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Table 1 Mechanisms of intervention package in reducing perinatal mortality

From: A matched pair cluster randomized implementation trail to measure the effectiveness of an intervention package aiming to decrease perinatal mortality and increase institution-based obstetric care among indigenous women in Guatemala: study protocol


Contributing factors





Poor perinatal outcomes including high mortality

Insufficient capacity to deliver effective emergency perinatal care in clinics

PRONTO training

Better prepare professional health care providers for obstetric and neonatal emergencies

Improve emergency obstetric care

Reduce perinatal mortality

Lack of coordination and interaction between TBAs and health system

Professional midwife liaison

Strengthen the relationship between communities/TBAs and formal health services

Increase the proportion of institution-based births

Multidimensional factors preventing women from using the health system for obstetrical care

Social marketing campaign

Influence care-seeking behavior by promoting the advantages of institutional delivery