{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T02:22:13Z","timestamp":1773800533377,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,1,26]],"date-time":"2012-01-26T00:00:00Z","timestamp":1327536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effect on maternal health outcomes of a community\u2010based behavior change management intervention for essential newborn care leading to a reduction in neonatal mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cluster\u2010randomized controlled trial involving 1 control and 2 intervention arms was conducted in Shivgarh, India, between January 2004 and May 2005. Risk\u2010enhancing domiciliary newborn care behaviors, including those posing a concomitant risk to maternal health, were targeted through home visits and community meetings. Secondary outcomes included knowledge of maternal danger signs, self\u2010reported complications, maternal care practices, care\u2010seeking from trained providers, and maternal mortality ratio (MMR). The intervention arms were combined for analysis, which was done by intention to treat.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant improvements were observed in maternal health equity and outcomes including knowledge of danger signs, care practices, self\u2010reported complications, and timely care\u2010seeking from trained providers. The difference in adjusted MMR was not significant (relative risk 0.44; 95% confidence interval, 0.14\u20131.43; <jats:italic>P<\/jats:italic> = 0.11) owing to the inadequate sample size for this outcome, but may suggest a decline in MMR given improvements in other outcomes in the causal pathway to mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Community\u2010based strategies focused on prevention and care\u2010seeking effectively complemented facility\u2010based strategies toward improving maternal health, while synergizing with newborn care interventions.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2011.10.031","type":"journal-article","created":{"date-parts":[[2012,1,30]],"date-time":"2012-01-30T08:54:58Z","timestamp":1327913698000},"page":"48-55","source":"Crossref","is-referenced-by-count":37,"title":["Community\u2010driven impact of a newborn\u2010focused behavioral intervention on maternal health in Shivgarh, India"],"prefix":"10.1002","volume":"117","author":[{"given":"Vishwajeet","family":"Kumar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aarti","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinita","family":"Das","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeraj M.","family":"Srivastava","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah H.","family":"Baqui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathuram","family":"Santosham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary L.","family":"Darmstadt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Saksham Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,26]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61337-8"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69380-X"},{"issue":"1","key":"e_1_2_6_4_2","article-title":"Two million intrapartum\u2010related stillbirths and deaths: where, why, and what can be done?","volume":"107","author":"Lawn J.E.","year":"2009","journal-title":"Int J Gynecol Obstet"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69381-1"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czh009"},{"issue":"1","key":"e_1_2_6_7_2","article-title":"Linking families and facilities for care at birth: what works to avert intrapartum\u2010related deaths?","volume":"107","author":"Lee A.C.","year":"2009","journal-title":"Int J Gynecol Obstet"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa042830"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17021-9"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61483-X"},{"key":"e_1_2_6_11_2","unstructured":"International Institute for Population Sciences (IIPS) Macro International. 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