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Summits - SBCC and C4D
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Effect of training for care providers on practice of essential newborn care in hospitals in Sri Lanka

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Senarath, U., D. N. Fernando, et al. (2007) Effect of training for care providers on practice of essential newborn care in hospitals in Sri Lanka. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG 531-541 DOI: 10.1111/j.1552-6909.2007.00183.x

OBJECTIVE: To evaluate the effectiveness of a training program for care providers in improving practice of essential newborn care in obstetric units.

DESIGN: Before-and-after study with an intervention and a control group.

SETTING: Five hospitals in the Puttalam district in Sri Lanka.

PARTICIPANTS: Eight hundred and ninety-two mother-newborn pairs (446 before and 446 three months after).

INTERVENTION: A 4-day training program on essential newborn care for doctors, nurses, and midwives of the obstetric units in two hospitals.

MAIN OUTCOME MEASURES: By direct observation, practices of essential newborn care at delivery in the labor room on a subsample. By interviewing mothers, immediate skin-to-skin contact and early initiation of breastfeeding. From health records, "undesirable health events" of the newborns.

RESULTS: Practices of cleanliness, thermal protection, and neonatal assessment improved significantly in the intervention group. The intervention was effective in improving skin-to-skin contact by 1.5 times and early initiation of breastfeeding by 3.4 times. Undesirable health events declined from 32 to 21 per 223 newborns in the intervention group and from 20 to 17 per 223 newborns in the control group.

CONCLUSION: A comprehensive 4-day training program can be followed by a significant improvement in essential newborn care practices in obstetric units.