Can traditional birth attendants be trained to accurately identify septic infants, initiate antibiotics, and refer in a rural African setting?

In our main effects analysis, during weeks 2–4 of life, the period during which AFR would presumably have been most effective (and the effects of NRP minimal), mortality among neonates cared for by intervention TBAs was reduced by about 50%, but this did not reach statistical significance. 6 Our study had been powered to detect an overall effect on mortality due to the combination of NRP and AFR, so the infrequency of sepsis could have left us underpowered to isolate the effect of AFR.

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