Nita Bhandari|Sarmila Mazumder|Sunita Taneja|Halvor Sommerfelt|Tor A. Strand
Effect of implementation of Integrated Management of Neonatal and Childhood Illness (IMNCI) programme on neonatal and infant mortality: cluster randomised controlled trial
Society for Applied Studies|Society for Applied Studies|Norwegian Institute of Public Health|University of Bergen|Society for Applied Studies|Norwegian Institute of Public Health|University of Bergen|Society for Applied Studies|Norwegian Institute of Public Health|University of Bergen
evaluate indian integrated management neonatal childhood illness imnci programme integrates improved treatment illness children home visits newborn care inform scaleupcluster randomised trial18 clusters population 11 million haryana india29667 births intervention clusters 30813 control clusterscommunity health workers trained conduct postnatal home visits womens group meetings physicians nurses community health workers trained treat refer sick newborns children supply drugs supervision strengthenedneonatal infant mortality newborn care practicesthe infant mortality rate adjusted hazard ratio 085 95 confidence interval 077 094 neonatal mortality rate beyond first 24 hours adjusted hazard ratio 086 079 095 significantly lower intervention clusters control clusters adjusted hazard ratio neonatal mortality rate 091 080 103 significant interaction found place birth effect intervention mortality outcomes except postneonatal mortality rate neonatal mortality rate significantly lower intervention clusters subgroup born home adjusted hazard ratio 080 068 093 subgroup born health facility 106 091 123 p value interaction 0001 optimal newborn care practices significantly common intervention clustersimplementation imnci resulted substantial improvement infant survival neonatal survival born home imnci part indias strategy achieve millennium development goal child survivalclinical trials nct00474981 icmr clinical trial registry ctri2009091000715