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 [19–23] |
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 [32–36] |
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] |