Systematic review of the efectiveness of community-based interventions to decrease neonatal mortality

Authors

  • Adrián v. Hernández Escuelas de Posgrado y Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Peru.
  • Vinay Pasupuleti Department of Medicine, Case Western Reserve University, Cleveland. Ohio, EE. UU.
  • Vicente Benites-Zapata Facultad de Medicina, Universidad Particular San Martin de Porres. Lima, Peru.
  • Enrique Velásquez-Hurtado Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Peru.
  • Jessica Loyola-Romaní Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Peru.
  • Yuleika Rodríguez-Calviño Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Peru.
  • Henry Cabrera-Arredondo Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Peru.
  • Marco Gonzales-Noriega Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Peru.
  • Walter Vigo-Valdez Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Peru.

DOI:

https://doi.org/10.17843/rpmesp.2015.323.1690

Keywords:

Review, Effectiveness, Intervention studies, Infant mortality

Abstract

We evaluated the efficacy/effectiveness of community-based interventions to decrease neonatal mortality. A systematic review of randomized controlled trials, cluster randomized trials and cohort studies of interventions on pregnant women, neonates (up to 28 days after birth) or both was made. Thirty four studies were evaluated (n=844,989): 20 in pregnant women (n=406,172), 6 in neonates (n=24,994), and 8 in both (n=413,823). Risk of bias was generally low. There was heterogeneity among interventions. Interventions such as maternal health education and maternal and neonatal home care were associated to a decrease in neonatal mortality in half of the 6 studies of each group. Supplementation with multiple micronutrients, kangaroo mother care, and maternal supplementation with vitamin A did not decrease neonatal mortality. A few heterogeneous community-based interventions demonstrated a decrease in neonatal mortality.

Downloads

Download data is not yet available.

Published

2015-09-24

Issue

Section

Review

How to Cite

1.
Hernández A v., Pasupuleti V, Benites-Zapata V, Velásquez-Hurtado E, Loyola-Romaní J, Rodríguez-Calviño Y, et al. Systematic review of the efectiveness of community-based interventions to decrease neonatal mortality. Rev Peru Med Exp Salud Publica [Internet]. 2015 Sep. 24 [cited 2024 May 29];32(3):532-45. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1690

Most read articles by the same author(s)