Reflections on Gadchiroli
In 1993, the Society for Education, Action, and Research in Community Health (SEARCH) began conducting what it termed a “field trial of home-based neonatal care” in rural India. The centrepiece of this clinical, intervention-oriented study was the training of village women to evaluate babies around the time of their birth, teaching and delivering essential medical care to those in need during the first month of life. The published results of this community trial were remarkable: incidence of neonatal morbidity and mortality was dramatically reduced in the intervention villages over a three-year time frame. Nevertheless, the work of SEARCH has been the subject of criticism in a textbook on international biomedical research published in 2007
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