Behavior Change for Newborn Survival in Resource-Poor Community Settings: Bridging the Gap Between Evidence and Impact
Despite an established evidence base of simple, affordable, and low-cost interventions to avert neonatal deaths, global progress in reducing neonatal mortality has stagnated in recent years. Under-recognition of the critical role played by behavior change in ensuring adoption and dissemination of in...
Gespeichert in:
Veröffentlicht in: | Seminars in perinatology 2010-12, Vol.34 (6), p.446-461 |
---|---|
Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 461 |
---|---|
container_issue | 6 |
container_start_page | 446 |
container_title | Seminars in perinatology |
container_volume | 34 |
creator | Kumar, Vishwajeet, MBBS, MPH Kumar, Aarti, MS Darmstadt, Gary L., MD, MS |
description | Despite an established evidence base of simple, affordable, and low-cost interventions to avert neonatal deaths, global progress in reducing neonatal mortality has stagnated in recent years. Under-recognition of the critical role played by behavior change in ensuring adoption and dissemination of innovations is a major reason for this gap between evidence and impact. A general lack of understanding of the mechanisms underlying behavior change at a population level coupled with an under-appreciation of the sociocultural context of newborn care behaviors has underscored ill-informed approaches towards behavior change that have met with limited success. This article draws upon available evidence from prevention-oriented, community-based newborn survival trials to derive insights into the role of behavior change in neonatal mortality reduction. We propose a simple model, the intervention-causation pathway, to explain the pathway through which behavior change interventions may lead to reductions in mortality. Further, we explore the unique nature of newborn care behaviors and their underlying sociocultural context, along with state-of-the-art advances in social, behavioral, and management sciences. These principles form the basis of the behavior change management framework that has successfully guided intervention design and implementation, leading to high impact on neonatal mortality reduction, in Uttar Pradesh, India. We describe how the behavior change management framework can be applied to inform the design of theoretically and empirically sound behavior change interventions with greater precision, predictability and pace towards reduction in neonatal mortality. We finally touch upon key overarching principles that should guide intervention execution for maximal impact. |
doi_str_mv | 10.1053/j.semperi.2010.09.006 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_812137836</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0146000510001060</els_id><sourcerecordid>812137836</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-83dd1b8045a83b8fbcf1b08730222776ddb02f0def71095893c65291bdc1a98f3</originalsourceid><addsrcrecordid>eNqFkcGO0zAQhi0EYsvCI4B845TuOG4ShwNoWy27K60AUZC4WY49aV0SJ9hJVn17HLVw4MJlZmT9M-P5fkJeM1gyyPjVYRmw7dHbZQrxDcolQP6ELFiWiQSK7MdTsgC2yhMAyC7IixAOAHxVMnhOLlIG5WrFygWZ1rhXk-083eyV2yGtY_kJH6vOO7od_WQn1VDr6FcM3eg1Jl-6Wdy17ejscKRbHAbrduEdXXtrdrGkwx7prerpGodHREdvJmvQaaTKGXrf9koPL8mzWjUBX53zJfn-8ebb5i55-Hx7v7l-SHT83ZAIbgyrBKwyJXgl6krXrAJRcEjTtChyYypIazBYF_GiTJRc51lasspopkpR80vy9jS3992vEcMgWxs0No1y2I1BCpYyXgieR2V2UmrfheCxlr23rfJHyUDOxOVBnonLmbiEUkbise_NecNYtWj-dv1BHAUfTgKMd04WvQzazjiM9agHaTr73xXv_5mgG-usVs1PPGI4RF9chCiZDKkEuZ1tn11nMTDIgf8GziaqBg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>812137836</pqid></control><display><type>article</type><title>Behavior Change for Newborn Survival in Resource-Poor Community Settings: Bridging the Gap Between Evidence and Impact</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Kumar, Vishwajeet, MBBS, MPH ; Kumar, Aarti, MS ; Darmstadt, Gary L., MD, MS</creator><creatorcontrib>Kumar, Vishwajeet, MBBS, MPH ; Kumar, Aarti, MS ; Darmstadt, Gary L., MD, MS</creatorcontrib><description>Despite an established evidence base of simple, affordable, and low-cost interventions to avert neonatal deaths, global progress in reducing neonatal mortality has stagnated in recent years. Under-recognition of the critical role played by behavior change in ensuring adoption and dissemination of innovations is a major reason for this gap between evidence and impact. A general lack of understanding of the mechanisms underlying behavior change at a population level coupled with an under-appreciation of the sociocultural context of newborn care behaviors has underscored ill-informed approaches towards behavior change that have met with limited success. This article draws upon available evidence from prevention-oriented, community-based newborn survival trials to derive insights into the role of behavior change in neonatal mortality reduction. We propose a simple model, the intervention-causation pathway, to explain the pathway through which behavior change interventions may lead to reductions in mortality. Further, we explore the unique nature of newborn care behaviors and their underlying sociocultural context, along with state-of-the-art advances in social, behavioral, and management sciences. These principles form the basis of the behavior change management framework that has successfully guided intervention design and implementation, leading to high impact on neonatal mortality reduction, in Uttar Pradesh, India. We describe how the behavior change management framework can be applied to inform the design of theoretically and empirically sound behavior change interventions with greater precision, predictability and pace towards reduction in neonatal mortality. We finally touch upon key overarching principles that should guide intervention execution for maximal impact.</description><identifier>ISSN: 0146-0005</identifier><identifier>EISSN: 1558-075X</identifier><identifier>DOI: 10.1053/j.semperi.2010.09.006</identifier><identifier>PMID: 21094419</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>behavior change management ; Behavior Therapy - methods ; Behavior Therapy - standards ; community participation ; Female ; Humans ; India ; Infant Care - methods ; Infant Mortality ; Infant, Newborn ; Neonatal and Perinatal Medicine ; newborn survival ; Pregnancy ; resource-poor settings ; scale-up ; social networks ; socio-cultural context ; Socioeconomic Factors</subject><ispartof>Seminars in perinatology, 2010-12, Vol.34 (6), p.446-461</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>Copyright © 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-83dd1b8045a83b8fbcf1b08730222776ddb02f0def71095893c65291bdc1a98f3</citedby><cites>FETCH-LOGICAL-c419t-83dd1b8045a83b8fbcf1b08730222776ddb02f0def71095893c65291bdc1a98f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.semperi.2010.09.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21094419$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kumar, Vishwajeet, MBBS, MPH</creatorcontrib><creatorcontrib>Kumar, Aarti, MS</creatorcontrib><creatorcontrib>Darmstadt, Gary L., MD, MS</creatorcontrib><title>Behavior Change for Newborn Survival in Resource-Poor Community Settings: Bridging the Gap Between Evidence and Impact</title><title>Seminars in perinatology</title><addtitle>Semin Perinatol</addtitle><description>Despite an established evidence base of simple, affordable, and low-cost interventions to avert neonatal deaths, global progress in reducing neonatal mortality has stagnated in recent years. Under-recognition of the critical role played by behavior change in ensuring adoption and dissemination of innovations is a major reason for this gap between evidence and impact. A general lack of understanding of the mechanisms underlying behavior change at a population level coupled with an under-appreciation of the sociocultural context of newborn care behaviors has underscored ill-informed approaches towards behavior change that have met with limited success. This article draws upon available evidence from prevention-oriented, community-based newborn survival trials to derive insights into the role of behavior change in neonatal mortality reduction. We propose a simple model, the intervention-causation pathway, to explain the pathway through which behavior change interventions may lead to reductions in mortality. Further, we explore the unique nature of newborn care behaviors and their underlying sociocultural context, along with state-of-the-art advances in social, behavioral, and management sciences. These principles form the basis of the behavior change management framework that has successfully guided intervention design and implementation, leading to high impact on neonatal mortality reduction, in Uttar Pradesh, India. We describe how the behavior change management framework can be applied to inform the design of theoretically and empirically sound behavior change interventions with greater precision, predictability and pace towards reduction in neonatal mortality. We finally touch upon key overarching principles that should guide intervention execution for maximal impact.</description><subject>behavior change management</subject><subject>Behavior Therapy - methods</subject><subject>Behavior Therapy - standards</subject><subject>community participation</subject><subject>Female</subject><subject>Humans</subject><subject>India</subject><subject>Infant Care - methods</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Neonatal and Perinatal Medicine</subject><subject>newborn survival</subject><subject>Pregnancy</subject><subject>resource-poor settings</subject><subject>scale-up</subject><subject>social networks</subject><subject>socio-cultural context</subject><subject>Socioeconomic Factors</subject><issn>0146-0005</issn><issn>1558-075X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcGO0zAQhi0EYsvCI4B845TuOG4ShwNoWy27K60AUZC4WY49aV0SJ9hJVn17HLVw4MJlZmT9M-P5fkJeM1gyyPjVYRmw7dHbZQrxDcolQP6ELFiWiQSK7MdTsgC2yhMAyC7IixAOAHxVMnhOLlIG5WrFygWZ1rhXk-083eyV2yGtY_kJH6vOO7od_WQn1VDr6FcM3eg1Jl-6Wdy17ejscKRbHAbrduEdXXtrdrGkwx7prerpGodHREdvJmvQaaTKGXrf9koPL8mzWjUBX53zJfn-8ebb5i55-Hx7v7l-SHT83ZAIbgyrBKwyJXgl6krXrAJRcEjTtChyYypIazBYF_GiTJRc51lasspopkpR80vy9jS3992vEcMgWxs0No1y2I1BCpYyXgieR2V2UmrfheCxlr23rfJHyUDOxOVBnonLmbiEUkbise_NecNYtWj-dv1BHAUfTgKMd04WvQzazjiM9agHaTr73xXv_5mgG-usVs1PPGI4RF9chCiZDKkEuZ1tn11nMTDIgf8GziaqBg</recordid><startdate>20101201</startdate><enddate>20101201</enddate><creator>Kumar, Vishwajeet, MBBS, MPH</creator><creator>Kumar, Aarti, MS</creator><creator>Darmstadt, Gary L., MD, MS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20101201</creationdate><title>Behavior Change for Newborn Survival in Resource-Poor Community Settings: Bridging the Gap Between Evidence and Impact</title><author>Kumar, Vishwajeet, MBBS, MPH ; Kumar, Aarti, MS ; Darmstadt, Gary L., MD, MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-83dd1b8045a83b8fbcf1b08730222776ddb02f0def71095893c65291bdc1a98f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>behavior change management</topic><topic>Behavior Therapy - methods</topic><topic>Behavior Therapy - standards</topic><topic>community participation</topic><topic>Female</topic><topic>Humans</topic><topic>India</topic><topic>Infant Care - methods</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Neonatal and Perinatal Medicine</topic><topic>newborn survival</topic><topic>Pregnancy</topic><topic>resource-poor settings</topic><topic>scale-up</topic><topic>social networks</topic><topic>socio-cultural context</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kumar, Vishwajeet, MBBS, MPH</creatorcontrib><creatorcontrib>Kumar, Aarti, MS</creatorcontrib><creatorcontrib>Darmstadt, Gary L., MD, MS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kumar, Vishwajeet, MBBS, MPH</au><au>Kumar, Aarti, MS</au><au>Darmstadt, Gary L., MD, MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Behavior Change for Newborn Survival in Resource-Poor Community Settings: Bridging the Gap Between Evidence and Impact</atitle><jtitle>Seminars in perinatology</jtitle><addtitle>Semin Perinatol</addtitle><date>2010-12-01</date><risdate>2010</risdate><volume>34</volume><issue>6</issue><spage>446</spage><epage>461</epage><pages>446-461</pages><issn>0146-0005</issn><eissn>1558-075X</eissn><abstract>Despite an established evidence base of simple, affordable, and low-cost interventions to avert neonatal deaths, global progress in reducing neonatal mortality has stagnated in recent years. Under-recognition of the critical role played by behavior change in ensuring adoption and dissemination of innovations is a major reason for this gap between evidence and impact. A general lack of understanding of the mechanisms underlying behavior change at a population level coupled with an under-appreciation of the sociocultural context of newborn care behaviors has underscored ill-informed approaches towards behavior change that have met with limited success. This article draws upon available evidence from prevention-oriented, community-based newborn survival trials to derive insights into the role of behavior change in neonatal mortality reduction. We propose a simple model, the intervention-causation pathway, to explain the pathway through which behavior change interventions may lead to reductions in mortality. Further, we explore the unique nature of newborn care behaviors and their underlying sociocultural context, along with state-of-the-art advances in social, behavioral, and management sciences. These principles form the basis of the behavior change management framework that has successfully guided intervention design and implementation, leading to high impact on neonatal mortality reduction, in Uttar Pradesh, India. We describe how the behavior change management framework can be applied to inform the design of theoretically and empirically sound behavior change interventions with greater precision, predictability and pace towards reduction in neonatal mortality. We finally touch upon key overarching principles that should guide intervention execution for maximal impact.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21094419</pmid><doi>10.1053/j.semperi.2010.09.006</doi><tpages>16</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0146-0005 |
ispartof | Seminars in perinatology, 2010-12, Vol.34 (6), p.446-461 |
issn | 0146-0005 1558-075X |
language | eng |
recordid | cdi_proquest_miscellaneous_812137836 |
source | MEDLINE; Access via ScienceDirect (Elsevier) |
subjects | behavior change management Behavior Therapy - methods Behavior Therapy - standards community participation Female Humans India Infant Care - methods Infant Mortality Infant, Newborn Neonatal and Perinatal Medicine newborn survival Pregnancy resource-poor settings scale-up social networks socio-cultural context Socioeconomic Factors |
title | Behavior Change for Newborn Survival in Resource-Poor Community Settings: Bridging the Gap Between Evidence and Impact |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T20%3A32%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Behavior%20Change%20for%20Newborn%20Survival%20in%20Resource-Poor%20Community%20Settings:%20Bridging%20the%20Gap%20Between%20Evidence%20and%20Impact&rft.jtitle=Seminars%20in%20perinatology&rft.au=Kumar,%20Vishwajeet,%20MBBS,%20MPH&rft.date=2010-12-01&rft.volume=34&rft.issue=6&rft.spage=446&rft.epage=461&rft.pages=446-461&rft.issn=0146-0005&rft.eissn=1558-075X&rft_id=info:doi/10.1053/j.semperi.2010.09.006&rft_dat=%3Cproquest_cross%3E812137836%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=812137836&rft_id=info:pmid/21094419&rft_els_id=1_s2_0_S0146000510001060&rfr_iscdi=true |