Table 11 summarises the range of research methods used in the different phases of an IR project in Bangladesh. It describes a cluster randomized controlled trial designed to test a home care and community health worker intervention in comparison to established neonatal care services.

Table 11: Research methods used in the different phases of an IR newborn care project in Bangladesh
Phase of the research Methods Objective
Pre- intervention phase Quantitative household survey Provided estimates of existing neonatal mortality and levels of skilled attendance.
Formative qualitative research Explored home care practices that put newborns at risk of death, and the barriers for safe delivery and postnatal care.
Observation of newborn care Demonstrated that community health workers could diagnose newborn illness.
Intervention phase Household surveys and in-depth interviews Demonstrated that the intervention was being implemented as planned.
Surveys, observations and in-depth interviews Established whether the newborn package was being implemented consistently (“implementation fidelity”).
Post intervention phase End-line household Assessed both neonatal mortality and service coverage levels
Qualitative research Explained in detail how and why delivery and post-natal practices changed, largely because of the engagement of the local community in the programme, and the supportive supervision of the community health workers (“meaning enhancement”).

Adapted from Baqui et al, 2008;13 Baqui et al, 2009;14 Choi et al, 2010;15 Shah et al, 2010.16