| Women's groups | Volunteer infant feeding and care counsellors |
---|---|---|
Primary outcomes | â–ª Maternal mortality â–ª Perinatal mortality â–ª Neonatal mortality â–ª Infant mortality | â–ª Rates of exclusive breastfeeding (EBF) in the first six months â–ª Infant mortality |
Secondary outcomes | ▪ Recognition of high-risk symptoms and signs: failure to feed, breathlessness, floppiness. ▪ Changes in caretaker practices: hygiene behaviours, use of insecticide treated nets (ITNs), early and exclusive breastfeeding and decreased use of pre-lacteal feeds ▪ Changes in care-seeking behaviour: antenatal care (use of malaria prophylaxis in pregnancy, tetanus toxoid), delivery (facility-based, skilled attendant, use of safe delivery kit), uptake of PMTCT (VCT, nevirapine for mother and baby), postnatal care (check-ups for mother and baby, infant vaccinations), referral patterns. ▪ Maternal and infant morbidity (breast problems, fever, diarrhoea, etc.) | ▪ Changes in caretaker practices: EBF (duration of EBF, time to first feed, use of pre-lacteals, time to weaning), management and treatment of breast problems, recognition of danger signs, birth preparedness (clean razor, clean plastic sheet, soap, thread), family planning (including use of condoms) ▪ Changes in care-seeking behaviour: uptake of PMTCT (awareness, VCT, nevirapine for mother and baby, expressing breastmilk, early cessation of breastfeeding), uptake of vaccination services (3 doses pentavalent and 4 doses polio by 6 months • Neonatal mortality • Maternal and infant morbidity (breast problems, fever, diarrhoea, growth etc.) |