妊娠与儿童健康杂志

抽象的

Assessment of a Comprehensive New-Born Survival Programme in 14 Districts in the Northern and Upper East Regions of Ghana

Samuel Bosomprah, Hari Banskota, Clemens Gros, Maria Levi Anna, Victor Ngongalah and Timothee Gandaho

Objective: The aim is to ascertain the effectiveness of a package of evidence-based neonatal survival interventions focusing on Home-Based Postnatal Care and Facility-Based Integrated Management of New-born and Childhood Illnesses models on reduction in neonatal mortality rate in Northern and Upper East regions of Ghana. Method: The assessment employed a mixed method design. Baseline and end line neonatal mortality rates were estimated using the 2011 Multiple Indicator Cluster Survey and the 2014 Ghana Demographic and Health Surveys respectively, which used similar designs and analytical methods. The qualitative component consisted of in-depth interviews with key national decision-makers, donor partners, sub-national authorities and service providers, and focus group discussions with mothers or caregivers drawn from project communities. Results: Over the period of project implementation, the neonatal mortality rate decreased from 39 deaths per 1,000 live births in 2011 to 24 deaths per 1,000 live births in 2014 in Northern region (P-value=0.01) and from 34 deaths per 1,000 live births in 2011 to 24 deaths per 1,000 live births in 2014 in Upper East region (P-value=0.049). Conclusion: The home-based postnatal new-born care and the facility-based neonatal care models have been effective in contributing to improved new-born survival in the two project regions.