1. THE WAY FORWARD Exploring synergies
- 5 1

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

3. 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:

4. 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:

5. 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.

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7. 7

8. Neonatal mortality trend: Marginalisation (intervention areas)8

9. 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