THE WAY FORWARD Exploring synergies

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Presentation transcript:

THE WAY FORWARD Exploring synergies - 5 1

HOME VISITS 70% REDUCTION IN NMR OVER 10 YEARS (1993-2003) SEARCH Gadchiroli - India

HOME VISITS + COMMUNITY MOBILISATION 34% REDUCTION IN NMR Projahnmo trial - Bangladesh NO IMPACT Baqui AH, El-Arifeen S, Darmstadt GL, Ahmed S, Williams EK, 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. Lancet 371: 1936-1944.

HOME VISITS + COMMUNITY MOBILISATION 54% REDUCTION IN NMR Shivgarh trial - India + Kumar V, Mohanty S, Kumar A, Misra R, Santosham M, 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

COMMUNITY MOBILISATION 30% REDUCTION IN NMR Mira Makwanpur trial - Nepal 45% REDUCTION IN NMR Ekjut trial - India Manandhar et al., Lancet, 2004; Borghi et al. Lancet 2005.

6 6

7

Neonatal mortality trend: Marginalisation (intervention areas) 8

THE WAY FORWARD - BRAINSTORMING FUTURE STUDIES COLLABORATIONS (NRHM, self-help group movement, etc.) HEALTH SYSTEMS STRENGHTENING Scaling yp of promising processes –e.g surveillance, equity lens OTHER IDEAS