Association between Clean Delivery Kit Use, Clean Delivery Practices, and Neonatal Survival: Pooled Analysis of Data from Three Sites in South Asia

Seward, Nadine; Osrin, David; Li, Leah; Costello, Anthony; Pulkki-Brännström, Anni-Maria; Houweling, Tanja A. J.; Morrison, Joanna; Nair, Nirmala; Tripathy, Prasanta; Azad, Kishwar; Manandhar, Dharma S; Prost, Audrey

doi:10.1371/journal.pmed.1001180

Cited by 70 publications

(76 citation statements)

References 17 publications

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“…Our study found that clean cord care practices were associated with more than a third lower neonatal mortality in rural India and adds empirical strength to previous literature which suggests that most neonatal deaths in India and other developing countries are preventable through interventions that have been proven efficacious 10 14 19 20 21…”

Section: Discussionsupporting

confidence: 67%

Clean cord care practices and neonatal mortality: evidence from rural Uttar Pradesh, India: Table 1

Agrawal¹,

Agrawal

Mullany

et al. 2012

J Epidemiol Community Health

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Section: Discussionsupporting

confidence: 67%

Clean cord care practices and neonatal mortality: evidence from rural Uttar Pradesh, India: Table 1

Agrawal¹,

Agrawal

Mullany

et al. 2012

J Epidemiol Community Health

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“…Another review by Hundley et al [220] discussed that the levels of birth kit use vary considerably (8-99%) in more than 50 low resource countries; with higher levels being reported where birth kits are distributed free as part of a research program. A recent review of three community-based RCTs carried out between 2000 and 2008 in India, Bangladesh, and Nepal found that each additional clean delivery practice (using a plastic sheet during delivery, a boiled blade to cut the cord, a boiled thread to tie the cord, and antiseptic to clean the umbilicus) was associated with a 16% relative reduction in neonatal mortality (OR 0.84, 95% CI: 0.77 to 0.92) [221].…”

Section: Provision Of Clean Delivery Kitsmentioning

confidence: 99%

The interconnections between maternal and newborn health – evidence and implications for policy

Lassi

Majeed

Rashid

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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The past decade has witnessed increasing global attention and political support for maternal, newborn and child health. Despite this increased attention, actual progress has been slow and sporadic: coverage of key maternal and newborn health interventions remains low and there are wide disparities in access to care, within and across countries. Strategies for improving maternal and newborn health are closely linked, and can be delivered most effectively through a continuum of care approach. While these interventions are largely known, there is little information on which interventions have a positive health impact for both women and newborns. This supplement identifies the interventions during the preconception, pregnancy, intrapartum and postnatal periods found to have a positive, synergistic effect on maternal and neonatal outcomes. These interventions are then grouped into packages of care for delivery at the community, health center or hospital levels.

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“…A study from 2000 to 2008 found the use of safe delivery care kit effective in reducing neonatal mortality, sepsis and other postnatal infections in Nepal, India and Bangladesh[18]. …”

Section: Introductionmentioning

confidence: 99%

Safe delivery care practices in western Nepal: Does women’s autonomy influence the utilization of skilled care at birth?

et al. 2017

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Despite various efforts to increase the utilization of skilled birth attendants (SBA), nearly two-thirds of deliveries take place at home without the assistance of SBAs in Nepal. We hypothesized that the ability of women to take decisions about their own lives—women’s autonomy—plays an important part in birth choices. To know this, we conducted a community-based cross-sectional study for assessing women’s autonomy and utilization of safe delivery care service in Kapilvastu district of Nepal from June to October 2014. We used multivariate modeling to associate socioeconomic factors and women’s autonomy with the utilization of safe delivery care services. Just over one-third of women sought institutional delivery care during the birth of their last child. Out of the total deliveries at health facilities, nearly 58% women visited health facility for self-reported emergency obstructive care. Only 6.2% home deliveries were handled by health workers and 14.7% women used the safe delivery kit for home delivery care. Higher levels of women’s education had a strong positive association (odds ratio = 24.11, CI = 9.43–61.64) with institutional delivery care. Stratified analysis showed that when the husband is educated, women’s education seems to work partly through their autonomy in decision making. Educational status of women emerged as one of the key predictors of the utilization of delivery care services in Kapilvastu district. Economic status of household and husband’s education are other dominant predictors of the utilization of safe delivery care services. Improving the economic and educational status may be the way out for improving the proportion of institutional deliveries. Women’s autonomy may be an important mediating factor in this pathway.

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Association between Clean Delivery Kit Use, Clean Delivery Practices, and Neonatal Survival: Pooled Analysis of Data from Three Sites in South Asia

Abstract: A pooled analysis of data from three studies in South Asia demonstrates an association between use of clean delivery kits during home births and reduced risk of neonatal mortality.

Cited by 70 publications

References 17 publications

Clean cord care practices and neonatal mortality: evidence from rural Uttar Pradesh, India: Table 1

Clean cord care practices and neonatal mortality: evidence from rural Uttar Pradesh, India: Table 1

The interconnections between maternal and newborn health – evidence and implications for policy

Safe delivery care practices in western Nepal: Does women’s autonomy influence the utilization of skilled care at birth?

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