Exploring the Equity Impact of a Maternal and Newborn Health Intervention: A Qualitative Study of Participatory Women's Groups in Rural South Asia and Africa
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Date
2019Author
Morrison, Joanna
Osrin, David
Alcock, Glyn
Azad, Kishwar
Bamjan, Jyoti
Budhathoki, Bharat
Kuddus, Abdul
Mala, Mahfuza Akter
Manandhar, Dharma
Nkhata, Albert
Pathak, Shrijana
Phiri, Tambosi
Rath, Shibanand
Tripathy, Prasanta
Costello, Anthony
Houweling, Tanja A. J.
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Abstract
A consensus is developing on interventions to improve newborn survival, but little is known about how to reduce socioeconomic inequalities in newborn mortality in low- and middle-income countries. Participatory learning and action (PLA) through women's groups can improve newborn survival and home care practices equitably across socioeconomic strata, as shown in cluster randomised controlled trials. We conducted a qualitative study to understand the mechanisms that led to the equitable impact of the PLA approach across socioeconomic strata in four trial sites in India, Nepal, Bangladesh, and Malawi.