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Table 1 Training

From: A combined community- and facility-based approach to improve pregnancy outcomes in low-resource settings: a Global Network cluster randomized trial

Intervention Purpose Major areas of maternal/newborn mortality addressed Prior research
Community mobilization [18] To ensure community recognition of pregnancy complications and their importance and to mobilize resources for maternal and newborn care including transportation to an appropriate facility The community training focused on the major complications that killed women and newborns such as bleeding, preeclampsia/eclampsia, infections, asphyxia and prematurity and the importance of receiving appropriate care for these conditions. Studies conducted in Nepal, Bangladesh, Pakistan etc. suggested program effectively facilitates community change [1923]
ACNM home-based life-savings skills [31] To train community birth attendants Recognition of danger signs, stabilization and referral of mother for obstetric hemorrhage, preeclampsia/eclampsia, sepsis; newborn resuscitation and appropriate referral were emphasized Studies conducted in Bangladesh, Indonesia and Liberia suggest that the curriculum effectively provides essential skills to nurse midwives and community birth attendants [3236]
Jhpeigo emergency obstetric and newborn care curriculum [37] To train facility-based health care providers to manage obstetric and neonatal complications and to audit maternal, fetal and neonatal deaths. The modules addressed the major causes of maternal, fetal and newborn mortality (obstetric hemorrhage, preeclampsia/eclampsia, infection, asphyxia, and prematurity). Death audits, emergency drills, and facility audits were part of the training EmONC training has been evaluated [15] and the Jhpeigo curriculum tested [38]; evidence for audits to improve care demonstrated [39]