Table 1

Characteristics of studies and populations

Study (country)Bangladesh (rural)India (rural)Nepal (rural)India (urban)
LocationThree districts: Bogra, Maulvibazaar and FaridpurThree districts of Jharkhand and Odisha: Keonjhar, West Singhbhum and SaraikelaDhanusha district (Terai)Mumbai slums
Period2005–20112005–20082008–20112006–2009
Estimated population532 900114 000240 000283 000
Cluster characteristicsVillages making up a union8–10 villages with residents classified as Scheduled Tribe or Other Backward ClassVillage Development CommitteeSlum areas in six municipal wards of Mumbai
Method of cluster identificationPurposive sampling of three districts and clusters within districtsPurposive sampling of three districts and clusters within districtsRandom sampling of 60 clusters from a list of 79 suitable clusters in one district92 clusters in six municipal wards identified using municipal documents, surveys, discussions with key informants, and site visits. Random selection of 48 clusters for randomised allocation
Clusters, n9183024
Cluster and individual follow-upAll clusters followed up
Interviews completed after 82% of identified births in control areas in Phase 1, and 99% of births in Phase 2
All clusters followed up
Interviews completed after 98% of identified births
All clusters followed upAll clusters followed up
Interviews completed after 83% of identified births
Maternal mortality ratio254.3668.1Unknown206.2
Health facilities available in control areasPublic facilities: District Hospitals; Maternal and Child Welfare Centres; Upazilla Health Complexes. Private facilities: small-to-medium size clinics; BRAC (NGO) facilities where deliveries do not take place; larger private hospitals with and without CEmOC facilitiesPublic facilities: District Hospitals; PHCs in which deliveries can notionally take place but that are not usually equipped for CEmOC; CHCs acting as referral centres for PHCs, covering a population of around 80 000 with EmOC facilities; district hospitals. Private and charitable facilities: medium-sized missionary hospitals with EmOC facilitiesPublic facilities: three Primary Health Care Centres, three Health Posts and 24 Sub-Health Posts, none of which are equipped for CEmOC. These health facilities refer to the public Zonal Tertiary Hospital and various private providers in the district headquarters and nearby medical college, which have facilities for caesarean sectionsPublic facilities: municipal tertiary hospitals, general hospitals and maternity homes. Private facilities: specialty hospitals, general hospitals and maternity homes
  • BRAC, Bangladesh Rural Advancement Committee; CEmOC, comprehensive emergency obstetric care; CHC, Community Health Centre; NGO, non-governmental organisation; PHC, Primary Health Centre.