Image of NEWHINTS Cluster randomised trial to Evaluate the Impact on Neonatal Mortality in Rural Ghana of Routine Home Visits to Provide a Package of Essential Newborn Care Interventions in the Third Trimester of Pregnancy and the First Week of Life: Trial Protocol

Reproductive Health and Wellness

NEWHINTS Cluster randomised trial to Evaluate the Impact on Neonatal Mortality in Rural Ghana of Routine Home Visits to Provide a Package of Essential Newborn Care Interventions in the Third Trimester of Pregnancy and the First Week of Life: Trial Protocol

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Background: Tackling neonatal mortality is essential for the achievement of the child survival millennium development goal. There are just under 4 million neonatal deaths, accounting for 38% of the 10.8 million deaths among children younger than 5 years of age taking place each year; 99% of these occur in low- and middle-income countries where a large proportion of births take place at home, and where postnatal care for mothers and neonates is either not available or is of poor quality. WHO and UNICEF have issued a joint statement calling for governments to implement "Home visits for the newborn child: a strategy to improve survival", following several studies in South Asia which achieved substantial reductions in neonatal mortality through community-based approaches. However, their feasibility and effectiveness have not yet been evaluated in Africa. The Newhints study aims to do this in Ghana and to develop a feasible and sustainable community-based approach to improve newborn care practices, and by so doing improve neonatal survival.

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English
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Pregnancy
Rural Ghana
Trial protocol
Neonatal mortality
Care interventions
Newborns
Third trimester
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Article
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