Sahanaa Yuvaraja, Roy A Daniel, Yuvaraja Murugan, Vijayalakshmi Sridharan, Kokilaa G Latha, Kavya Palanisamy, Rathibala Arumugaperumal, Vinoth Thanikachalam
High Body Fat as a Predictor of Osteoporosis Risk in Postmenopausal Women: Insights From a Community-Based Cross-Sectional Study in Rural South India
Cureus
rural india births take place home highrisk care practices common developed intervention behaviour change management focus prevention hypothermia aimed modifying practices reducing neonatal mortalitywe clusterrandomised controlled efficacy trial shivgarh rural area uttar pradesh 39 village administrative units population 104123 allocated one three groups control group received usual services governmental nongovernmental organisations area intervention group received preventive package interventions essential newborn care birth preparedness clean delivery cord care thermal care including skintoskin care breastfeeding promotion danger sign recognition another intervention group received package essential newborn care plus use liquid crystal hypothermia indicator thermospot intervention clusters community health workers delivered packages via collective meetings two antenatal two postnatal household visitations outcome measures included changes newborncare practices neonatal mortality rate compared control group analysis intention treat study registered international standard randomised control trial number nct00198653improvements birth preparedness hygienic delivery thermal care including skintoskin care umbilical cord care skin care breastfeeding seen intervention arms little change careseeking compared controls neonatal mortality rate reduced 54 essential newborncare intervention rate ratio 046 95 ci 035060 p00001 52 essential newborn care plus thermospot arm 048 95 ci 035066 p00001a socioculturally contextualised communitybased intervention targeted highrisk newborncare practices lead substantial behavioural modification reduction neonatal mortality approach applied behaviour change along continuum care harmonise vertical interventions build community capacity sustained developmentusaid save childrenus grant bill melinda gates foundation