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dc.contributor.author
Chomba, Elwyn  
dc.contributor.author
Carlo, Wally A.  
dc.contributor.author
Goudar, Shivaprasad S.  
dc.contributor.author
Jehan, Imtiaz  
dc.contributor.author
Tshefu, Antoinette  
dc.contributor.author
Garces, Ana  
dc.contributor.author
Parida, Sailajandan  
dc.contributor.author
Althabe, Fernando  
dc.contributor.author
McClure, Elizabeth M.  
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Derman, Richard J.  
dc.contributor.author
Goldenberg, Robert L.  
dc.contributor.author
Bose, Carl  
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Krebs, Nancy F.  
dc.contributor.author
Panigrahi, Pinaki  
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Buekens, Pierre  
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Wallace, Dennis  
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Moore, Janet  
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Koso Thomas, Marion  
dc.contributor.author
Wright, Linda L.  
dc.contributor.author
First Breath Study Group  
dc.date.available
2018-05-14T18:40:56Z  
dc.date.issued
2016-12  
dc.identifier.citation
Chomba, Elwyn; Carlo, Wally A.; Goudar, Shivaprasad S.; Jehan, Imtiaz; Tshefu, Antoinette; et al.; Effects of Essential Newborn Care Training on Fresh Stillbirths and Early Neonatal Deaths by Maternal Education; Karger; Neonatology; 111; 1; 12-2016; 61-67  
dc.identifier.issn
1661-7800  
dc.identifier.uri
http://hdl.handle.net/11336/45119  
dc.description.abstract
Background: Infants of women with lower education levels are at higher risk for perinatal mortality. Objectives: We explored the impact of training birth attendants and pregnant women in the Essential Newborn Care (ENC) Program on fresh stillbirths (FSBs) and early (7-day) neonatal deaths (END) by maternal education level in developing countries. Methods: A train-the-trainer model was used with local instructors in rural communities in six countries (Argentina, Democratic Republic of the Congo, Guatemala, India, Pakistan, and Zambia). Data were collected using a pre-/post-active baseline controlled study design. Results: A total of 57,643 infants/mothers were enrolled. The follow-up rate at 7 days of age was 99.2%. The risk for FSB and END was higher for mothers with 0-7 years of education than for those with ≥8 years of education during both the pre- and post-ENC periods in unadjusted models and in models adjusted for confounding. The effect of ENC differed as a function of maternal education for FSB (interaction p = 0.041) without evidence that the effect of ENC differed as a function of maternal education for END. The model-based estimate of FSB risk was reduced among mothers with 0-7 years of education (19.7/1,000 live births pre-ENC, CI: 16.3, 23.0 vs. 12.2/1,000 live births post-ENC, CI: 16.3, 23.0, p < 0.001), but was not significantly different for mothers with ≥8 years of education, respectively. Conclusion: A low level of maternal education was associated with higher risk for FSB and END. ENC training was more effective in reducing FSB among mothers with low education levels.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Karger  
dc.rights
info:eu-repo/semantics/openAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
Developing Countries  
dc.subject
Education  
dc.subject
Low And Mid Resource Countries  
dc.subject
Neonatal Mortality  
dc.subject.classification
Salud Ocupacional  
dc.subject.classification
Ciencias de la Salud  
dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Effects of Essential Newborn Care Training on Fresh Stillbirths and Early Neonatal Deaths by Maternal Education  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2018-03-27T15:16:04Z  
dc.journal.volume
111  
dc.journal.number
1  
dc.journal.pagination
61-67  
dc.journal.pais
Suiza  
dc.journal.ciudad
Basel  
dc.description.fil
Fil: Chomba, Elwyn. University Of Alabama At Birmingham; Estados Unidos. Centre For Infectious Disease Research In Zambia; Zambia. University Teaching Hospital Lusaka; Zambia  
dc.description.fil
Fil: Carlo, Wally A.. University Of Alabama At Birmingham; Estados Unidos  
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Fil: Goudar, Shivaprasad S.. Kle University India; India  
dc.description.fil
Fil: Jehan, Imtiaz. The Aga Khan University; Pakistán  
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Fil: Tshefu, Antoinette. Kinshasa School Of Public Health; República Democrática del Congo  
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Fil: Garces, Ana. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala  
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Fil: Parida, Sailajandan. SCB Medical College; India  
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Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina  
dc.description.fil
Fil: McClure, Elizabeth M.. Rti International; Reino Unido  
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Fil: Derman, Richard J.. Christiana Care Health System; Estados Unidos  
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Fil: Goldenberg, Robert L.. Columbia University; Estados Unidos  
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Fil: Bose, Carl. University of North Carolina; Estados Unidos  
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Fil: Krebs, Nancy F.. University of Colorado; Estados Unidos  
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Fil: Panigrahi, Pinaki. University Of Nebraska Medical Center; Estados Unidos  
dc.description.fil
Fil: Buekens, Pierre. Tulane University. School Of Public Health And Tropical Medicine; Estados Unidos  
dc.description.fil
Fil: Wallace, Dennis. Christiana Care Health System; Estados Unidos  
dc.description.fil
Fil: Moore, Janet. Christiana Care Health System; Estados Unidos  
dc.description.fil
Fil: Koso Thomas, Marion. National Instituto Of Child Health & Human Development; Estados Unidos  
dc.description.fil
Fil: Wright, Linda L.. National Instituto Of Child Health & Human Development; Estados Unidos  
dc.description.fil
Fil: First Breath Study Group. No especifica;  
dc.journal.title
Neonatology  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1159/000447421  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.karger.com/Article/FullText/447421