**8. Strategic research agenda**

Despite the wealth of information on the risk factors for preterm birth and care interventions in the health facilities, there is need to further study how these interventions can be adapted for difficult settings or at the community level. Effective interventions such as KMC are not practiced widely at community level and factors that affect its utilization at scale needs to be understood. Strategic implementation research focused on adapting existing interventions to specific contexts with an aim to increase coverage, reduce cost and improve access. Research can also focus on developing new approaches including behavior change interventions to prevent preterm births, calling on the communities to their moral obligation to participate in improving their own health.

Community members need to be mobilized, educated and awareness be created in organized groups such as women groups, youth groups etc. The modalities for these mobilization strategies need to be studied. The rational choice and the motivation for individuals to participate in a collective behavior change program

### *Approaches at Community Level for Care of the Preterm Neonates in Low-Income Countries DOI: http://dx.doi.org/10.5772/intechopen.96920*

might be influenced by many factors including social trust, relationship networks, and social norms etc., that can promote collective social response [24]. Individuals can be pushed to change their behaviors and be forced to participate in collective community responses after personal constraints and experiences or such behavior change can be a result of external pressure and supervision from social norms [25]. Some studies show that government support and guidance can also influence individuals participation in collective actions through organizing them, policy guidance and financial support.
