biostudies-literatureNoble CDirektion für Entwicklung und ZusammenarbeitDepartment for International Development, UK GovernmentNational Institute for Health Research (NIHR)Bill and Melinda Gates FoundationWellcome TrustUNICEF981https://www.ebi.ac.uk/biostudies/studies/S-EPMC9805263biostudies-literatureUnknown22(1)<h4>Background</h4>Despite achieving relatively high rates of antenatal care, institutional delivery, and HIV antiretroviral therapy for women during pregnancy, neonatal mortality has remained stubbornly high in Zimbabwe. Clearer understanding of causal pathways is required to inform effective interventions.<h4>Methods</h4>This study was a secondary analysis of data from the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial, a cluster-randomized community-based trial among pregnant women and their infants, to examine care during institutional and non-institutional deliveries in rural Zimbabwe and associated birth outcomes.<h4>Results</h4>Among 4423 pregnant women, 529 (11.9%) delivered outside a health institution; hygiene practices were poorer and interventions to minimise neonatBMC pregnancy and childbirthAntenatal and delivery practices and neonatal mortality amongst women with institutional and non-institutional deliveries in rural Zimbabwe: observational data from a cluster randomized trial.PMC9805263PCA-2017-0002093768/Z/10/Z and 108065/Z/15/Z8106727ACF-2017-19-003OPP1021542108065/Z/15/ZChampion TMuzira TTengende AMakasi RNzuda WNyembe DMushanawani RCChikuni SMwenjota AKuchicha LKembo GMazula PNkiwane SChikwira BMaunganidze MMushore TEBepete EKufa RMazhanga CMtetwa MManhidza JMatizanadzo JNembaware NGandiyari SHuku CChandigere MMunana AMutaja FKaswa TMakarudze MManhovo FMatambo STumbo KTielsch JMMazuva MMhuka AChivese TMooney CChitsinga MMaburutse SChirinda TNoble CHamauswa JMupura HMaponga BMatimba FSMakeche CChauke ANduna NGwarima LManjengwa EAzhuda EChihombe OChimbi TChikoto LChigove ZMsindo NMNgada LGambagamba LMapfumo EMapuranga AChinhoro MMaunga SGumure KMapfumo MMajo FDMunyanyi CWatinaye RMapuranga PGatsi AFNoah MZinhumwe NGavi SManyaga EToindepi TMhuri SPaul BZimunya ENzombe JPrendergast AJFusira SChamhamiwa ADhononga PMachacha RNene EZambezi CMazuva DHumphrey JHSango PMapfumo TMakumbe RMandizvidza ETsikira MManhiyo FTagwirei MTobaiwa ETuhwe MDzingai GMbono MNgwalati AChidyagwai OChiveza DSakuhwehwe TGwanzura KTMashiri CDimingo EMurenjekwa JTavengwa NVMugwira MMpofu TRinashe TMpofu EMhuri ANhigo PSamanga VChurch JAMusemwa NChiripamberi AMuzenda TMuoki RShuro 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MSauramba VKonzai PMuzungunye DMborera JGunha VManomano JGwaringa CKaisa BMaphosa LMutasa BLunga JGore SMutasa KMashasha MMapurisa IChinyama JNyanyai LMupfeka PMangena GMadziva CMangena EZimidzi KTumba CMunzava EMushonga JHove PMafuta JChigatse NHove RMafuta FHungwe SKasaru SFambi TSanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial TeamMuchemwa GGodzongere TMafuratidze TMadya SChafota EPhiri SHlabano AKutsira MMukungwa YMapako SShirichena SMambure MMarecha SChingozho CMunemo LMutsando SMafukise MChizema FChingozho MChiguri KManyewe EChaipa JMangwengwe TRugara MMuroyiwa FMadziise LMazani PMuroyiwa LMbasera MOffice EHungwe GChombe FGundani JRusere PVengesa BJakwa LMambongo ENguruve LChitavati EMacheche BHamilton RMadembo RTovigepi JGundani RShoko CMsindo DMarecha FMlambo FLozani PMtisi CMahaso EMarihwi BMushambadope MZaru TAmadu UMaganga SNyekete SDenhere MManono IDandadzi AMaganga MMwale AMaluccio JAMachokoto EMakanhiwa PManyeruke DMatunhu MMagara TNyarambi MHwacha SMutodza BChangunduma AChibi CSithole BChamakono RMutsindikwa AChipenzi XTavengwa THlasera STongogara RZiyambe JMwareka RFundira CGandanga ATavagwisa ARunodamoto TGambiza ACMuzaradope GMabuto VZorounye MKanikani ASitotombe MTsenesa BMavhoro PHwena PGwangwava MMhike THotera JJones ADMagogo NKapuma TMabuto JMhakayakora CMaramba NMaunze DMuchekeza MMhike CManges AMusanhu GGwinji GDhliwayo AHwena BKwangware BBanda SMakover MKamutanho SRera TRanganai SChidawanyika TKandawasvika RMahonye SBanda CGwauya MMuranganwa MMushaninga TMutsonziwa TRMawere BMwazha VSibindi NMatarise GRuvata EChinhamo OTichagwa MChinyoka CRatisai SZaranyika TMbuya MNNMaduke GPukuta RChikunya JChipute RTibugari AMadhuyu LMugava MChinhamo JGwara WMurisi CShava SSolomon MMasiya MFari ADera SHofisi EHofisi FMapfurire AChivizhe ABiri FChakwizira AChidzomba CSmith LEHlukani EMunazo JDadirai TMpedzisi RGota JChaitezvi CUrayai RMahanya MHakunandava FZindo MMatonhodze PChigodora DMuzembi MMhuriyengwe FMoyo SChingware VChidamba LMoyo 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Keilen FChiribhani GMasuku TNzembe AShonhayi SMpakami CMidzi JMabvurwa LChidhanguro DNdhlovu RNyamadzawo CJogwe RRambanapasi MNyamandi CSakala JGonese MHwara AZiupfu MfalseAntenatal and delivery practices and neonatal mortality amongst women with institutional and non-institutional deliveries in rural Zimbabwe: observational data from a cluster randomized trial.<h4>Background</h4>Despite achieving relatively high rates of antenatal care, institutional delivery, and HIV antiretroviral therapy for women during pregnancy, neonatal mortality has remained stubbornly high in Zimbabwe. Clearer understanding of causal pathways is required to inform effective interventions.<h4>Methods</h4>This study was a secondary analysis of data from the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial, a cluster-randomized community-based trial among pregnant women and their infants, to examine care during institutional and non-institutional deliveries in rural Zimbabwe and associated birth outcomes.<h4>Results</h4>Among 4423 pregnant women, 529 (11.9%) delivered outside a health institution; hygiene practices were poorer and interventions to minimise neonat2022-01-01T00:00:00Z2022 Dec2026-05-27T21:04:00.704Z2025-02-18T22:34:34.148ZS-EPMC98052633658567310.1186/s12884-022-05282-x