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    Given the need to have sick neonates assessed and treated in Meeting older women in tangail hospital to identify aetiology of infections, a major focus of the problem is to identify barriers to care-seeking and design of strategies to address those barriers. The Kumudini Hospital, a bed private hospital run by the Kumudini Welfare Trust, is situated at the centre of the project area. The hospital has a large paediatric unit total 65 beds, including one separate neonatal ward with two full-time consultants and 7—8 regular physicians. Description of the intervention model In the Projahnmo-II project, 36 CHWs were recruited and provided one month of initial training to equip them to provide a package of maternal and newborn care.

    These CHWs had a minimum of 10th grade education and resided in the population they would serve. Each CHW was responsible for about 4, people. After delivery, the CHWs made home-visits to promote evidence-based domiciliary newborn care and to identify and refer sick newborns and mothers on day 0 day of birth3, 6, and 9. Improvements were made in maternal and neonatal healthcare at the designated referral facility Kumudini Hospitaland the CHWs facilitated referrals of sick newborns they identified during home-visits to this hospital.

    For families that refused referral and for babies who had at least one danger sign of very severe disease, or any two from possible very severe disease, the CHWs carried out home-treatment of cases with suspected serious infection with oral co-trimoxazole. The Field Supervisors supervised the daily activities of CHWs in the community and also reviewed the key performance and process indicators relating to coverage and quality every fortnight and provided feedback to the CHWs.

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