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Postnatal home visits (PNHVs) show low coverage, failing to significantly reduce newborn mortality. Programs must prioritize local feasibility and implementation realities for effective postnatal care (PNC) delivery.

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Area of Science:

  • Global Health
  • Public Health Interventions
  • Maternal and Child Health

Background:

  • Newborn mortality remains a critical global health challenge.
  • Postnatal home visits (PNHVs) are recommended for improving maternal and newborn outcomes.
  • This review examines the scaled implementation of PNHVs in 12 countries.

Purpose of the Study:

  • To review the coverage-related performance of government-led PNHV programs.
  • To understand implementation challenges and successful adaptations of PNHV programs.
  • To provide insights for designing effective, scalable PNHV strategies.

Main Methods:

  • Multi-country, mixed-method program review.
  • Analysis of population-based surveys (DHS, MICS) and administrative data.
  • Key informant interviews to assess implementation challenges and responses.

Main Results:

  • PNHV coverage within 48 hours for home births is below 10% in most reviewed countries, not exceeding 20% in any.
  • Most programs failed to achieve impactful PNHV coverage for newborn and maternal mortality reduction.
  • Countries responded variably, including program continuation, suspension, or strategy modification.

Conclusions:

  • Context and local feasibility are crucial for implementing PNHVs effectively.
  • Evidence of effectiveness from trials is insufficient; real-world implementation data is vital.
  • Greater emphasis on implementation feasibility is needed for global postnatal care recommendations.