1.0Action Research and Training for Healthhttps://www.arth.inadminhttps://www.arth.in/index.php/author/admin/rich600338<blockquote class="wp-embedded-content" data-secret="TAlVg6YPgh"><a href="https://www.arth.in/index.php/2025/04/16/navjeevan-2010-2012/">Navjeevan (2010-2012)</a></blockquote><iframe sandbox="allow-scripts" security="restricted" src="https://www.arth.in/index.php/2025/04/16/navjeevan-2010-2012/embed/#?secret=TAlVg6YPgh" width="600" height="338" title="“Navjeevan (2010-2012)” — Action Research and Training for Health" data-secret="TAlVg6YPgh" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" class="wp-embedded-content"></iframe><script> /*! This file is auto-generated */ !function(d,l){"use strict";l.querySelector&&d.addEventListener&&"undefined"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!/[^a-zA-Z0-9]/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret="'+t.secret+'"]'),o=l.querySelectorAll('blockquote[data-secret="'+t.secret+'"]'),c=new RegExp("^https?:$","i"),i=0;i<o.length;i++)o[i].style.display="none";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute("style"),"height"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):"link"===t.message&&(r=new URL(s.getAttribute("src")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener("message",d.wp.receiveEmbedMessage,!1),l.addEventListener("DOMContentLoaded",function(){for(var e,t,s=l.querySelectorAll("iframe.wp-embedded-content"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute("data-secret"))||(t=Math.random().toString(36).substring(2,12),e.src+="#?secret="+t,e.setAttribute("data-secret",t)),e.contentWindow.postMessage({message:"ready",secret:t},"*")},!1)))}(window,document); //# sourceURL=https://www.arth.in/wp-includes/js/wp-embed.min.js </script> https://www.arth.in/wp-content/uploads/2025/04/NSP-2.png1024768Impact of promoting referral for newborns with danger signs and strengthening first referral level facilities on newborn survival – a cluster randomized trial (Department of Medical, Health and Family Welfare Services in collaboration with ARTH, WHO and UNICEF) Overview The intervention provides incentives to ASHAs for helping families in the decision to accept referral recommendations, the creation of a telephone helpline and of access to a pool of vehicles to facilitate transport to referral facilities, and providing social support during stay at hospital. In addition, first referral level facilities, i.e. Community Health Centres (CHCs), are being supported for improved management of labour, provision of essential newborn care at birth and management of sick newborns. The primary impact of the intervention will be measured in terms of reduction in newborn mortality, increased utilization of CHCs and district hospitals for newborns with severe illness. Rationale for the Project Interventions to improve newborn survival can be delivered during pregnancy, during labour and childbirth, and during the newborn period. Obstetric complications, particularly in labour, are a major source of stillbirths and early neonatal deaths. Intrapartum risk factors increase the risk of perinatal or neonatal death more than pre-pregnancy or antenatal factors. Improved delivery care, with labour surveillance for early identification of complications, such as provided by the partograph, has been associated with significant reductions in newborn mortality. Studies indicated that quality of delivery care in many health facilities do not meet the standards required for their full impact on maternal or newborn survival. While the provision of newborn care at the home and first level facilities such as primary health centres is a core child health intervention that is expected to reduce newborn mortality by over 30%, newborns that are severely ill will need to be referred to a higher level facility for care. Therefore this intervention was implemented and evaluated to understand the impact of improving access to quality referral care for newborns identified with danger signs in the community. It was conducted in settings where IMNCI had been implemented both at the community and first level facility. Key partners and their roles: The study was implemented by following key partners – Department of Medical, Health & FW services, Government of Rajasthan, ARTH Udaipur, UNICEF, Rajasthan and WHO. Their roles are mentioned below: THE STUDY Primary Objectives Secondary Objectives Intervention Clusters: Description of Activities: Please click here for a detailed report on the project.