NFHP-II, John Snow Inc. Research and Training Institute, Kathmandu, Nepal.
J Perinatol. 2010 Jun;30(6):388-95. doi: 10.1038/jp.2009.181. Epub 2009 Nov 12.
The aim of the study was to determine the feasibility of improved maternal-neonatal care-seeking and household practices using an approach scalable under Nepal's primary health-care services.
Impact was assessed by pre- and post-intervention surveys of women delivering within the previous 12 months. Each district sample comprised 30 clusters, each with 30 respondents. The intervention consisted primarily of community-based antenatal counseling and dispensing and an early postnatal home visit; most activities were carried out by community-based health volunteers.
There were notable improvements in most household practice and service utilization indicators, although results regarding care-seeking for danger signs were mixed.
It is feasible in a Nepal setting to significantly improve utilization of maternal-neonatal services and household practices, using the resources available under the government primary health-care system. This has the potential to significantly reduce neonatal mortality.
本研究旨在确定在尼泊尔基层医疗服务下，通过一种可扩展的方法来提高母婴保健服务寻求和家庭实践的可行性。
通过对过去 12 个月内分娩的妇女进行干预前后的调查来评估影响。每个地区样本包括 30 个集群，每个集群有 30 名受访者。干预主要包括基于社区的产前咨询和配药以及产后早期家访；大多数活动由社区卫生志愿者开展。
尽管在寻求危险迹象方面的护理结果喜忧参半，但大多数家庭实践和服务利用指标都有显著改善。
在尼泊尔的背景下，利用政府基层医疗保健系统提供的资源，显著改善母婴保健服务和家庭实践的利用是可行的。这有潜力显著降低新生儿死亡率。
