Table 5 GRADE summary table for the impact of community skilled birth attendants on perinatal-neonatal outcomes
| 听 | Study Quality | Summary of Findings | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 听 | 听 | 听 | 听 | Directness | Endline | Baseline | 听 | |||
No of studies | Design | Limitations | Consistency | Generalizability to Population of Interest | Generalizability to intervention of interest | Events | Births | Events | Births | Relative Risk (95% CI) |
Neonatal Mortality ( Intrapartum-related ) : Low outcome specific quality | ||||||||||
1 [50] | Quasi-experimental | Several interventions simultaneously and changes also in comparison villages | 听 | Community-setting LIC-MIC, South Asia | Yes | NS | 19,085 | NS | 22,413 | 0.78 (0.64-0.95) |
Neonatal Mortality ( All Cause ) : Low outcome specific quality | ||||||||||
Observational, before-after | Low quality, before-after comparisons | No evidence of heterogeneity (p=0.28) | Community-setting LIC-MIC | Yes | 794 | 21383 | 1186 | 26798 | 0.82 (0.75-0.90)a | |
Early Neonatal Mortality ( All Cause ) : Low outcome specific quality | ||||||||||
Observational, before-after | Low quality, before-after comparisons | No evidence of heterogeneity (p=0.50) | Community-setting LIC-MIC | Yes | 597 | 23718 | 837 | 29010 | 0.87 (0.79-0.97)a | |
Perinatal Mortality ( All Cause ) : Low outcome specific quality | ||||||||||
Observational, before-after | Low quality, before-after comparisons | Evidence of heterogeneity (p=0.12) | Community-setting LIC-MIC | Yes | 670 | 21981 | 909 | 27621 | 0.88 (0.83-.95)b | |