Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan (SRC)
Primary Purpose
Antepartum Hemorrhage, Postpartum Hemorrhage, Anemia
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Maternal Neonatal and Child Health Interventions
Sponsored by
About this trial
This is an interventional health services research trial for Antepartum Hemorrhage
Eligibility Criteria
Inclusion Criteria:
- Be a resident of target areas and consent to participate in the study
Exclusion Criteria:
- Do not fulfill the residence and consent criteria
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Intervention Arm
Control
Arm Description
Antenatal Care, Post natal care, Skilled birth attendance, recognition and referrals of complicated cases, immunization
This arm will receive the standard MNCH services as outlined in the MNCH policy of Government of Pakistan
Outcomes
Primary Outcome Measures
Maternal, Neonatal and infant mortality
A 20% reduction in mortality rates is expected
Secondary Outcome Measures
Antenatal Care
A 40% Increase in Antenatal care is expected
Skilled Birth attendance
A 40% increase in Skilled Birth attendance is expected
Essential Neonatal Care
A 40% increase in uptake of Essential Neonatal Care
Child hood Immunization Rates
A 30% increase in child hood immunization rates
Full Information
NCT ID
NCT02797353
First Posted
June 8, 2016
Last Updated
June 19, 2020
Sponsor
Aga Khan University
Collaborators
The International Federation of Red Cross and Red Crescent Societies
1. Study Identification
Unique Protocol Identification Number
NCT02797353
Brief Title
Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan
Acronym
SRC
Official Title
Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan
Study Type
Interventional
2. Study Status
Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
January 2013 (undefined)
Primary Completion Date
June 2016 (Actual)
Study Completion Date
August 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Aga Khan University
Collaborators
The International Federation of Red Cross and Red Crescent Societies
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The Maternal Neonatal and Child health indicators in District Dadu of Pakistan portrays a dismal pictures and after the floods of 2010-2011 the health infrastructure of this district was badly affected. Aga Khan University Pakistan is intending to implement a service delivery project for the improvement of Maternal Neonatal and Child health situation through evidence based MNCH interventions.
Detailed Description
The Aga Khan University is implementing together with its local partners a MNCH project in five Union Councils (UC) in Dadu District in Sindh Province. The project will scale up the already existing health services for MNCH in the district referral hospital and the five Basic Health Units (BHUs), one in each UC. Institutional based services as well as their scope for outreach to pregnant women, mothers and children in the communities with the aim to promote safe deliveries as per WHO guidelines and Government policy will be enhanced. In order to deliver quality services, the facilities will be renovated and equipped and the capacity of the existing staff will be strengthened through different training courses in MNCH. In addition professionally trained Lady Health Visitors will be introduced in the BHUs, who will conduct all maternal services including deliveries in the BHU and the communities. The health staff is furthermore responsible to establish and facilitate community support groups and raise communal awareness for the importance of mother and child health care as well as safe deliveries with skilled attendants. Operational research is an integral part of this pilot project. The research validates the progress and improvement of maternal and child health indicators. The results will be used to lobby the scale up of MNCH interventions with the Ministry of Health in Pakistan.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Antepartum Hemorrhage, Postpartum Hemorrhage, Anemia, Eclampsia, Neonatal Sepsis, Birth Asphyxia, Diarrhoea, Pneumonia
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
15000 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Intervention Arm
Arm Type
Experimental
Arm Description
Antenatal Care, Post natal care, Skilled birth attendance, recognition and referrals of complicated cases, immunization
Arm Title
Control
Arm Type
No Intervention
Arm Description
This arm will receive the standard MNCH services as outlined in the MNCH policy of Government of Pakistan
Intervention Type
Other
Intervention Name(s)
Maternal Neonatal and Child Health Interventions
Intervention Description
Antenatal care, postnatal care, skilled birth attendance, recognition and referral of complicated cases, immunization
Primary Outcome Measure Information:
Title
Maternal, Neonatal and infant mortality
Description
A 20% reduction in mortality rates is expected
Time Frame
24 months
Secondary Outcome Measure Information:
Title
Antenatal Care
Description
A 40% Increase in Antenatal care is expected
Time Frame
12 months
Title
Skilled Birth attendance
Description
A 40% increase in Skilled Birth attendance is expected
Time Frame
12 months
Title
Essential Neonatal Care
Description
A 40% increase in uptake of Essential Neonatal Care
Time Frame
24 months
Title
Child hood Immunization Rates
Description
A 30% increase in child hood immunization rates
Time Frame
24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
1 Day
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Be a resident of target areas and consent to participate in the study
Exclusion Criteria:
Do not fulfill the residence and consent criteria
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sajid Soofi, FCPS
Organizational Affiliation
Aga Khan University
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan
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