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The Journal of Health, Population and Nutrition
icddr,b
ISSN: 1606-0997
EISSN: 1606-0997
Vol. 24, No. 4, 2006, pp. 519 - 529
Bioline Code: hn06061
Full paper language: English
Document type: Research Article
Document available free of charge

The Journal of Health, Population and Nutrition, Vol. 24, No. 4, 2006, pp. 519 - 529

 en Trends in Use of Referral Hospital Services for Care of Sick Newborns in a Community-based Intervention in Tangail District, Bangladesh
Bari, Sanwarul; Mannan, Ishtiaq; Rahman, Mohammed Anisur; Darmstadt, Gary L.; Habibur, M.; Seraji, R.; Baqui, Abdullah H.; Arifeen, Shams El; Rahman, Syed Moshfiqur; Saha, Samir K.; Ahmed, A.S.M. Nawshad Uddin; Ahmed, Saifuddin; Santosham, Mathuram; Black, Robert E.; Winch, Peter J.; Ali, Nabeel Ashraf; Anwar, Tariq; Begum, Nazma; Chowdhury, Atique Iqbal; Chowdhury, Sameena; Haque, A.K.M. Fazlul; Hasan, Quamrul; Poddar, Dulal; Rahman, Qazi Sadequr & Siddik, Ashrafuddin

Abstract

The Projahnmo-II Project in Mirzapur upazila (sub-district), Tangail district, Bangladesh, is promot­ing care-seeking for sick newborns through health education of families, identification and referral of sick newborns in the community by community health workers (CHWs), and strengthening of neo­natal care in Kumudini Hospital, Mirzapur. Data were drawn from records maintained by the CHWs, referral hospital registers, a baseline household survey of recently-delivered women conducted from March to June 2003, and two interim household surveys in January and September 2005. Increases were observed in self-referral of sick newborns for care, compliance after referral by the CHWs, and care-seeking from qualified providers and from the Kumudini Hospital, and decreases were observed in care-seeking from unqualified providers in the intervention arm. An active surveillance for illness by the CHWs in the home, education of families by them on recognition of danger signs and counsel­ling to seek immediate care for serious illness, and improved linkages between the community and the hospital can produce substantial increases in care-seeking for sick newborns.

Keywords
Delivery of healthcare; Health services; Care-seeking; Referral and consultation; Community health workers; Neonatal health; Maternal health; Bangladesh

 
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