International Center for Advancing Neonatal Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
J Trop Pediatr. 2012 Aug;58(4):286-91. doi: 10.1093/tropej/fmr097. Epub 2011 Dec 6.
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.
在发展中国家高新生儿死亡率（NMR）的背景下，促进预防新生儿护理实践是增强新生儿健康的一项有前途的策略。我们评估了行为改变干预对印度北方邦农村地区感知新生儿疾病的影响。该研究嵌套在一项基本新生儿护理综合套餐对 NMR 影响的整群随机对照试验中。我们前瞻性地招募了 802 名母亲，并对感知新生儿疾病进行了问卷调查。回归分析显示，干预组的新生儿感知腹泻的风险显著降低[调整后的相对风险（aRR）0.67，95%置信区间（CI）0.49-0.90]和皮肤相关并发症[aRR 0.67，95% CI 0.45-1.00]与对照区的新生儿相比。假设感知疾病的发生率是实际发病率的代表，我们得出结论，通过行为改变干预促进预防护理实践在降低新生儿发病率方面是有效的。
