Community-Based Intervention Packages for Improving Perinatal Health in Developing Countries: A Review of the Evidence

Schiffman, Jessica D.; Darmstadt, Gary L.; Agarwal, Siddharth; Baqui, Abdullah H

doi:10.1053/j.semperi.2010.09.008

Cited by 67 publications

(59 citation statements)

References 31 publications

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“…49 According to Barry et al 50 there is pertinent evidence that health promotion programmes consisting of behavior change strategies, home visits, and participatory campaigns can be helpful in ensuring the health of mothers during the reproductive age. Schiffman et al 51 further postulate the importance of a Family-Community Care involves services which encompasses both the family and community to harmonise with the social and cultural milieu of particular communities. -Randomized control trial -Knowledge on pregnancy-related risk factors and preventive measures and change in their behavior before and during pregnancy -Knowledge of women who received preconception counseling (PCC) exceeded that of women who did not.…”

Section: Interventions At Community Levelmentioning

confidence: 99%

Healthy Diet and Nutrition Education Program among Women of Reproductive Age: a Necessity of Multilevel Strategies or Community Responsibility

Dunneram¹,

Jeewon²

2015

Health Promot Perspect

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Article type: Review ArticleBackground: Reproductive years represent a major proportion of women"s life. This review focuses on recommended nutritional considerations, physical activity pattern as well as the effect of nutrition education (NE) on behavior modification and health outcomes of women of reproductive age using either singlelevel, multiple-level or community-level interventions. Methods: For this narrative review, numerous searches were conducted on databases of PubMed, Science Direct and Google Scholar search engine using the keywords women, reproductive age, NE, interventions, community-based. Results: Even though single intervention is effective, multiple intervention programmes in addition to behavior modification components are even more successful in terms of modified behaviors and health outcomes. Moreover, community based interventions using multilevel strategies are further useful for improved health outcomes and behavior modification. Conclusion: NE programmes have been effective in positive behavior modification measured in terms of eating pattern and health quality. Thus, it is recommended that health professionals use multiple intervention strategies at community level to ensure improved outcomes. Political support is also required to create culturally sensitive methods of delivering nutritional programmes. Finally, as policy is dependent on program cost, nutritional programmes need to combine methods of cost analysis to show cost effectiveness of supplying adequate nutrition for women throughout the lifecycle.

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Section: Interventions At Community Levelmentioning

confidence: 99%

Healthy Diet and Nutrition Education Program among Women of Reproductive Age: a Necessity of Multilevel Strategies or Community Responsibility

Dunneram¹,

Jeewon²

2015

Health Promot Perspect

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“…35 Outside Bangladesh, efforts continue to test community-based programmes for the improvement of maternal and neonatal health -through varying delivery strategies and in a wide variety of contexts. 36 In Sindh, Pakistan, a community-based intervention package -which was principally delivered by female health workers, traditional birth attendants and community health committees -reduced neonatal mortality by 12%. 37 In Haryana, India, the Integrated Management of Neonatal and Child Illness programme significantly reduced mortality among neonates born at home.…”

Section: Generalizabilitymentioning

confidence: 99%

Economic evaluation of neonatal care packages in a cluster-randomized controlled trial in Sylhet, Bangladesh

LeFevre

Shillcutt

Waters

et al. 2013

Bull. World Health Organ.

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“…This will aid both practitioners and researchers in assessing the value of their findings. This point also has been emphasized in other systematic reviews such as Schiffman et al [3] and Haws et al [19]. Finally, an effort should be made to achieve greater standardization of measures in evaluation studies of specific program or policy interventions, as well.…”

Section: Alternative Public Health Interventions To Prevent Neonatal mentioning

confidence: 99%

“…Ninety-eight percent of these deaths occur in developing countries [2]. A majority of these deaths are preventable through low-cost and effective interventions [3]. A variety of health education interventions intended to reduce neonatal mortality have been implemented in developing countries, and a number of evaluations of these interventions have been reported.…”

Section: Introductionmentioning

confidence: 99%

Alternative Public Health Interventions to Prevent Neonatal Deaths in Developing Countries: A Comparative Study

Umar¹

2016

JHS

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A number of evaluations of health education interventions in developing countries for the reduction of neonatal mortality have been reported. These interventions can be divided into two categories: those which include medical professionals and those without medical professionals. No systematic review has yet been performed that compares these two types of interventions. This study is an attempt to determine whether the inclusion of medical professionals in health education interventions more greatly decreases neonatal mortality in developing countries. Databases were searched for impact evaluation studies which: 1) had both experimental and control groups, 2) conducted both pre-tests and post-tests, 3) identified the intervention as a health education package, 4) were published in peer reviewed journals, 5) used neonatal mortality as an outcome measure, and 6) were undertaken in developing countries. A total 14 studies were found that fit these criteria-eight of these studies included medical professionals in the intervention, and six studies were without medical professionals. To calculate the net effect of each intervention, both the difference-in-difference method and the use of log odds ratios were tested. Interventions involving medical professionals had significantly lower neonatal mortality rates than those without medical professionals. Interventions meant to decrease neonatal mortality in developing countries are recommended to involve medical professionals.

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Community-Based Intervention Packages for Improving Perinatal Health in Developing Countries: A Review of the Evidence

Cited by 67 publications

References 31 publications

Healthy Diet and Nutrition Education Program among Women of Reproductive Age: a Necessity of Multilevel Strategies or Community Responsibility

Healthy Diet and Nutrition Education Program among Women of Reproductive Age: a Necessity of Multilevel Strategies or Community Responsibility

Economic evaluation of neonatal care packages in a cluster-randomized controlled trial in Sylhet, Bangladesh

Alternative Public Health Interventions to Prevent Neonatal Deaths in Developing Countries: A Comparative Study

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