Testing a scalable community-based approach to improve maternal and neonatal health in rural Nepal

J Perinatol. 2010 Jun;30(6):388-95. doi: 10.1038/jp.2009.181. Epub 2009 Nov 12.


Objective: The aim of the study was to determine the feasibility of improved maternal-neonatal care-seeking and household practices using an approach scalable under Nepal's primary health-care services.

Study design: Impact was assessed by pre- and post-intervention surveys of women delivering within the previous 12 months. Each district sample comprised 30 clusters, each with 30 respondents. The intervention consisted primarily of community-based antenatal counseling and dispensing and an early postnatal home visit; most activities were carried out by community-based health volunteers.

Result: There were notable improvements in most household practice and service utilization indicators, although results regarding care-seeking for danger signs were mixed.

Conclusion: It is feasible in a Nepal setting to significantly improve utilization of maternal-neonatal services and household practices, using the resources available under the government primary health-care system. This has the potential to significantly reduce neonatal mortality.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Cluster Analysis
  • Community Health Workers*
  • Dietary Supplements
  • Female
  • Follow-Up Studies
  • House Calls
  • Humans
  • Incidence
  • Infant, Newborn
  • Interviews as Topic
  • Male
  • Medication Adherence
  • Nepal / epidemiology
  • Patient Education as Topic
  • Postnatal Care
  • Pregnancy
  • Prenatal Care*
  • Rural Population
  • Stillbirth / epidemiology
  • Young Adult