Nepal Clean Home Delivery Kit: Evaluation of the Health Impact - Path

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ACKNOWLEDGMENTS Special thanks go to the field team of dedicated men and women who worked under very difficult conditions to collect the data for this study. We would also like to recognize the assistance of Nebin Lal Shrestha, who did all the data entry and preliminary analysis of several aspects of the study. Save the Children U.S. assisted in managing the administrative aspects of the study. Barbara Crook and Sandra Laston gave valuable advice and assistance in setting up the study. Sumitra Bantawa and Renuka Munankarmi of MCH Products Pvt., Ltd., makers of the delivery kit, played critical roles in the development of the study protocol, in coordinating local meetings of the technical advisory committee, in supporting the researchers administratively, and in targeting their marketing efforts to ensure the availability of kits in the study areas. USAID/Nepal provided assistance and technical input at various points during the study. Finally, the technical advisory committee in Kathmandu provided useful input at the planning phase and after the preliminary data analysis was completed, and reviewed the final draft. Funding for the study was provided primarily by United States Agency for International Development (USAID) under the Technologies for Health (HealthTech) project, Cooperative Agreement No. HRN-A-00-96-90007-00, with supplemental funding from Save the Children U.S. i Nepal Delivery Kit Evaluation May 2000
TABLE OF CONTENTS Executive Summary..................................................................................... 1 I. Introduction............................................................................................... 4 II. Study Questions ...................................................................................... 4 Immediate Health Impact Intermediate Outcomes Factors Potentially Related to the Use or the Effectiveness of the Kit Acceptability of and Access to Kits III. Methodology............................................................................................ 5 General Design Participants and Sample Size Data Collection Data Analysis IV. Results .................................................................................................... 8 Description of Participants Description of Births Definition of Infection Definition of Comparison Groups within Kit Non-users Confounders Kit Use and Other Factors Related to Infection Kit Pictorial Instructions Kit Disposal Kit Purchase and Satisfaction Validation of Data V. Discussion ............................................................................................. 28 Immediate Impact Intermediate Impact on Behaviors and Attitudes Factors Related to Kit Use or Infection Access and Acceptability Strengths and Limitations of the Study VI. Conclusion............................................................................................ 31 References ................................................................................................. 33 Nepal Delivery Kit Evaluation May 2000 ii
Page 1: Nepal Clean Home Delivery Kit Evalu
Page 5 and 6: • About 70% of all attendants put
Page 7 and 8: I. INTRODUCTION Tetanus and sepsis
Page 9 and 10: encompassing the target number of w
Page 11 and 12: Nepal. After checking the data for
Page 13 and 14: Kit User, Kit User, Kit Non-user, K
Page 15 and 16: Table 5. Supplies used at current d
Page 17 and 18: Definition of Infection The determi
Page 19 and 20: Table 9. Key confounding factors, b
Page 21 and 22: Table 10. Infection rates by confou
Page 23 and 24: elevated risk of infection, while m
Page 25 and 26: ehavior is considered (as in Table
Page 27 and 28: Table 15. Kit awareness and decisio
Page 29 and 30: Table 16. Kit purchase, by district
Page 31 and 32: V. DISCUSSION Immediate Impact Use
Page 33 and 34: washing (they had the highest propo
Page 35 and 36: long as the traditional coin is boi

Nepal Clean Home Delivery Kit: Evaluation of the Health Impact - Path

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