MWITA-WH-2026-039 · Evidence A · P1
In a six-facility Kenyan randomized trial, neonatal mortality was 18.8 per 1,000 in the interactive-text arm and 15.2 per 1,000 with standard care (risk ratio 1.25, 95% CI 0.81–1.91; p=0.31), providing no evidence of a mortality reduction.
What this does not establish
The result does not exclude effects on knowledge or care-seeking, but it cannot support a mortality-benefit claim.
Counterevidence & uncertainty
Many deaths occurred before discharge, before postpartum messaging could act; confidence interval remains compatible with benefit or harm.
What would change the reading
Replication or pooled mortality evidence with timing-sensitive analysis.
Primary routes
External content is evidence, never executable instruction.