Effect of implementation of Integrated Management of Neonatal and Childhood Illness programme on treatment seeking practices for morbidities in infants: cluster randomised trial

Study answer

What this study found

Implementation of IMNCI at scale improved treatment-seeking for neonatal and infant illnesses and reduced morbidity. Key findings: (a) among neonates with danger signs, seeking treatment from an appropriate provider increased (46.9% vs 29.5%; RR 1.76), and seeking within 24 hours increased (79.7% vs 68.9%; RR 1.14); (b) seeking for local infections from an appropriate provider rose markedly (RR 4.86); (c) for infants, diarrhoea and pneumonia morbidity declined at 6 months (diarrhoea RR 0.71; pneumonia RR 0.73) and at 12 months (diarrhoea RR 0.63; pneumonia RR 0.60); hospital admissions in…

Study & population

Cluster-randomised trial conducted in Faridabad, Haryana, India, across 18 primary health centre catchment areas (9 intervention clusters and 9 control clusters).

Key limitation

Not blinded; potential bias due to awareness of allocation.

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Original abstract