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Developing intervention strategies to improve community health worker motivation and performance

FRANK, Tine
KALLANDER, Karin
2012

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"This 28-page learning paper describes Malaria Consortium’s experience with Integrated Community Case Management (ICCM) in malaria prevention and treatment in Mozambique and Uganda. ICCM is an approach where community-based health workers are trained to identify, treat, and refer complex cases malaria (and other diseases) in children"
The Learning Series Papers

Costs and cost-effectiveness of training traditional birth attendants to reduce neonatal mortality in the Lufwanyama neonatal survival study (LUNESP)

SABIN, Lora L
et al
2012

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"The Lufwanyama Neonatal Survival Project ("LUNESP") was a cluster randomized, controlled trial that showed that training traditional birth attendants (TBAs) to perform interventions targeting birth asphyxia, hypothermia, and neonatal sepsis reduced all-cause neonatal mortality by 45%. This companion analysis was undertaken to analyze intervention costs and cost-effectiveness, and factors that might improve cost-effectiveness"
PLoS ONE 7(4)

Advancing newborn health : the saving newborn lives initiative

TINKER, A
et al
January 2010

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The value of low-cost, community-based interventions and strategies in significantly reducing newborn mortality has been demonstrated by targeted research, focused on overcoming the key barriers to improved newborn survival. This research is part of Saving Newborn Lives, an initiative, which is helping to address what was previously a largely neglected area within the global health agenda but is increasingly being addressed by assistance agencies, national governments and non-governmental organisations. Building on what has been learned from this and other efforts to date, the challenge is to reach the millions of newborns still at risk

Briefing for the day of the African child : reaching Millennium Development Goal 4 : what progress has Africa made and what more needs to be done?

HARTILL, Richard G
MILLER, Carol A
June 2009

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This briefing document reviews examples of the progress that Africa has made in reaching the Accelerated Action Towards Africa Fit for Children 2008 - 2012 as adopted by the African Union and Member States in the agreed actions related to Enhancing Life Chances and Child Survival and looks at what more needs to be done. The commitment, "Enhancing Life Chances", entails strengthening health systems to provide quality maternal and child health services; scaling up essential interventions to reduce maternal morbidity and mortality and reduce neonatal mortality; scaling up a minimum package of proven child health interventions; and supporting family and community based actions that enhance children’s health, nutrition and well-being including potable water, improved sanitation and hygiene, appropriate young child feeding practices and food security measures

Disappearing daughters

KELLY, Annie
June 2008

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This report highlights the decline in the number of girls born and surviving in northern India compared to boys, driven by discrimination against women and the preference for sons over daughters. The problem affects all levels of society with the illegal use of ultrasound technology to detect the gender of unborn children leading to sex-selective abortions, and in poorer communities, where this technology is less available, the neglect and denial of medical care and nutrition of girl children

State of the world’s children 2008 : child survival

United Nations Children's Fund (UNICEF)
2008

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This publication provides a wide-ranging assessment of the current state of child survival and primary health care for mothers, newborns and children. It examines lessons learned in child health during the past few decades and outlines the most important emerging precepts and strategies for reducing deaths among children under age five and for providing a continuum of care for mothers, newborns and children

The state of Africa's children 2008 : child survival

ROGERS, Kate
GEBRE-EGZIABHER, Hirut
2008

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This report complements UNICEF’s ‘State of the World’s Children 2008’. It considers progress towards the related Millennium Development Goals in the region and the main causes of child deaths. It considers health-care systems and community-based approaches to providing maternal and child health care and outlines priorities required to accelerate progress

Integrated management of pregnancy and childbirth : WHO recommended interventions for improving maternal and newborn health

WORLD HEALTH ORGANIZATION (WHO), DEPARTMENT OF MAKING PREGNANCY SAFER
2007

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This paper contains five tables listing recommendations to improve maternal and newborn health and survival, through health services, family and community. Table 1. Care in pregnancy, childbirth and postpartum period for mother and newborn infant; Table 2. Place of care, providers, interventions and commodities; Table 3. Home care, family, community and workplace support for the woman during pregnancy and childbirth and for the newborn infant; Table 4. Care for the woman before and between pregancies; Table 5. Pregnant women not wanting child

State of the world's mothers 2007 : saving the lives of children under 5

SAVE THE CHILDREN
2007

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This year’s State of the World’s Mothers report shows which countries are succeeding, and which are failing, to save the lives of mothers and children. It examines how investments in health care and nutrition can make a difference for children, mothers, communities and society as a whole. It also points to proven, low-cost solutions that could save the majority of these young lives

Danger signs of neonatal illnesses : perceptions of caregivers and health workers in northern India

AWASTHI, Shally
VERMA, Tuhina
AGARWAL, Monica
October 2006

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This article explores the "household practices that can affect neonatal health, from the perspective of caregivers and health workers; to identify signs in neonates leading either to recognition of illness or health-care seeking; and to ascertain the proportion of caregivers who recognize the individual items of the integrated management of neonatal and childhood illnesses (IMNCI) programme"
Bulletin of the World Health Organization, 84(10)

Opportunities for Africa's newborns : practical data, policy and programmatic support for newborn care in Africa

LAWN, Joy
KERBER, Kate
2006

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The African region has the highest rates of neonatal mortality in the world, and has shown the slowest progress so far in reducing neonatal deaths. New policies, however, seem to provide opportunities to accelerate progress for maternal, newborn and child health. Section 1 presents an overview of neonatal deaths, and lives that could be saved in Africa in order to guide policy and programme priority setting. Section 2 explores the the continuum of care through pre-pregnancy, pregnancy, childbirth and the postnatal period, highlighting current gaps in coverage of care and opportunities to address these gaps at all levels - family and community care, outreach services, and primary and referral care facilities. Section 3 contains an overview of the current situation for 9 key programmes related to newborn health. Section 4 discusses lessons learned and existing gaps between new policies and their implementation. Section 5, finally, contains a summary of relevant data for decision making for 46 countries in sub-Saharan Africa regarding maternal, newborn and child health status and policy. This accessible and comprehensive tool will be of use to policy makers, health and community workers and programme managers

UN Millennium Project 2005 : who's got the power? Transforming health systems for women and children. Task Force on Child Health and Maternal Health

FREEDMAN, Lynn P
et al
2005

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This report has been produced by the Task Force on Child Health and Maternal Health. It identifies technical interventions needed to address the problems of high rates of maternal mortality, continued child deaths due to preventable illnesses, unmet need for sexual and reproductive health services, and weak and fragile health systems. The report also asserts that policymakers must act now to change the fundamental societal dynamics that currently prevent those most in need from accessing quality health care

Lancet Neonatal Survival Series

2005

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The goal of the Lancet Neonatal Survival Series is to provide information that will affect policy globally. The papers also provide a framework for practical action in countries so that these interventions reach families in greatest need. New information is given regarding critical factors related to neonatal deaths, where and why newborns die and assessments of the effectiveness and costs of interventions for newborn care. Practical steps are given to strengthen health care now in countries such as Ethiopia where 135,000 babies die every year, yet only five percent of women have a skilled care attendant during childbirth

Child survival in sub-Saharan Africa : taking stock

SUPPORT FOR ANALYSIS AND RESEARCH IN AFRICA (SARA) PROJECT
2005

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This paper presents the findings and recommendations of research, funded by USAID, to understand better the growing gap between Africa and the rest of the world in achieving the UN Millennium Development Goals that relate to child health. It aims to provide an analysis of child health trends in order to identify how USAID could improve its contribution to improving child health in Africa

Community perceptions of pre-term labour in rural Malawi

DUNN, Alison
2004

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This policy brief looks at perceptions of neonatal and infant death. Death in the first four weeks of life accounts for almost 40% of deaths in children under five years of age. The causes of neonatal death in sub-Saharan Africa, particularly the contribution of pre-term birth, are poorly documented. It is vital to understand community perceptions of ill health in pregnancy through a combination of both traditional and biomedical models of health. The Malaria Knowledge Programme (MKP) carried out a qualitative study to investigate the perceptions of women, men and health workers of pre-term labour, its causes and prevention strategies. Although ante-natal clinic attendance was recognised as one way of preventing pre-term labour, constraints to accessing these services included lack of money and poor quality services

Improving birth outcomes : meeting the challenge in the developing world

BALE, Judith R
STOLL, Barbara J
LUCAS, Adetokunbo O
Eds
2003

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This report reviews evidence on key interventions that could greatly improve birth outcomes in developing countries. It reviews the available statistics of low birth weight, prematurity, and birth defects; reviews current knowledge and practices of a healthy pregnancy, identifies cost-effective opportunities for improving birth outcomes and supporting families with an infant handicapped by birth problems

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