Home-based neonatal care: summary and applications of the field trial in rural Gadchiroli, India (1993 to 2003).
Home-based neonatal care: summary and applications of the field trial in rural Gadchiroli, India (1993 to 2003).
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DOI：
10.1038/sj.jp.7211278
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发表时间：
2005-03-01
期刊：
影响因子：
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通讯作者：
Reddy, Hanimi M
中科院分区：
文献类型：
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作者：
Bang, Abhay T;Bang, Rani A;Reddy, Hanimi M
新生儿死亡率高和无法获得新生儿保健是发展中国家普遍存在的问题。在印度加迪罗里农村进行了家庭新生儿护理(HBNC)的现场试验，以开发和测试一种利用农村现有的人的潜力提供初级新生儿护理的低成本方法的可行性，并评估其对新生儿死亡率的影响。在本文的前半部分，我们总结了在本期杂志副刊上的前11篇文章中介绍的田间试验的各个方面。介绍了研究的背景、目标、研究设计和现场试验的干预措施，以及10年来(1993-2003年)的结果。在此基础上，对假设进行了检验，并给出了结论。在下半场，我们讨论下一个问题：它能被复制吗？这种干预能成为初级卫生保健服务的一部分吗？HBNC的成本和成本效益是什么？还讨论了该方法的局限性、HBNC可能相关的设置以及扩大其规模的管理先决条件。强调需要制定一种综合办法。为实现卫生保健公平，提出了社区新生儿护理的理由。
High levels of neonatal mortality and lack of access to neonatal health care are widespread problems in developing countries. A field trial of home-based neonatal care (HBNC) was conducted in rural Gadchiroli, India to develop and test the feasibility of a low-cost approach of delivering primary neonatal care by using the human potential available in villages, and to evaluate its effect on neonatal mortality. In the first half of this article we summarize various aspects of the field trial, presented in the previous 11 articles in this issue of the journal supplement. The background, objectives, study design and interventions in the field trial and the results over 10 years (1993 to 2003) are presented. Based on these results, the hypotheses are tested and conclusions presented. In the second half, we discuss the next questions: can it be replicated? Can this intervention become a part of primary health-care services? What is the cost and the cost-effectiveness of HBNC? The limitations of the approach, the settings where HBNC might be relevant and the management pre-requisites for its scaling up are also discussed. The need to develop an integrated approach is emphasized. A case for newborn care in the community is made for achieving equity in health care.