Every year, an estimated four million children worldwide die within the first month of their lives. Less than a quarter of the sixty-eight countries targeted by the Millennium Development Goal 4 (reduction of mortality rate in children less than five years old by two-thirds by 2015) are on track to achieve that goal.
The groups were facilitated by women recruited in the local area, non-healthcare professionals who tended to be married, with some schooling, and a respected member of the community. The number of women taking part of in the groups increased from one in six women (17%) of childbearing age in the first year to over a half (55%) in the third year.
The women worked through a 'community action cycle' involving four stages: identifying the problems associated with pregnancy, childbirth and care of newborns; developing strategies to tackle these problems, such as improving hygiene, raising emergency funds and producing their own birthing kits; working with local community leaders, teachers, politicians and others to implement these strategies, and; evaluating their success."It was crucial that the women were allowed to think thought through the issues and implement their own strategies to tackle them, rather than us telling them what to do," says .. Dr Nirmala Nair of Ekjut. "We believe that a trained facilitator who supports informed peer learning is more effective for lasting behaviour change than a traditional instructor/learner approach."
"What we were seeing was a change in behaviour towards better hygiene practices and improved care for newborns," explains Professor Costello. "There was a move away from harmful practices such as giving birth in unclean environments and delaying breastfeeding. We saw significant improvements in areas such as basic hygiene by birth attendants, clean cord care and women responding earlier to care needs."
The researchers believe that improved social capital – the access the group gave women to a wider support network of peers – was potentially the most valuable aspect of the groups and would have contributed towards the improved childbirth and childcare practices and the reduction in maternal depression. It may also explain why such groups have had much greater success than direct – even one-to-one – interventions with healthcare workers.
"Many of the women in these groups would have been relatively young, living in arranged marriages with only their mother-in-law or a very limited network of friends for support," explains Dr Audrey Prost from UCL. "The groups empower the women to take preventive measures and to deal with problems more effectively when they arise. If you've been to a group and a problem arises, you've got a ready-made network that you can go to for help and support."
The researchers estimate that the additional cost on introducing support to these groups per newborn life saved was around US$910. However, this raises questions over who would pay for supporting these groups: federal or state government, non-governmental organisations, or a combination of the two.
The Lancet today also publishes a second study carried out by Professor Costello and colleagues using the same approach – women's groups – in Bangladesh. The study failed to reproduce the benefits of the India trial. However, in this case, the researchers believe that there were a number of issues which may have affected the outcome, including a failure to achieve the same coverage of women's groups and recruitment of pregnant women as the India trial.
Craig Brierley | EurekAlert!
Rutgers-led innovation could spur faster, cheaper, nano-based manufacturing
14.02.2018 | Rutgers University
New study from the University of Halle: How climate change alters plant growth
12.01.2018 | Martin-Luther-Universität Halle-Wittenberg
Satellites in near-Earth orbit are at risk due to the steady increase in space debris. But their mission in the areas of telecommunications, navigation or weather forecasts is essential for society. Fraunhofer FHR therefore develops radar-based systems which allow the detection, tracking and cataloging of even the smallest particles of debris. Satellite operators who have access to our data are in a better position to plan evasive maneuvers and prevent destructive collisions. From April, 25-29 2018, Fraunhofer FHR and its partners will exhibit the complementary radar systems TIRA and GESTRA as well as the latest radar techniques for space observation across three stands at the ILA Berlin.
The "traffic situation" in space is very tense: the Earth is currently being orbited not only by countless satellites but also by a large volume of space...
An international team of researchers has discovered a new anti-cancer protein. The protein, called LHPP, prevents the uncontrolled proliferation of cancer cells in the liver. The researchers led by Prof. Michael N. Hall from the Biozentrum, University of Basel, report in “Nature” that LHPP can also serve as a biomarker for the diagnosis and prognosis of liver cancer.
The incidence of liver cancer, also known as hepatocellular carcinoma, is steadily increasing. In the last twenty years, the number of cases has almost doubled...
In just a few weeks from now, the Chinese space station Tiangong-1 will re-enter the Earth's atmosphere where it will to a large extent burn up. It is possible that some debris will reach the Earth's surface. Tiangong-1 is orbiting the Earth uncontrolled at a speed of approx. 29,000 km/h.Currently the prognosis relating to the time of impact currently lies within a window of several days. The scientists at Fraunhofer FHR have already been monitoring Tiangong-1 for a number of weeks with their TIRA system, one of the most powerful space observation radars in the world, with a view to supporting the German Space Situational Awareness Center and the ESA with their re-entry forecasts.
Following the loss of radio contact with Tiangong-1 in 2016 and due to the low orbital height, it is now inevitable that the Chinese space station will...
Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP, provider of research and development services for OLED lighting solutions, announces the founding of the “OLED Licht Forum” and presents latest OLED design and lighting solutions during light+building, from March 18th – 23rd, 2018 in Frankfurt a.M./Germany, at booth no. F91 in Hall 4.0.
They are united in their passion for OLED (organic light emitting diodes) lighting with all of its unique facets and application possibilities. Thus experts in...
A new scenario seeking to explain how Mars' putative oceans came and went over the last 4 billion years implies that the oceans formed several hundred million...
23.03.2018 | Event News
19.03.2018 | Event News
16.03.2018 | Event News
23.03.2018 | Materials Sciences
23.03.2018 | Agricultural and Forestry Science
23.03.2018 | Physics and Astronomy