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首页> 外文期刊>Trials >NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol
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NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol

机译：NEWHINTS整群随机试验评估了例行家访对加纳农村地区新生儿死亡率的影响，以提供妊娠晚期和分娩第一周的一揽子基本新生儿护理干预措施：试验方案

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Background Tackling neonatal mortality is essential for the achievement of the child survival millennium development goal. There are just under 4 million neonatal deaths, accounting for 38% of the 10.8 million deaths among children younger than 5 years of age taking place each year; 99% of these occur in low- and middle-income countries where a large proportion of births take place at home, and where postnatal care for mothers and neonates is either not available or is of poor quality. WHO and UNICEF have issued a joint statement calling for governments to implement "Home visits for the newborn child: a strategy to improve survival", following several studies in South Asia which achieved substantial reductions in neonatal mortality through community-based approaches. However, their feasibility and effectiveness have not yet been evaluated in Africa. The Newhints study aims to do this in Ghana and to develop a feasible and sustainable community-based approach to improve newborn care practices, and by so doing improve neonatal survival. Methods Newhints is an integrated intervention package based on extensive formative research, and developed in close collaboration with seven District Health Management Teams (DHMTs) in Brong Ahafo Region. The core component is training the existing community based surveillance volunteers (CBSVs) to identify pregnant women and to conduct two home visits during pregnancy and three in the first week of life to address essential care practices, and to assess and refer very low birth weight and sick babies. CBSVs are supported by a set of materials, regular supervisory visits, incentives, sensitisation activities with TBAs, health facility staff and communities, and providing training for essential newborn care in health facilities. Newhints is being evaluated through a cluster randomised controlled trial, and intention to treat analyses. The clusters are 98 supervisory zones; 49 have been randomised for implementation of the Newhints intervention, with the other 49 acting as controls. Data on neonatal mortality and care practices will be collected from approximately 15,000 babies through surveillance of women of child-bearing age in the 7 districts. Detailed process, cost and cost-effectiveness evaluations are also being carried out. Trial registration http://www.clinicaltrials.gov webcite (identifier NCT00623337)
机译：背景技术解决新生儿死亡率对于实现儿童生存千年发展目标至关重要。新生儿死亡人数接近400万，占每年发生的5岁以下儿童1,080万死亡人数的38％;其中99％发生在低收入和中等收入国家，那里有大量的分娩是在家中进行的，而母亲和新生儿的产后护理服务不完善或质量较差。世卫组织和联合国儿童基金会发表联合声明，呼吁各国政府在南亚进行的几项研究通过基于社区的方法大幅度降低新生儿死亡率后，实施“对新生儿的家访：提高生存率的战略”。但是，尚未在非洲评估其可行性和有效性。 Newhints研究旨在在加纳做到这一点，并开发一种可行且可持续的基于社区的方法来改善新生儿护理实践，从而改善新生儿生存率。方法Newhints是一个基于广泛形成性研究的综合干预工具包，是与布隆阿哈福地区的七个地区卫生管理团队（DHMT）密切合作开发的。核心组成部分是培训现有的社区监督志愿者（CBSV），以识别孕妇，并在怀孕期间进行两次家访，在出生后第一周进行三次家访，以解决基本的护理习惯，以及评估和介绍极低的出生体重和生病的婴儿。 CBSV的支持包括一系列材料，定期监督访问，奖励措施，与TBA，卫生机构工作人员和社区的宣传活动，并为卫生机构中的基本新生儿护理提供培训。正在通过一项整群随机对照试验评估Newhints，并打算进行分析。集群有98个监管区;有49位患者被随机分配用于实施Newhints干预措施，其他49位作为对照。通过监测七个地区的育龄妇女，将从大约15,000名婴儿中收集新生儿死亡率和护理习惯的数据。还正在进行详细的过程，成本和成本效益评估。试用注册http://www.clinicaltrials.gov网站（标识符NCT00623337）

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