Community based newborn care: A systematic review and meta-analysis of evidence: UNICEF-PHFI series on newborn and child health, India

Gogia, Siddhartha; Ramji, Siddarth; Gupta, Piyush; Gera, Tarun; Shah, Dheeraj; Mathew, Joseph L; Mohan, Pavitra; Panda, Rajmohan

doi:10.1007/s13312-011-0096-8

Cited by 56 publications

(64 citation statements)

References 24 publications

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“…However, many systematic reviews (10,12,13) included Nepal based primary research in the systematic reviews.…”

Section: Systematic Reviews In Public Healthmentioning

confidence: 99%

Systematic Reviews in Public Health

Paudel

2018

Health Prospect

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In the era of evidence-based public health, systematic reviews are becoming more and more popular and being used more often both as a method of study and as a source of evidence for program and policy development. Thus, public health students and professionals should know and understand the concept, process and value of systematic reviews on different public health topics. Due to higher level of evidence ranking, findings from the systematic reviews are being used more often for policy and program development. Initially, systematic reviews only included findings from the randomized controlled trials, but now it also includes highquality quasi-experimental studies as randomized control trials are not feasible in all public health topics. Primary purpose of this paper is to orient public health students and professionals about systematic review and thus presented in frequently asked questions and response format. What is a systematic review?A systematic review is a high-level overview of primary research on a particular research question that tries to identify, select, synthesize and appraise all high quality research Systematic Reviews in Public HealthPaudel D 1 evidence relevant to that question in order to answer it. (1) The purpose of a systematic review is to sum up the best available research on a specific question. This is done by synthesizing the results of several studies using metaanalysis. (2) Meta-analysis is the statistical analysis of the data/results from studies included in a systematic review to produce an overall, pooled result. (3) Why systematic reviews?A systematic review answers the same research question and that conforms to set criteria based on the review of the methods and results of all individual studies; it, therefore, provides higher level of evidence than from a primary study.Though hierarchy of evidence is a matter of debate (4), evidence from the systematic reviews are considered "superior " compared to those from the randomized control trial, cohort study, case-control study, cross-sectional study and case study. Table 1 shows the strengths of evidence from different studies by the types of the research questions.

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“…However, many systematic reviews (10,12,13) included Nepal based primary research in the systematic reviews.…”

Section: Systematic Reviews In Public Healthmentioning

confidence: 99%

Systematic Reviews in Public Health

Paudel

2018

Health Prospect

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“…[14][15][16][17][18]21,26,[60][61][62][63][64] These new approaches which are covered by the term "community-based neonatology/newborn care" nowadays, can be divided into medical interventions, strategies directed towards changes in community behaviour and a mixture of both. 21,26,[62][63][64] In 1999, a large pioneering study by Bang and colleagues from Gadchiroli/India was the first to demonstrate that treatment of neonatal infections by village health workers in the community can significantly reduce neonatal mortality. 65 These results were sustained over several years, and could be replicated in other parts of Asia.…”

Section: Neonatal Care In the Communitymentioning

confidence: 99%

“…65 These results were sustained over several years, and could be replicated in other parts of Asia. 63,64,66 Some studies conducted in Pakistan, Nepal and Bangladesh suggest that chlorhexidine cleansing of the umbilicus after home delivery decreases the number of deaths and infection rates in neonates significantly, although the optimal timing and frequency has not been determined yet. [67][68][69][70] The data base for neonatal resuscitation in the community conducted by community health workers is weaker, but some positive results have been reported from Pakistan and India.…”

Section: Neonatal Care In the Communitymentioning

confidence: 99%

“…[67][68][69][70] The data base for neonatal resuscitation in the community conducted by community health workers is weaker, but some positive results have been reported from Pakistan and India. 64,66 In 2004, a large study from Nepal was the first to report significant reductions in neonatal mortality (> 30%) after community interventions facilitated by women's group. 71 Other studies from Asia which either focussed on community interventions alone or used a mixed approach produced similar results.…”

Section: Neonatal Care In the Communitymentioning

confidence: 99%

See 1 more Smart Citation

Maternal-child health

Groß¹,

Wydra²

2013

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“…Community mobilization, which is defined here as a process through which communities plan and act together to address health problems, is generally viewed as an essential component of programmes for improving maternal and child health. [9][10][11] Can community mobilization help reduce the number of preventable deaths in the poorest communities at a time when initiatives to strengthen health services and interventions such as home-based neonatal care are being scaled up?…”

Section: Introductionmentioning

confidence: 99%