An estimated two-thirds of childhood deaths occur in infancy, and, in turn, two-thirds of infant deaths occur in the first month of life. In addition to these four million neonatal deaths, due principally to serious bacterial infections, birth asphyxia, and complications of prematurity and intrauterine growth restriction, an estimated 3.9 million pregnancies end in stillbirth.
A review of the evidence for interventions during the antenatal, intrapartum, and post-delivery periods on neonatal mortality identified a number of proven interventions, which, if implemented widely in developing countries, could avert an estimated half of neonatal deaths.
Research suggests that integration of maternal and neonatal health care services is key to optimizing costs and health benefits for mothers and their newborns. This is particularly so if a given intervention has potential direct health benefits for both mothers and newborns.
Major questions remain, however, regarding cost-effective implementation of maternal and neonatal health interventions at scale in the community in a manner that links preventive care in the home and community with care-seeking and curative care at health facilities.
Lancet Neonatal Survival Series
Community-based Interventions to Reduce Neonatal Mortality in Bangladesh
Evaluation of a Package of Community-based Interventions on Maternal Health in Rural Communities in Bangladesh
Etiology, Prevention and Treatment of Neonatal Infections in the Community, Mirzapur
Clinical Algorithm and Verbal Autopsy Validation Study, Mirzapur
Design and Evaluation of an Integrated Safe Motherhood, Neonatal and Family Planning Program in Nepal
Evaluation Research to Improve Newborn Health and Survival, CARE India
Newborn Thermal Care Practices in Rural India: Community-based Program to Prevent and Improve Recognition and Management of Hypothermia
Evaluation of the Acceptability, Safety, and Utility of Skin-to-Skin Care in the Community in Rural Uttar Pradesh, India (Kangaroo Mother Care)
Process Documentation: Learning from Implementation Experience of the Urban Health Resource Center (UHRC) in Urban Slums of North India
Formative Research on Health Fertility Practices and Postpartum Care in Sylhet District, Bangladesh
Determining the Burden of Maternal Ill Health and Death and its Programmatic Implications in Rural Bangladesh
Secondary Analysis of the Bangladesh Maternal Mortality and Morbidity Survey
Assessment of Levels of Unwanted Childbearing and its Health Consequences for Mothers in Rural Bangladesh
Raising the Age at Marriage Among Young Women in Rural Bangladesh
Association of Malaria and HIV-1-RNA in Blood of Adults in Rakai, Uganda
Evaluation of chlorhexidine introduction strategy in Sylhet District, Bangladesh
Impact of umbilical cord cleansing with chlorhexidine on neonatal mortality and omphalitis in rural Sylhet district of Bangladesh