NCT00743691

Impact Study of Community Based Treatment of Neonatal Infection by Health Extension Workers on Neonatal Mortality

Impact of Strengthened Health Extension Program and Community Based Treatment of Neonatal Infections on Neonatal Mortality in Oromia and South Nation and Nationalities & People Region(SNNPR), Ethiopia

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 19,476 (actual)
• Sponsor: Save the Children · Academic / Other
• Sex: All
• Age: 1 Minute – 4 Weeks
• Healthy volunteers: Not accepted

Summary

The purpose of the study is to determine whether community based management of infections with antibiotics administered by health extension workers reduce all cause mortality in neonates after the first day of life compared to current MOH IMNCI model of referral to hospital

Detailed description

Although 44% of neonatal deaths in Ethiopia are due to infection, access to treatment for neonatal infections is very low for most families. Even though the newly adapted Integrated Management of Newborn and Childhood Illness (IMNCI) package includes assessment of newborns, if a baby has any danger signs that may be suggestive of infection and is taken to health posts, the baby is to be referred to hospital for treatment. Given that only about 5% of neonatal deaths occur in hospitals and the distance to hospital is often far and the costs prohibitive, very few babies are likely to receive essential lifesaving antibiotics. Evidence from India, Bangladesh, and Nepal demonstrates that community health workers can effectively manage neonatal infections at home. However it is not known whether and community-based management of neonatal infections is effective, feasible and acceptable in the Ethiopian context. Local evidence regarding lives saved and cost is required in order to inform health policy and programming regarding community-based treatment of neonatal infections.

Conditions

• Neonatal Infections

Interventions

Type	Name	Description
OTHER	Community Based	In Arm 2 health extension workers will make a diagnosis of Neonatal infection and treat with antibiotics

Timeline

• Start date: 2009-06-01
• Primary completion: 2013-06-01
• Completion: 2016-06-01
• First posted: 2008-08-29
• Last updated: 2019-09-20

Locations

1 site across 1 country: Ethiopia