Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Background of the Field Trial of Home-Based Neonatal Care in Gadchiroli, India

Journal of Perinatology volume 25, pages S3–S10 (2005)Cite this article

Abstract

The field trial of home-based neonatal care was conducted in Gadchiroli, India during 1993 to 1998. Owing to its new approach and the success in reducing newborn mortality in a rural area, it has attracted considerable attention. In this article, we describe the background of the trial — the situation in 1990, why the problems of neonatal mortality and neonatal infection were selected for research, the area — Gadchiroli district — where the study was conducted, and the background work and philosophy of the organization, SEARCH, which conducted the study. This history and background will help readers understand the origins and the context of the field trial and the subsequent research papers in this supplement. We also hope that sharing this will be of use to other researchers and program managers working with communities in developing countries.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. Save the Children. State of the World's Newborns. Save the children, Washington, DC; 2001.

  2. Bang AT, Bang RA, Baitule S, Reddy MH, Deshmukh M . Effect of home-based neonatal care and management of sepsis on neonatal mortality: field trial in rural India. Lancet 1999;354:1955–1961.

    Article  CAS  Google Scholar 

  3. Bang AT, Bang RA, Baitule S, Deshmukh M, Reddy MH . Burden of morbidities and the unmet need for health care in rural neonates — a prospective observational study in Gadchiroli, India. Indian Pediatr. 2001;38:952–965.

    CAS  PubMed  Google Scholar 

  4. Bang RA, Bang AT, Reddy MH, Deshmukh MD, Baitule SB, Filippi V . Maternal morbidity during labour and the puerperium in rural homes and the need for medical attention: a porspective observational study in Gadchiroli, India. Br J Obstet Gynaecol 2004;111:231–238.

    Article  Google Scholar 

  5. Costello A, Manandhar D . Improving Newborn Infant Health in Developing Countries. London: Imperial College Press; 2000.

    Book  Google Scholar 

  6. Bang AT, Bang RA, Tale O, Sontakke P, Solanki J, Warganitwar R, Kelzarkar P . Reduction in pneumonia mortality and total childhood mortality by means of community-based intervention trial in Gadchiroli, India. Lancet 1990;336:201–206.

    Article  CAS  Google Scholar 

  7. Registrar General of India. Sample Registration System Report. New Delhi: Government of India; 1988.

  8. Bhatia S . Patterns and Causes of Neonatal and Post-Neonatal Mortality in Bangladesh. Studies in Family Planning 1989;20(3):136–146.

    Article  CAS  Google Scholar 

  9. Susser M . Prenatal nutrition, birth weight and psychological development: an overview of experiments, quasi-experiments and natural experiments in the past decade. Am J Clin Nutr 1981;34:784–803.

    Article  CAS  Google Scholar 

  10. Krammer MS . Intrauterine growth and gestational age determinants. Pediatrics 1987;84(4):502–511.

    Google Scholar 

  11. Rosenfield A . Maternal mortality in developing countries. JAMA 1989;262(3):376–379.

    Article  CAS  Google Scholar 

  12. Behraman RE, Vaughan VC . Nelson Textbook of Pediatrics. Philadephia, PA: WB Saunders Co.; 1987.

    Google Scholar 

  13. World Health Organization. Report of the Fourth Meeting of the Technical Advisory Group, Programme of Acute Respiratory Infections. Document No. WHO/ARI/89.4. Geneva: WHO; 1989.

  14. Bartlet A . Causes and Risk Factors Associated with Intra-partum, Neonatal and Early Post-Neonatal Morbidity and Mortality in Relation to Community Level Birth and Newborn Care Practices in Rural Guatemala. Final Report Of Project Activities, INCAP, Guatemala, June 1989.

    Google Scholar 

  15. Gove S . Neonatal Pneumonia: Epidemiology. ARI News, 11 August 1988, p. 5.

  16. World Health Organization. Supervisory Skills: Management of the Young Child with an Acute Respiratory Infection. Geneva: WHO; 1990.

  17. Bang AT, Bang RA, Mornkar VP, Sontakke PG, Solanki JM . Pneumonia in neonates: can it be managed in the community? Arch Dis Child 1993;68:550–556.

    Article  CAS  Google Scholar 

  18. Datta N, Kumar V, Kumar L, Singhi S . Application of case management to the control of acute respiratory infections in low birth weight infants: a feasibility study. Bull World Health Organ 1987;65(1):77–82.

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Pratinidhi A, Shah U, Shrotri A, Bodhani N . Risk approach strategy in neonatal care. Bull World Health Organ 1986;64(2):291–297.

    CAS  PubMed  PubMed Central  Google Scholar 

  20. Steinhoff MC, Kinney JS . Neonatal sepsis and infections.In: Reese R, editor. Principles and Practice of Infectious Disease. 1990.

  21. Remington JS, Klein JO . Infectious Diseases of the Fetus and Newborn Infant.3rd ed. Philadelphia, PA: WB Saunders; 1990. p. 641–642.

    Google Scholar 

  22. Baker MD, Avner JR, Bell LM . Failure of infant observation scales in detecting serious illness in febrile, four to eight-week-old infants. Pediatrics 1990;85(6):1040–1043.

    CAS  PubMed  Google Scholar 

  23. Bang AT, Bang RA . Research Proposal of the Field Trial of Home-Based Neonatal Care. Gadchiroli: SEARCH (Society for Education, Action ad Research Community Health); 1990.

    Google Scholar 

  24. Government of Maharashta. Human Development Report. Mumbai: Government of Maharashtra; 2002.

  25. SEARCH. “SEARCH in Gadchiroli”, Society for Education, Action, and Research in Community Health, Gadchiroli, India, 1992.

  26. SEARCH. Anubhav. New Delhi: Voluntary Heath Association of India; 1998.

  27. Bang RA, Bang AT, Baitule M, et al. High prevalence of gynaecological diseases in rural Indian women. Lancet 1989;i:85–88.

    Article  Google Scholar 

  28. Bang RA, Bang AT, The SEARCH Team. Commentary on community based approach to reproductive health care. Int J Gynecol Obstet 1989;3:125–129.

    Article  CAS  Google Scholar 

  29. Bang RA, Bang AT . WCH rather than MCH. Lancet 1989;2(8672):1158.

    Article  CAS  Google Scholar 

  30. Bang RA . Why Do Women Hide Them? Rural Women's Viewpoints on Reproductive Tract Infections. Manushi, New Delhi. 1989;69:27–30.

  31. Bang RA, Bang AT . Perceptions of rural women on white discharge In: Gittleson J, editor. Listening to Women Talk about their Health Issues: Evidence from India. New Delhi: Ford Foundation; 1994.

    Google Scholar 

  32. Bang R, Kanosa . (Marathi Monogram on Rural Women's Perceptions about their Bodies and Reproduction). Mumbai; Granthali Publication; 1998.

    Google Scholar 

  33. Bang AT, Bang RA, SEARCH team. Diagnosis of causes of childhood deaths in developing countries by verbal autopsy: suggested criteria. Bull World Health Organ 1992;70(4):499–507.

    CAS  PubMed  PubMed Central  Google Scholar 

  34. Bang AT, Bang RA, Taley OP . Management of childhood pneumonia by traditional birth attendants. Bull World Health Organ 1994;72(6):897–905.

    CAS  PubMed  PubMed Central  Google Scholar 

  35. Bang AT, Bang RA . Breath counter for diagnosis of childhood pneumonia. Lancet 1991;338:116.

    Article  CAS  Google Scholar 

  36. Bang AT, Bang RA . Action against alcohol. Lancet 1992;340:720.

    Article  Google Scholar 

  37. Bang AT, Bang RA . Community participation in research and action against alcoholism. World Health Forum 1991;12:104–109.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. SEARCH (Society for Education, Action and Research in Community Health), Gadchiroli, India

    Abhay T Bang MD, MPH & Rani A Bang MD, MPH

Authors
  1. Abhay T Bang MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rani A Bang MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Abhay T Bang MD, MPH.

Additional information

The financial support for this paper came from The John D. Catherine T. MacArthur Foundation, The Ford Foundation and Saving Newborn Lives, Save the Children, USA, and The Bill and Melinda Gates Foundation.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bang, A., Bang, R. Background of the Field Trial of Home-Based Neonatal Care in Gadchiroli, India. J Perinatol 25 (Suppl 1), S3–S10 (2005). https://doi.org/10.1038/sj.jp.7211267

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jp.7211267

This article is cited by

Search

Advanced search

Quick links