Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan (SRC)

June 19, 2020 updated by: Dr Sajid Bashir Soofi, Aga Khan University
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.

Study Overview

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.

Study Type

Interventional

Enrollment (Actual)

15000

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 day to 49 years (ADULT, CHILD)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: HEALTH_SERVICES_RESEARCH
  • Allocation: NON_RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Intervention Arm
Antenatal Care, Post natal care, Skilled birth attendance, recognition and referrals of complicated cases, immunization
Antenatal care, postnatal care, skilled birth attendance, recognition and referral of complicated cases, immunization
NO_INTERVENTION: Control
This arm will receive the standard MNCH services as outlined in the MNCH policy of Government of Pakistan

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Maternal, Neonatal and infant mortality
Time Frame: 24 months
A 20% reduction in mortality rates is expected
24 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Antenatal Care
Time Frame: 12 months
A 40% Increase in Antenatal care is expected
12 months
Skilled Birth attendance
Time Frame: 12 months
A 40% increase in Skilled Birth attendance is expected
12 months
Essential Neonatal Care
Time Frame: 24 months
A 40% increase in uptake of Essential Neonatal Care
24 months
Child hood Immunization Rates
Time Frame: 24 months
A 30% increase in child hood immunization rates
24 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2013

Primary Completion (ACTUAL)

June 1, 2016

Study Completion (ACTUAL)

August 1, 2016

Study Registration Dates

First Submitted

June 8, 2016

First Submitted That Met QC Criteria

June 8, 2016

First Posted (ESTIMATE)

June 13, 2016

Study Record Updates

Last Update Posted (ACTUAL)

June 22, 2020

Last Update Submitted That Met QC Criteria

June 19, 2020

Last Verified

June 1, 2020

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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