Trends in use of referral hospital services for care of sick newborns in a community-based intervention in Tangail district, Bangladesh

Sanwarul Bari, Ishtiaq Mannan, Mohammed Anisur Rahman, Gary L. Darmstadt, M. Habibur R. Seraji, Abdullah H. Baqui, Shams El Arifeen, Syed Moshfiqur Rahman, Samir K. Saha, A. S.M. Nawshad Uddin Ahmed, Saifuddin Ahmed, Mathuram Santosham, Robert E. Black, Peter J. Winch, Nabeel Ashraf Ali, Tariq Anwar, Nazma Begum, Atique Iqbal Chowdhury, Sameena Chowdhury, A. K.M. Fazlul HaqueQuamrul Hasan, Dulal Poddar, Qazi Sadequr Rahman, Ashrafuddin Siddik

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


The Projahnmo-II Project in Mirzapur upazila (sub-district), Tangail district, Bangladesh, is promoting care-seeking for sick newborns through health education of families, identification and referral of sick newborns in the community by community health workers (CHWs), and strengthening of neonatal care in Kumudini Hospital, Mirzapur. Data were drawn from records maintained by the CHWs, referral hospital registers, a baseline household survey of recently-delivered women conducted from March to June 2003, and two interim household surveys in January and September 2005. Increases were observed in self-referral of sick newborns for care, compliance after referral by the CHWs, and care-seeking from qualified providers and from the Kumudini Hospital, and decreases were observed in care-seeking from unqualified providers in the intervention arm. An active surveillance for illness by the CHWs in the home, education of families by them on recognition of danger signs and counselling to seek immediate care for serious illness, and improved linkages between the community and the hospital can produce substantial increases in care-seeking for sick newborns.

Original languageEnglish (US)
Pages (from-to)519-529
Number of pages11
JournalJournal of Health, Population and Nutrition
Issue number4
StatePublished - Dec 2006


  • Bangladesh
  • Care-seeking
  • Community health workers
  • Delivery of healthcare
  • Health services
  • Maternal health
  • Neonatal health
  • Referral and consultation

ASJC Scopus subject areas

  • Food Science
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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