Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran)

  • Fatemeh Nayeri Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Hosein Dalili Breast Feeding Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Kazem Shahzadeh Fazeli Health Deputies, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Shahnaz Delbarpoor Ahmadi Health Deputies, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Frozan Akrami Department of Midwifery, Neonatal Health Office, Ministry of Health, Tehran, Iran
  • Tahereh Esmailnia Breast Feeding Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Abbas Habibelahi Department of Pediatrics, Neonatal Health Office, Ministry of Health, Management and Education of Iran, Tehran, Iran
  • Mamak Shariat Mail Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
Keywords:
Community-Based, Intervention Packages, Neonatal Health Status

Abstract

Objective: To identify the effects of community-based interventions on the Neonatal Health Index in one district of Tehran-Iran.
Materials and methods: A community and healthcare center-based study was carried out from January 2011 through September 2014. The population of the study included newborns from mothers residing in the 4th district of Tehran, Iran. Demographic data of mothers and infants were recorded in questionnaires before and after intervention. Interventions were implemented in hospitals, participants' homes, and health centers. The primary outcomes were comparison of mean birth weight, weight gain during the first 3-7 days, first week visit rate, hospitalization rate between the before and after intervention groups.
Results: The populations in the before and after intervention groups were 274 and 250, respectively. A significant difference was seen between the gestational ages (P value = 0.007) of the two groups. Mean birth height in the first group was 50.35 ± 3.48 and in the second group was 55 ± 5.32 cm (P value = 0.04). Neonatal complications in the second group were 6.9% lower than in the first group (P value = 0.048). In the first group 41 neonates (15%) were hospitalized in the NICU while in the second group 12 cases (4.8%) were hospitalized (P value = 0.018). Seven cases (2.6%) in the first group and one case (0.4%) in the second group were resuscitated (P value = 0.0001).
Conclusion: The results of implementing community-based newborn care strategies witnessed at the first week postnatal visit included improvements inneonatal gestational growth, management of neonates with potentially serious illnesses, diagnosis of warning signs and neonatal care practices.

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Published
2016-08-23
How to Cite
1.
Nayeri F, Dalili H, Shahzadeh Fazeli K, Delbarpoor Ahmadi S, Akrami F, Esmailnia T, Habibelahi A, Shariat M. Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran). J Fam Reprod Health. 10(2):99-103.
Section
Original Articles