Journal Article

Impact of Community-Based Behaviour-Change Management on Perceived Neonatal Morbidity: A Cluster-Randomized Controlled Trial in Shivgarh, Uttar Pradesh, India

Jeffrey R. Willis, Vishwajeet Kumar, Saroj Mohanty, Vivek Singh, Aarti Kumar, Jai V. Singh, Rajendra P. Misra, Shally Awasthi, Pramod Singh, Amit Gupta, Abdullah H. Baqui, Mathuram Santosham and Gary L. Darmstadt

in Journal of Tropical Pediatrics

Volume 58, issue 4, pages 286-291
Published in print August 2012 | ISSN: 0142-6338
Published online December 2011 | e-ISSN: 1465-3664 | DOI: http://dx.doi.org/10.1093/tropej/fmr097
Impact of Community-Based Behaviour-Change Management on Perceived Neonatal Morbidity: A Cluster-Randomized Controlled Trial in Shivgarh, Uttar Pradesh, India

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In the context of high neonatal mortality rate (NMR) in developing country settings, a promising strategy for enhancing newborn health is promotion of preventive newborn care practices. We measured the effect of a behaviour-change intervention on perceived neonatal illnesses in rural Uttar Pradesh, India. The study was nested in a cluster-randomized controlled trial of the impact of a package of essential newborn care on NMR. We prospectively enrolled 802 mothers and administered a questionnaire on perceived neonatal morbidities. Regression analysis showed that newborns in the intervention clusters had significantly lower risk of perceived diarrhoea [adjusted relative risk (aRR) 0.67, 95% confidence interval (CI) 0.49–0.90] and skin-related complications [aRR 0.67, 95% CI 0.45–1.00] compared to newborns in the comparison area. Assuming incidence of perceived illnesses is a proxy for actual morbidity rates, we conclude that promotion of preventive care practices through behaviour-change interventions was effective in reducing neonatal morbidities.

Keywords: newborn; morbidity; developing country; intervention study; behavior change

Journal Article.  2820 words.  Illustrated.

Subjects: Paediatrics

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