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Community Based Interventions to Reduce Neonatal Mortality in Bangladesh

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00198705
Recruitment Status : Completed
First Posted : September 20, 2005
Last Update Posted : September 16, 2014
International Centre for Diarrhoeal Disease Research, Bangladesh
Shimantik, Bangladesh
Information provided by (Responsible Party):
Abdullah Baqui, Johns Hopkins Bloomberg School of Public Health

Brief Summary:
This project delivers, promotes and facilitates services related to pregnancy, delivery and newborn care.

Condition or disease Intervention/treatment Phase
Infectious Disease Behavioral: Improved management of severe neonatal infections Not Applicable

Detailed Description:

The Project entitled "Community-Based Intervention to Reduce Neonatal Mortality in Bangladesh", also known as Projahnmo - I (Project to Advance the Health of Newborns and Mothers), is a partnership project of the Johns Hopkins Bloomberg School of Public Health (JHSPH), USA, with a number of Bangladeshi organizations including: a) the Ministry of Health and Family Welfare (MOHFW) of the Government of Bangladesh (GoB), b) the Centre for Health and Population Research (ICDDRB), c) Save the Children/USA, Bangladesh Field Office (SC/BFO), d) Shimantik, a Bangladeshi NGO, e) BRAC/Bangladesh, f) Dhaka Shishu Hospital and g) the Institute of Child and Mother Health (ICMH). The project is funded through four mechanisms: 1) USAID Global funding to cover expenses of JHSPH to design and to provide technical assistance in the implementation and evaluation of the various components of the project, 2) SNL/SC funding to JHSPH to sub-contract the Bangladeshi institutions listed above to support implementation of the intervention component of the project, 3) USAID/Bangladesh funding to ICDDRB to cover the cost of implementation of the research and evaluation component of the project, 4) the Bangladeshi government's contribution in-terms of staff time, supplies, and facilities. This partnership between multiple research institutions and donors brings diverse, rich and unique experiences and expertise. It ensures the relevance of the project and increases the likelihood of scaling up and sustaining the intervention.

The goals of Projahnmo I are to: (a) introduce two models of delivering improved maternal and newborn care in rural Bangladesh; (b) measure each model's impact on neonatal mortality and other relevant indicators; (c) assess the cost effectiveness and feasibility of the two models.

The project includes two intervention arms with two different service delivery models, home care (HC) and clinic care (CC). Community health workers (CHWs) and community mobilizers (CMs) deliver the Birth and Newborn Care Preparedness (BNCP) package, which includes counseling during the antenatal period, delivery care, care of the baby during delivery, postnatal care, and continued counseling and education during the neonatal period. Service provision also includes making referral for sick newborns and playing the role of facilitator for behavior change in the households and communities. The strategic approaches used also include pregnancy surveillance and community-level mobilization of specific target groups, such as pregnant women, senior female family members, husbands and other targeted local advocacy meetings. In both arms, community-based meetings conducted by CMs focus on facilitating involvement of the mothers and other family members in the decision-making process and making them aware of the importance of proper antenatal care, delivery care, postpartum care, and newborn care. In the HC model, counseling is conducted at home with pregnant women and their families by CHWs. In the CC arm, women receive these messages through community meetings by CMs and during antenatal check-up (ANC) visits by governmental primary health workers and paramedics. In CC arms, CMs identify community change agents to assist in creating awareness and promoting behavior change. In addition, traditional birth attendants (TBAs), who commonly attend home deliveries in the study communities, have been oriented on newborn health.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 10670 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Community Based Interventions to Reduce Neonatal Mortality in Bangladesh
Study Start Date : June 2003
Actual Primary Completion Date : July 2007
Actual Study Completion Date : August 2012

Primary Outcome Measures :
  1. Neonatal mortality rate

Secondary Outcome Measures :
  1. Neonatal colonization with antibiotic-resistant bacteria
  2. Cost of providing the intervention services per neonate

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • participants consenting for the home-based care model area
  • participants who consent for household adequacy survey
  • participants who consent from clinic care model area

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00198705

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Dhaka, Bangladesh
Sponsors and Collaborators
Johns Hopkins Bloomberg School of Public Health
International Centre for Diarrhoeal Disease Research, Bangladesh
Shimantik, Bangladesh
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Principal Investigator: Abdullah Baqui Johns Hopkins Bloomberg School of Public Health
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Abdullah Baqui, Professor, International Health and Director, International Center for Maternal and Newborn Health, Johns Hopkins Bloomberg School of Public Health Identifier: NCT00198705    
Other Study ID Numbers: H.
First Posted: September 20, 2005    Key Record Dates
Last Update Posted: September 16, 2014
Last Verified: September 2014
Additional relevant MeSH terms:
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Communicable Diseases
Disease Attributes
Pathologic Processes