Trends in use of referral hospital services for care of sick newborns in a community-based intervention in Tangail District, Bangladesh.
J Health Popul Nutr
;
2006 Dec; 24(4): 519-29
Artigo
em Inglês
| IMSEAR
| ID: sea-646
ABSTRACT
The Projahnmo-II Project in Mirzapur upazila (sub-district), Tangail district, Bangladesh, is promoting care-seeking for sick newborns through health education of families, identification and referral of sick newborns in the community by community health workers (CHWs), and strengthening of neonatal care in Kumudini Hospital, Mirzapur. Data were drawn from records maintained by the CHWs, referral hospital registers, a baseline household survey of recently-delivered women conducted from March to June 2003, and two interim household surveys in January and September 2005. Increases were observed in self-referral of sick newborns for care, compliance after referral by the CHWs, and care-seeking from qualified providers and from the Kumudini Hospital, and decreases were observed in care-seeking from unqualified providers in the intervention arm. An active surveillance for illness by the CHWs in the home, education of families by them on recognition of danger signs and counselling to seek immediate care for serious illness, and improved linkages between the community and the hospital can produce substantial increases in care-seeking for sick newborns.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Encaminhamento e Consulta
/
Bangladesh
/
Feminino
/
Humanos
/
Masculino
/
Recém-Nascido
/
Análise por Conglomerados
/
Serviços de Saúde da Criança
/
Educação em Saúde
/
Enfermagem em Saúde Comunitária
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo prognóstico
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
J Health Popul Nutr
Assunto da revista:
Gastroenterology
/
Nutritional Sciences
/
Public Health
Ano de publicação:
2006
Tipo de documento:
Artigo
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