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Table 4 compares the Newhints approach to increasing access to care for sick newborns with that used in other trials evaluating the home visits strategy.
More precisely, age-weighted prevalence of subjects at very high CV risk estimated after one visit did not differ versus the estimation based on the two visits strategy.
Like the prevailing maternal health Grand Strategy, the "postnatal home visits" strategy now being promoted in newborn health also emphasizes contact, assumes that such contact will deliver impact, and gives comparatively little attention to the content provided.
In conclusion, according to present data, the choice of one or two visits strategy is not relevant, but it is important to implement a strategy that allows for a more comprehensive framework of CV risk.
This has important implications for the implementation of the home visits strategy in other settings in sub-Saharan Africa: CBAs can be used to deliver home visits, they can identify sick newborns through accurate assessments and refer to health facilities for care, and families will comply when asked.
Two trials that combined home visits with community-based group sessions showed higher impact (RR = 0.68; 95% CI: 0.40, 0.98) than did those with either only home visits strategy (RR = 0.86; 95% CI: 0.79, 0.94) or only community-based group sessions (RR = 0.83; 95% CI: 0.70, 0.98).
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During home visits, strategies were discussed with caregivers about how they could engage with their child using pictures, books, or common items around the home.
In France, the response rate in adults was around 60% in the 2006 2007 survey, though a costly home-visit strategy was used, according to the French Institute for Public Health Surveillance (Institut de veille sanitaire).
Three studies considered a home visit strategy.
The home visit strategy may provide greater benefit to poorer families.
3. Changing of the present multi-visit strategy to a single visit strategy of "see and treat" to ensure that all the women who test positive receive the lifesaving treatment.
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