Table 11 Collective grading of evidence for impact of health systems and human resource interventions on stillbirth and related perinatal outcomes
|
Evidence of no or negative impact (leave out of programs) |
Uncertain evidence (need for additional research before including in programs) |
Some evidence (may include in programs, but further evaluation is warranted) |
Clear evidence (merits inclusion in programs) | |
|---|---|---|---|---|
| Emergency loan/insurance funds for obstetric emergencies | X | |||
| Financial incentives to improve access to emergency obstetric care | X | |||
| Training traditional birth attendants in clean delivery and referral | X | |||
| Training of other cadres of community health workers | X | |||
| Training nurse-aides as birth attendants (including Caesarean section) | X | |||
| Training professional midwives in antenatal and intrapartum care | X | |||
| Obstetric drills | X | |||
| Training in neonatal resuscitation for physicians and other health workers | X | |||
| Public-private partnerships | X | |||
| Maternity waiting homes | X | |||
| Home birth with skilled attendance versus hospital birth |
X (high-income country studies only; no disadvantage to home birth) | |||
| Perinatal audit | X |