Social network targeting strategies can be used to improve the delivery and uptake of health interventions. We will enroll approximately 30,000 individuals into a randomized controlled trial of different targeting algorithms in order to explore how social network dynamics affect the uptake, diffusion, and group-level normative reinforcement of key neonatal and infant health behaviors and attitudes in 176 rural villages in the Copan region of Honduras. Our goal is to develop methods by which global health practitioners can exploit face-to-face social network interactions in order to maximize uptake of neonatal and infant health interventions. The villages will be randomly assigned to 16 cells of 11 villages each in a 2 x 8 factorial design of different targeting algorithms.
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Speed of adoption of intervention and fraction of adoption of CBNH intervention (participant survey).
Timeframe: 24 Months
Percent of participants reporting paternal involvement during pregnancy and postpartum care (participant survey).
Timeframe: 24 Months
Percent of newborns with appropriate umbilical cord care (participant survey)
Timeframe: 24 Months
Percent of children under 5 with diarrheal illness in the last 4 weeks (participant survey)
Timeframe: 24 Months
Percent of children under age 5 with symptoms of acute respiratory illness in the last 4 weeks (participant survey).
Timeframe: 24 months
Percent of women experiencing a pregnancy danger sign who sought professional medical care (participant survey).
Timeframe: 24 months
Percent of children experiencing a newborn danger sign who were taken to professional medical care (participant survey)
Timeframe: 24 months
Percent of children who were breastfed exclusively during first 6 months (participant survey)
Timeframe: 24 Months
Percentage of deliveries taking place in medical facilities (participant survey, medical records).
Timeframe: 24 months
Receipt of post-natal care medical check-up within 7 days of delivery - Mother (participant survey, medical records).
Timeframe: 24 months
Receipt of post-natal care medical check-up within 7 days of delivery - Newborn (participant survey, medical records).
Timeframe: 24 months
Percent of newborns receiving appropriate thermal care during first 7 days after birth (participant survey).
Timeframe: 24 months