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Title: Trends in use of referral hospital services for care of sick newborns in a community-based intervention in Tangail District, Bangladesh
Authors: Bari, Sanwarul
Mannan, Ishtiaq
Rahman, Mohammed Anisur
Darmstadt, Gary L.
Seraji, M. Habibur R.
Baqui, Abdullah H.
Arifeen, Shams El
Rahman, Syed Moshfiqur
Saha, Samir K.
Ahmed, A.S.M. Nawshad Uddin
Ahmed, Saifuddin
Santosham, Mathuram
Black, Robert E.
Winch, Peter J.
Bangladesh Projahnmo-II Study Group
Keywords: Delivery of healthcare
Health services;
Care-seeking
Community health workers
Neonatal health
Maternal Health
Bangladesh
Issue Date: Dec-2006
Citation: J Health Popul Nutr 2006 Dec;24(4):519-529
Abstract: The Projahnmo-II Project in Mirzapur upazila (sub-district), Tangail district, Bangladesh, is promot­ing care-seeking for sick newborns through health education of families, identification and referral of sick newborns in the community by community health workers (CHWs), and strengthening of neo­natal care in Kumudini Hospital, Mirzapur. Data were drawn from records maintained by the CHWs, referral hospital registers, a baseline household survey of recently-delivered women conducted from March to June 2003, and two interim household surveys in January and September 2005. Increases were observed in self-referral of sick newborns for care, compliance after referral by the CHWs, and care-seeking from qualified providers and from the Kumudini Hospital, and decreases were observed in care-seeking from unqualified providers in the intervention arm. An active surveillance for illness by the CHWs in the home, education of families by them on recognition of danger signs and counsel­ling to seek immediate care for serious illness, and improved linkages between the community and the hospital can produce substantial increases in care-seeking for sick newborns.
URI: http://hdl.handle.net/123456789/166
Appears in Collections:Public health sciences research papers

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