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Davidson H Hamer, Julie M Herlihy, Kebby Musokotwane, Bowen Banda, Chipo Mpamba, Boyd Mwangelwa, Portipher Pilingana, Donald M Thea, Jonathon L Simon, Kojo Yeboah-Antwi, Caroline Grogan, Katherine E A Semrau
Conducting research in areas with diverse cultures requires attention to community sensitization and involvement. The process of community engagement is described for a large community-based, cluster-randomized, controlled trial comparing daily 4% chlorhexidine umbilical cord wash to dry cord care for neonatal mortality prevention in Southern Province, Zambia. Study preparations required baseline formative ethnographic research, substantial community sensitization, and engagement with three levels of stakeholders, each necessitating different strategies...
March 2015: American Journal of Tropical Medicine and Hygiene
Usha Dhingra, Joel Gittelsohn, Atifa Moh'd Suleiman, Shekhia Moh'd Suleiman, Arup Dutta, Said Mohammed Ali, Shilpi Gupta, Robert E Black, Sunil Sazawal
BACKGROUND: Deaths during the neonatal period account for almost two-thirds of all deaths in the first year of life and 40 percent of deaths before the age of five. Most of these deaths could be prevented through proven cost-effective interventions. Although there are some recent data from sub-Saharan Africa, but there is paucity of qualitative data from Zanzibar and cord care practices data from most of East Africa. We undertook a qualitative study in Pemba Island as a pilot to explore the attitudes, beliefs and practices of the community and health workers related to delivery, newborn and cord care with the potential to inform the main chlorhexidine (CHX) trial...
May 22, 2014: BMC Pregnancy and Childbirth
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