THE WAY FORWARD

Exploring synergies

- 5

HOME VISITS

QuickTime™ and a decompressor

are needed to see this picture.

70% REDUCTION IN NMR

OVER 10 YEARS (1993-2003)

SEARCH Gadchiroli - India

HOME VISITS + COMMUNITY MOBILISATION

QuickTime™ and a decompressor

are needed to see this picture.

34% REDUCTION IN NMR

Projahnmo trial - Bangladesh

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.

NO IMPACT

HOME VISITS + COMMUNITY MOBILISATION

QuickTime™ and a decompressor

are needed to see this picture.

+

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

54% REDUCTION IN NMR

Shivgarh trial - India

COMMUNITY MOBILISATION

Manandhar et al., Lancet, 2004; Borghi et al. Lancet 2005.

30% REDUCTION IN NMR

Mira Makwanpur trial - Nepal

45% REDUCTION IN NMR

Ekjut trial - India

Neonatal mortality trend: Marginalisation (intervention areas)

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