[Re: https://www.hifa.org/dgroups-rss/health-policy-planning-pathways-change-... ]
Dear Neil,
This process evaluation highlights the critical role of trained traditional birth attendants alongside community health workers in improving home-based essential newborn care without compromising facility birth uptake. Working in maternal and neonatal care in low-resource settings, I have seen firsthand how structured community-based support—combined with quality facility care and close supervision — is essential for sustainable behaviour change. These findings reinforce that reducing neonatal mortality requires not only demand generation but also simultaneous attention to training, supervision, and structural access barriers. Integrating TBA and CHW strategies into national health policy is not optional — it is essential.
With warm regards,
Suren
HIFA profile: Suren Kanayan is the Administrative Manager at Central Hospital in Cambodia. Professional interests: Maternal and Child Health, Obstetrics & Gynecology Clinical Practice, Healthcare System Strengthening in LMICs, Telemedicine and Digital Health Platforms. Email: skan71 AT yahoo.com