Abiy Estifanos et al.

Saving Little Lives Minimum Care Package Interventions in 290 Public Health Facilities in Ethiopia: Protocol for a Non-Randomized Stepped-Wedge Cluster Implementation Trial

https://www.mdpi.com/2227-9067/13/2/187

The Saving Little Lives (SLL) program includes a Minimum Care Package (MCP) of life-saving interventions for all liveborn neonates, with a focus on preterm and low birth weight (LBW) infants, across 290 hospitals in Ethiopia (82% of all hospitals in the country). A non-randomized stepped-wedge trial will be conducted to evaluate impact on neonatal mortality. Quantitative data will be collected from 36 primary hospitals. A mixed-method, formative assessment will be conducted prior to implementation, employing facility assessment and interviews with mothers, healthcare providers, and facility managers. This will be followed by continuous program learning assessment once implementation begins. 

We hypothesize that achieving 80% coverage of the SLL MCP interventions among eligible neonates will result in a 35% reduction in neonatal deaths.