Sudhir Khanal|Jaganath Sharma|Sophia Vijay|Penny Dawson|Robin Houston|Neena Khadka|Bhanu Yengden
Community Health Workers Can Identify and Manage Possible Infections in Neonates and Young Infants: MINI - A Model from Nepal
John Snow (United States)|John Snow (United States)|John Snow (United States)|John Snow (United States)|Save the Children
mortality rates infants children aged less five years declining globally nepal less among neonates deliveries occur home without skilled attendants neonates may receive appropriate care existing medical systems communitybased pilot programme morang innovative neonatal intervention mini programme implemented morang district nepal see feasibility bringing management sick neonates closer home objective model answer question ldquocan team female community health volunteers paid facilitybased community health workers collectively called chws within existing heath system correctly follow set guidelines identify possible severe bacterial infection neonates young infants successfully deliver treatmentrdquo mini model chws followed algorithm classify sick young infants possible severe bacterial infection psbi female community health volunteers fchvs trained visit homes soon delivery record birth counsel mothers essential newborn care assess newborns dangersigns infants classified psbi subsequent contacts treated cotrimoxazole referred facilitybased chws sevenday treatment injection gentamicin additional supervisory support provided quality care intensified monitoring 11457 livebirths recorded may 2005 april 2007 1526 133 episodes psbi identified young infants assessment signs fchvs matched highlytrained facilitybased chws 90 episodes treatment initiated 90 psbi episodes 93 completed full course gentamicin case fatality received treatment gentamicin 15 95 confidence interval ci 1023 compared 53 95 ci 2697 episodes receive treatment within existing government health infrastructure chws assess identify possible infections neonates young infants deliver appropriate treatment antibiotics result improvement likelihood survival address one main causes neonatal mortality key words antibiotic use bacterial infections drug therapy health workers infant newborn neonatal mortality sepsis nepal doi httpdxdoiorg103329jhpnv29i37873 j health popul nutr 2011 jun293255264