Effectiveness of a Home-Based Counselling Strategy on Neonatal Care and Survival: A Cluster-Randomised Trial in Six Districts of Rural Southern Tanzania

PLoS Medicine

Volumn 12, Issue 9, 2015, Pages

  Hanson, Claudia ^a,b   Manzi, Fatuma ^c   Mkumbo, Elibariki ^c   Shirima, Kizito ^d   Penfold, Suzanne ^a   Hill, Zelee ^e   Shamba, Donat ^c   Jaribu, Jennie ^c   Hamisi, Yuna ^c   Soremekun, Seyi ^a   Cousens, Simon ^a   Marchant, Tanya ^a   Mshinda, Hassan ^c,f   Schellenberg, David ^a   Tanner, Marcel ^g,h   Schellenberg, Joanna ^a  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b KAROLINSKA INSTITUTE   (Sweden)

^c IFAKARA HEALTH INSTITUTE   (Tanzania)

^d ILS Brothers   (Tanzania)

^e UNIVERSITY COLLEGE LONDON   (United Kingdom)

^f Tanzania Commission for Science and Technology   (Tanzania)

^g SWISS TROPICAL AND PUBLIC HEALTH INSTITUTE   (Switzerland)

^h UNIVERSITY OF BASEL   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; BREAST FEEDING; CHILD; CLINICAL ASSESSMENT; CLINICAL EFFECTIVENESS; CLINICAL PRACTICE; FEMALE; HEALTH CARE FACILITY; HOME DELIVERY; HUMAN; MORTALITY; NEWBORN CARE; NEWBORN MORTALITY; PREGNANCY; RANDOMIZED CONTROLLED TRIAL; TANZANIA; TREATMENT OUTCOME; CONTROLLED STUDY; DEVELOPING COUNTRY; DIRECTIVE COUNSELING; EPIDEMIOLOGY; HEALTH AUXILIARY; HOME CARE; INFANT; INFANT MORTALITY; NEWBORN; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; POSTNATAL CARE; RURAL HEALTH CARE; RURAL POPULATION; SURVIVAL ANALYSIS;

COMMUNITY HEALTH WORKERS; DEVELOPING COUNTRIES; DIRECTIVE COUNSELING; FEMALE; HOME CARE SERVICES; HUMANS; INFANT; INFANT MORTALITY; INFANT, NEWBORN; OUTCOME ASSESSMENT (HEALTH CARE); POSTNATAL CARE; PREGNANCY; RURAL HEALTH SERVICES; RURAL POPULATION; SURVIVAL ANALYSIS; TANZANIA;

EID: 84943155791     PISSN: 15491277     EISSN: 15491676     Source Type: Journal    
DOI: 10.1371/journal.pmed.1001881     Document Type: Article

References (49)

1. UN Inter-agency Group for Child Mortality Estimation (2013) Levels & Trends in Child Mortality. Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation. New York.
2. Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, et al. (2014) Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? The Lancet 384: 347–370.
3. Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis L, (2005) Evidence-based, cost-effective interventions: how many newborn babies can we save? The Lancet 365: 977–988.
4. Bang A, Reddy H, Deshmukh M, Baitule S, Bang R, (2005) Neonatal and Infant Mortality in the Ten Years (1993 to 2003) of the Gadchiroli Field Trial: Effect of Home-Based Neonatal Care. J Perinatol 25: S92–S107. 15791283
5. Kumar V, Mohanty S, Kumar A, Misra RP, Santosham M, Awasthi S, et al. (2008) Effect of community-based behaviour change management on neonatal mortality in Shivgarh, Uttar Pradesh, India: a cluster-randomised controlled trial. The Lancet 372: 1151–1162.
6. Baqui AH, El-Arifeen S, Darmstadt GL, Ahmed S, Williams EK, Seraji HR, et al. (2008) Effect of community-based newborn-care intervention package implemented through two service-delivery strategies in Sylhet district, Bangladesh: a cluster-randomised controlled trial. The Lancet 371: 1936–1944.
7. Bhutta ZA, Memon ZA, Soofi S, Salat MS, Cousens S, Martines J, (2008) Implementing community-based perinatal care: results from a pilot study in rural Pakistan. Bulletin of the World Health Organization 86: 452–459. 18568274
8. WHO, & UNICEF (2009) Home visits for newborn child:a strategy to improve survival. Geneva: WHO and UNICEF joint statement. www.who.int.
9. Kirkwood BR, Manu A, ten Asbroek AHA, Soremekun S, Weobong B, Gyan T, et al. (2013) Effect of the Newhints home-visits intervention on neonatal mortality rate and care practices in Ghana: a cluster randomised controlled trial. The Lancet 381: 2184–2192.
10. UN Inter-agency Group for Child Mortality EstimationUN Inter-agency Group for Child Mortality Estimation (2014) Child Mortality Estimates. In: www.childmortality.org.
11. Armstrong CE, Magoma M, Ronsmans C, Magnitude of maternal and neonatal mortality in Tanzania: A systematic review. International Journal of Gynecology & Obstetrics.
12. National Bureau of Statistics (NBS) TanzaniaMacro International Inc (2007) Tanzania Service Provision Assessment Survey 2006. DSM, Tanzania.
13. Hanson C, Ronsmans C, Penfold S, Maokola W, Manzi F, Jaribu J, et al. (2013) Health system support for childbirth care in Southern Tanzania: results from a health facility census. BMC Research Notes 6: 435. doi: 10.1186/1756-0500-6-435 24171904
14. Penfold S, Shamba D, Hanson C, Jaribu J, Manzi F, Marchant T, et al. (2013) Staff experiences of providing maternity services in rural southern Tanzania—a focus on equipment, drug and supply issues. BMC Health Services Research 13: 61. doi: 10.1186/1472-6963-13-61 23410228
15. Hanson C, Cox J, Mbaruku G, Manzi F, Gabrysch S, Schellenberg D, et al. (2015) Maternal mortality and distance to facility-based obstetric care in rural southern Tanzania: a secondary analysis of cross-sectional census data in 226 000 households. The Lancet Global Health 3: e387–e395. doi: 10.1016/S2214-109X(15)00048-0 26004775
16. Hanson C, (April 2013) The epidemiology of maternal mortality in southern Tanzania. London, UK, http://researchonline.lshtm.ac.uk/1012993/: London School of Hygiene and Tropical Medicine.
17. Shamba D, Schellenberg J, Penfold S, Mashasi I, Mrisho M, Manzi F, et al. (2013) Clean Home-delivery in Rural Southern Tanzania: Barriers, Influencers, and Facilitators. J Health Popul Nutr 1: 110–117.
18. Penfold S, Hill Z, Mrisho M, Manzi F, Tanner M, Mshinda H, et al. (2010) A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania. PLoS ONE 5: e15593. doi: 10.1371/journal.pone.0015593 21203574
19. Hill Z, Jaribu J, Mashasi I, Mrisho M, Penfold S, Sagga R, INSISTIfakara Health Instituteet al. (2009) Report on Formative Research for the Community Intervention. Dar-es-Salaam, 8–12 March:
20. Shamba D, Schellenberg J, Hildon ZJ-L, Mashasi I, Penfold S, Tanner M, et al. (2014) Thermal care for newborn babies in rural southern Tanzania: a mixed-method study of barriers, facilitators and potential for behaviour change. BMC Pregnancy and Childbirth 14: 267. doi: 10.1186/1471-2393-14-267 25110173
21. Haws RA, Thomas AL, Bhutta ZA, Darmstadt GL, (2007) Impact of packaged interventions on neonatal health: a review of the evidence. Health Policy and Planning 22: 193–215. 17526641
22. Marchant T, Jaribu J, Penfold S, Tanner M, Schellenberg J, (2010) Measuring newborn foot length to identify small babies in need of extra care: a cross sectional hospital based study with community follow-up in Tanzania. BMC Public Health 10: 624. doi: 10.1186/1471-2458-10-624 20959008
23. Borghi J, Cousens S, Hamisi Y, Hanson C, Jaribu J, Manzi F, et al. (2013) STUDY PROTOCOL: Improving newborn survival in rural southern Tanzania: a cluster-randomised trial to evaluate the impact of a scaleable package of interventions at community level with health system strengthening. www.researchonline.lshtm.ac.uk.
24. Kirkwood B, Manu A, Tawiah-Agyemang C, ten Asbroek G, Gyan T, Weobong B, et al. (2013) NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol. Trials 11: 58.
25. Mkumbo E, Hanson C, Penfold S, Manzi F, Schellenberg J, (2014) Innovation in supervision and support of community health volunteers: experience from a six-district newborn survival study in rural southern Tanzania. International Health.
26. Penfold S, Manzi F, Mkumbo E, Temu S, Jaribu J, Shamba D, et al. (2014) Effect of home-based counselling on newborn care practices in southern Tanzania one year after implementation: a cluster-randomised controlled trial. BMC Pediatrics 14: 187. doi: 10.1186/1471-2431-14-187 25052850
27. Schellenberg J, Maokola W, Shirima K, Manzi F, Mrisho M, Mushi A, et al. (2011) Cluster-randomized study of intermittent preventive treatment for malaria in infants (IPTi) in southern Tanzania: evaluation of impact on survival. Malaria Journal 10: 387. doi: 10.1186/1475-2875-10-387 22208409
28. Hayes R, Bennett S, (1999) Simple sample size calculation for cluster-randomized trials. International Journal of Epidemiology 28.
29. Shirima K, Mukasa O, Schellenberg J, Manzi F, John D, Mushi A, et al. (2007) The use of personal digital assistants for data entry at the point of collection in a large household survey in southern Tanzania. Emerging Themes in Epidemiology 4: 5. 17543099
30. Stata Statistical Software (2012) Release 12.0. Texas: Stata Corp LP,.
31. Bhutta ZA, Soofi S, Cousens S, Mohammad S, Memon ZA, Ali I, et al. (2011) Improvement of perinatal and newborn care in rural Pakistan through community-based strategies: a cluster-randomised effectiveness trial. The Lancet 377: 403–412.
32. Bhandari N, Mazumder S, Taneja S, Sommerfelt H, Strand TA, (2012) Effect of implementation of Integrated Management of Neonatal and Childhood Illness (IMNCI) programme on neonatal and infant mortality: cluster randomised controlled trial. BMJ 344.
33. Darmstadt G, Choi Y, Arifeen S, Bari S, Rahman S, Mannan I, et al. (2010) Evaluation of a cluster-randomized controlled trial of a package of community-based maternal and newborn interventions in Mirzapur, Bangladesh. PLoS ONE 5: e9696. doi: 10.1371/journal.pone.0009696 20352087
34. Localio AR, Margolis DJ, Berlin JA, (2007) Relative risks and confidence intervals were easily computed indirectly from multivariable logistic regression. Journal of Clinical Epidemiology 60: 874–882. 17689803
35. Lassi ZS, Bhutta Z, (2015) Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes. Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. doi: 10.1002/14651858.ED000105 26376212
36. Friberg IK, Bhutta ZA, Darmstadt GL, Bang A, Cousens S, Baqui AH, et al. (2010) Comparing modelled predictions of neonatal mortality impacts using LiST with observed results of community-based intervention trials in South Asia. International Journal of Epidemiology 39: i11–i20. doi: 10.1093/ije/dyq017 20348113
37. Mrisho M, Schellenberg D, Manzi F, Tanner M, Shirima K, Msambichaka B, et al. (2012) Neonatal Deaths in Rural Southern Tanzania: Care-Seeking and Causes of Death. ISRN Pediatrics 2012.
38. Mazumder S, Taneja S, Bahl R, Mohan P, Strand TA, Sommerfelt H, et al. (2014) Effect of implementation of Integrated Management of Neonatal and Childhood Illness programme on treatment seeking practices for morbidities in infants: cluster randomised trial. BMJ 349: g4988. doi: 10.1136/bmj.g4988 25172514
39. Sorensen BL, Elsass P, Nielsen BB, Massawe S, Nyakina J, Rasch V, (2010) Substandard emergency obstetric care—a confidential enquiry into maternal deaths at a regional hospital in Tanzania. Tropical Medicine & International Health 15: 894–900.
40. Hanson C, Waiswa P, Marchant T, Marx M, Manzi F, Mbaruku G, et al. (2014) Expanded Quality Management Using Information Power (EQUIP): protocol for a quasi-experimental study to improve maternal and newborn health in Tanzania and Uganda. Implementation Science 9: 41. doi: 10.1186/1748-5908-9-41 24690284
41. Arifeen SE, Hoque DME, Akter T, Rahman M, Hoque ME, Begum K, et al. (2009) Effect of the Integrated Management of Childhood Illness strategy on childhood mortality and nutrition in a rural area in Bangladesh: a cluster randomised trial. The Lancet 374: 393–403.
42. Victora CG, Black RE, Boerma JT, Bryce J, (2011) Measuring impact in the Millennium Development Goal era and beyond: a new approach to large-scale effectiveness evaluations. The Lancet 377: 85–95.
43. Gogia S, Sachdev H, (2010) Home visits by community health workers to prevent neonatal deaths in developing countries: a systematic review. Bull World Health Organ 88: 658–666. doi: 10.2471/BLT.09.069369 20865070
44. Yonemoto N, Dowswell T, Nagai S, Mori R, (2013) Schedules for home visits in the early postpartum period. Cochrane Database of Systematic Reviews 2013, Issue 7 Art No: CD009326
45. Pasha O, McClure E, Wright L, Saleem S, Goudar S, Chomba E, et al. (2013) A combined community- and facility-based approach to improve pregnancy outcomes in low-resource settings: a Global Network cluster randomized trial. BMC Medicine 11: 215. doi: 10.1186/1741-7015-11-215 24090370
46. Souza JP, Gülmezoglu AM, Vogel J, Carroli G, Lumbiganon P, Qureshi Z, et al. (2013) Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study. The Lancet 381: 1747–1755.
47. Victora CG, Barros FC, (2013) Participatory women's groups: ready for prime time? The Lancet 381: 1693–1694.
48. The World Bank (2015) Big Results Now for Health. documents.worldbank.org.
49. Tunçalp Ӧ, Were WM, MacLennan C, Oladapo OT, Gülmezoglu AM, Bahl R, et al. (2015) Quality of care for pregnant women and newborns—the WHO vision. BJOG: An International Journal of Obstetrics & Gynaecology 122: 1045–1049.