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Full Report - Research for Development - Department for ...

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Appendix 4.10: High-quality included items with successful mortality outcomes, but not explicitly<br />

targeting urban poor populations<br />

Author<br />

(year)<br />

(IV)/(EV)<br />

Infant<br />

Cobra<br />

(1997)<br />

(++)/(++)<br />

Maternal<br />

Dumont<br />

(2005)<br />

(++)/(++)<br />

Brief intervention<br />

description<br />

Infants were allocated to<br />

receive placebo or oral<br />

iodised oil (100 mg) at<br />

about 6 weeks of age and<br />

were followed to 6 months<br />

of age.<br />

Emergency obstetric<br />

guidelines introduction in<br />

the Centre de Santé Roi<br />

Baudouin, Guédiawaye,<br />

Dakar, Senegal.<br />

Target<br />

population<br />

Infants in<br />

general<br />

Women in<br />

general<br />

Intervention type Setting Targeted<br />

Outcome(s)<br />

Clinical<br />

Drug treatment<br />

(including<br />

micronutrient<br />

supplementation)<br />

single micronutrient<br />

Non-clinical<br />

Service organisation<br />

obstetric guidelines<br />

Home Infant<br />

mortality<br />

District<br />

hospital<br />

Case fatality<br />

<strong>for</strong><br />

haemorrhage<br />

Case fatality<br />

<strong>for</strong><br />

hypertension<br />

Case fatality<br />

<strong>for</strong><br />

haemorrhage<br />

and<br />

hypertension<br />

Effect(s)<br />

Appendix 4.10<br />

Oral iodised oil supplementation<br />

of infants may reduce infant<br />

mortality in populations at risk<br />

<strong>for</strong> iodine deficiency.<br />

While staff daily supervision may<br />

have improved maternal<br />

outcome be<strong>for</strong>e the intervention<br />

period, audit and feedback<br />

produced marked effects on<br />

emergency obstetric care,<br />

especially <strong>for</strong> complications<br />

requiring highly trained<br />

management (e.g. preeclampsia).<br />

What are the effects of different models of delivery <strong>for</strong> improving maternal and infant health outcomes <strong>for</strong> poor people in urban areas in low income<br />

and lower middle income countries?<br />

243

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