This study, also known as Projahnmo-I (Project to Advance the Health of Newborns and Mothers) is a cluster randomized, controlled trial in a population of 480,000 in rural Sylhet, Bangladesh. The goal is to evaluate the impact of packages of obstetric and neonatal care practices, including community health education, provision of clean delivery, essential newborn care, and management of neonatal infections by first-line health workers, either in the home or at community clinics, on neonatal mortality rates and newborn care practices. This trial will inform the Government of Bangladesh and NGOs of the relative cost-effectiveness of these two models for delivery of neonatal and maternal health care services. Principal Investigator: Abdullah Baqui (JHSPH) Co-Principal Investigators:
Robert E. Black (JHSPH)
Mathuram Santosham (JHSPH)
Shams El Arifeen (ICDDR,B), Local Principal Investigator
Co-Investigators:
JHSPH: Peter Winch, Hugh Waters, Paul Law, Saifuddin Ahmed
Lars Ake Persson (ICDDR,B)
K Zaman (ICDDR,B)
Samir K Saha (Dhaka Shishu Hospital)
Sameena Chowdhury, Khurshid Talukder (Institute of Child and Mother Health, ICMH)
Mustaq Raja Chowdhury (BRAC)
Sahela Khatun (Shimantik, a Bangladeshi NGO)
Md Enamul Kabir (Save the Children)
Jahir Uddin (Government of Bangladesh)
Ahmad Al Sabir (NIPORT)
Publications: Mannan I, Rahman SM, Sania A, Seraji HR, Arifeen SE, Winch PJ, Darmstadt GL, and Baqui A, for the Bangladesh Projahnmo Study Group. (2008). Can early postpartum home visits by trained community health workers improve breastfeeding of newborns? [online version]. Journal of Perinatology, 1–9. Available online: http://dx.doi.org/10.1038/jp.2008.64 Baqui AH, El-Arifeen S, Darmstadt GL, Ahmed S, Williams EK, Seraji HR, Mannan I, Rahman SM, Shah R, Saha SK, Syed U, Winch PJ, Lefevre A, Santosham M, Black RE; Projahnmo Study Group. (2008). Effect of community-based newborn-care intervention package implemented through two service-delivery strategies in Sylhet district, Bangladesh: a cluster-randomised controlled trial. The Lancet, 371, 9628, 1936-44. Winch PJ, Alam MA, Akther A, Afroz D, Ali NA, Ellis AA, Baqui AH, Darmstadt GL, El Arifeen S, Seraji MH; Bangladesh PROJAHNMO Study Group. Local understandings of vulnerability and protection during the neonatal period in Sylhet District, Bangladesh: a qualitative study. The Lancet. 2005 Aug 6-12;366(9484):478-85. |
