A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”: study protocol
Background: Despite considerable progress in reduction of both under-five and maternal mortality in recent decades, Bangladesh is still one of the low and middle income countries with high burden of maternal and neonatal mortality. The primary objective of the current study is to measure the impac...
| Egile nagusia: | |
|---|---|
| Formatua: | Artikulua |
| Hizkuntza: | ingelesa |
| Argitaratua: |
BMC Public Health
2025
|
| Gaiak: | |
| Sarrera elektronikoa: | https://repository.auw.edu.bd/handle/123456789/897 |
| _version_ | 1857449007808249856 |
|---|---|
| author | Chowdhury, Mohiuddin Ahsanul Kabir |
| author_facet | Chowdhury, Mohiuddin Ahsanul Kabir |
| author_sort | Chowdhury, Mohiuddin Ahsanul Kabir |
| collection | institutional Repository |
| description | Background: Despite considerable progress in reduction of both under-five and maternal mortality in recent
decades, Bangladesh is still one of the low and middle income countries with high burden of maternal and
neonatal mortality. The primary objective of the current study is to measure the impact of a comprehensive
package of interventions on maternal and neonatal mortality. In addition, changes in coverage, quality and
utilization of maternal and newborn health (MNH) services, social capital, and cost effectiveness of the interventions
will be measured.
Methods: A community-based, cluster randomized controlled trial design will be adopted and implemented in 30
unions of three sub-districts of Chandpur district of Bangladesh. Every union, the lowest administrative unit of the
local government with population of around 20,000–30,000, will be considered a cluster. Based on the baseline
estimates, 15 clusters will be paired for random assignment as intervention and comparison clusters.
The primary outcome measure is neonatal mortality, and secondary outcomes are coverage of key interventions
like ANC, PNC, facility and skilled provider delivery. Baseline, midterm and endline household survey will be
conducted to assess the key coverage of interventions. Health facility assessment surveys will be conducted
periodically to assess facility readiness and utilization of MNH services in the participating health facilities.
Discussion: The current study is expected to provide essential strong evidences on the impact of a comprehensive
package of interventions to the Bangladesh government, and other developmental partners. The study results may
help in prioritizing, planning, and scaling-up of Safe Motherhood Promotional interventions in other geographical
areas of Bangladesh as well as to inform other developing countries of similar settings. |
| format | Article |
| id | 123456789-897 |
| institution | Asian University for Women |
| language | English |
| publishDate | 2025 |
| publisher | BMC Public Health |
| record_format | dspace |
| spelling | 123456789-8972026-02-18T06:15:15Z A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”: study protocol Chowdhury, Mohiuddin Ahsanul Kabir Community, Cluster randomized controlled trial, Safe motherhood, Newborn survival Background: Despite considerable progress in reduction of both under-five and maternal mortality in recent decades, Bangladesh is still one of the low and middle income countries with high burden of maternal and neonatal mortality. The primary objective of the current study is to measure the impact of a comprehensive package of interventions on maternal and neonatal mortality. In addition, changes in coverage, quality and utilization of maternal and newborn health (MNH) services, social capital, and cost effectiveness of the interventions will be measured. Methods: A community-based, cluster randomized controlled trial design will be adopted and implemented in 30 unions of three sub-districts of Chandpur district of Bangladesh. Every union, the lowest administrative unit of the local government with population of around 20,000–30,000, will be considered a cluster. Based on the baseline estimates, 15 clusters will be paired for random assignment as intervention and comparison clusters. The primary outcome measure is neonatal mortality, and secondary outcomes are coverage of key interventions like ANC, PNC, facility and skilled provider delivery. Baseline, midterm and endline household survey will be conducted to assess the key coverage of interventions. Health facility assessment surveys will be conducted periodically to assess facility readiness and utilization of MNH services in the participating health facilities. Discussion: The current study is expected to provide essential strong evidences on the impact of a comprehensive package of interventions to the Bangladesh government, and other developmental partners. The study results may help in prioritizing, planning, and scaling-up of Safe Motherhood Promotional interventions in other geographical areas of Bangladesh as well as to inform other developing countries of similar settings. 2025-07-31T07:29:09Z 2025-07-31T07:29:09Z 2018 Article https://repository.auw.edu.bd/handle/123456789/897 en application/pdf BMC Public Health |
| spellingShingle | Community, Cluster randomized controlled trial, Safe motherhood, Newborn survival Chowdhury, Mohiuddin Ahsanul Kabir A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”: study protocol |
| title | A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”: study protocol |
| title_full | A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”: study protocol |
| title_fullStr | A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”: study protocol |
| title_full_unstemmed | A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”: study protocol |
| title_short | A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”: study protocol |
| title_sort | community based cluster randomized controlled trial crct to evaluate the impact and operational assessment of safe motherhood and newborn health promotion package study protocol |
| topic | Community, Cluster randomized controlled trial, Safe motherhood, Newborn survival |
| url | https://repository.auw.edu.bd/handle/123456789/897 |
| work_keys_str_mv | AT chowdhurymohiuddinahsanulkabir acommunitybasedclusterrandomizedcontrolledtrialcrcttoevaluatetheimpactandoperationalassessmentofsafemotherhoodandnewbornhealthpromotionpackagestudyprotocol AT chowdhurymohiuddinahsanulkabir communitybasedclusterrandomizedcontrolledtrialcrcttoevaluatetheimpactandoperationalassessmentofsafemotherhoodandnewbornhealthpromotionpackagestudyprotocol |