrals and follow-ups, and offering training opportunities (Cometto et al 2018;Schuttner et al 2014).…”

Section: Digital Health Resourcesmentioning

confidence: 99%

“…Equipping CHWs with digital health tools and resources tailored to their communities can assist CHWs in collecting patient health data, providing reminders and alerts, providing referrals and follow-ups, and offering training opportunities (Cometto et al 2018;Schuttner et al 2014). Furthermore, in addition to directly delivering healthcare services, CHWs can be effective facilitators of information and provide pregnancy and newborn care education (Lassi et al 2019). Thus, while socioeconomic and cultural barriers exist that hinder access to continuous quality maternal and newborn care, CHWs can bridge the gap between the marginalized mother and the medical providers, and serve as knowledgeable advocates for their communities.…”

Section: Digital Health Resourcesmentioning

confidence: 99%

Maternal and Newborn Health Concerns in a Growing Urban Population

Frantz¹

2020

Global Encyclopedia of Public Administration, Public Policy, and Governance

View full text Add to dashboard Cite

“…Maternal health care is decisive for maternal and newborn health and the health of the entire country [ 1 ]. China has the largest group of women and children in the world, any improvement in maternal and child health services or polices will benefit over two-thirds of the total population and beyond [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

An integrated model for evaluation of maternal health care in China

Zhao

Chen

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

In recent years, in the context of China’s continuous medical and health reforms, the health status of Chinese women and children has been significantly improved through the continuous efforts of staff at all levels of maternal and child health care institutions. Many indicators in maternal health care have improved significantly, but the speed and magnitude of changes have varied. The purpose of this study is to evaluate the dynamic changes in China’s maternal health status from 2004 to 2018, in order to determine whether China’s medical and health reform measures in recent years have improved maternal health. A total of 6 evaluation indicators from the data of China Health Statistics Yearbook 2019 were selected. Then, based on the multi-criteria decision-making (MCDA) methodology, the entropy weighted technique for order preference by similarity to an ideal solution (TOPSIS), entropy weighted rank-sum ratio (RSR) method and the fuzzy comprehensive evaluation were employed in this study. In addition, sensitivity analysis was engaged to validate the stability and accuracy of the achieved results. The study results shows the ranking values of various methods were not exactly the same, but the overall trend was consistent. Overall, the maternal health care in China improved from 2004 to 2018 year by year, of which the top four were ranked from 2015 to 2018, and relatively poor from 2004 to 2006. This means that the policies and measures implemented in China’s medical and health reform in the past few decades have effectively promoted China’s maternal health care, and this will also provide a theoretical basis for future decisions to promote maternal health care.

show abstract

Community-based maternal and newborn educational care packages for improving neonatal health and survival in low- and middle-income countries

Cited by 33 publications

References 184 publications

Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

Maternal and Newborn Health Concerns in a Growing Urban Population

An integrated model for evaluation of maternal health care in China

Contact Info

Product

Resources

About