Reduced incidence of maternal health conditions associated with the home-based newborn care intervention package in Rural Gadchiroli, India: a 13 years before – after comparison

Background To evaluate the association between home-based neonatal care interventions and incidence of maternal health conditions as well to estimate longitudinal trend over 13 years in 39 villages field program area from rural Gadchiroli, India. Methods This was a before-after comparative analysis implemented thirty-nine The newborn were incrementally introduced during trial (1995 – 1998) continued service until 2008. Over thirteen (1995–2008), pregnant women recruited followed up seventh month pregnancy 28 days postpartum by trained female community workers who made antenatal, natal post-natal home visits, provided education mothers for behavior change, managed normal sick neonates encouraged seeking medical when necessary. They recorded symptoms signs, which physician supervisor verified. Based on these computer algorithm diagnosed 20 different conditions. first year (1995-96) compared with intervention’s last two (2006 - 2008). Result mean coverage care, assessed eight indicators, increased 48.5% 1995 96 87.1% 2006 08. proportion any reduced 44.76% ( P <0.001), labor 44.59% (P <0.001) period 77.82% <0.001). number per 100 69% need emergency obstetric 78.83% (P<0.001). free condition 32.9 % 64.6 %. Conclusions Home-based associated significant reduction Developing dedicated package combination may further improve health.