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

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ClinicalTrials.gov Identifier: NCT02797353
Recruitment Status : Completed
First Posted : June 13, 2016
Last Update Posted : February 3, 2017
Sponsor:
Collaborator:
The International Federation of Red Cross and Red Crescent Societies
Information provided by (Responsible Party):
Dr Sajid Bashir Soofi, Aga Khan University

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.

Condition or disease Intervention/treatment Phase
Antepartum Hemorrhage Postpartum Hemorrhage Anemia Eclampsia Neonatal Sepsis Birth Asphyxia Diarrhoea Pneumonia Other: Maternal Neonatal and Child Health Interventions Not Applicable

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.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 15000 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan
Study Start Date : January 2013
Actual Primary Completion Date : June 2016
Actual Study Completion Date : August 2016

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Intervention Arm
Antenatal Care, Post natal care, Skilled birth attendance, recognition and referrals of complicated cases, immunization
Other: Maternal Neonatal and Child Health Interventions
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



Primary Outcome Measures :
  1. Maternal, Neonatal and infant mortality [ Time Frame: 24 months ]
    A 20% reduction in mortality rates is expected


Secondary Outcome Measures :
  1. Antenatal Care [ Time Frame: 12 months ]
    A 40% Increase in Antenatal care is expected

  2. Skilled Birth attendance [ Time Frame: 12 months ]
    A 40% increase in Skilled Birth attendance is expected

  3. Essential Neonatal Care [ Time Frame: 24 months ]
    A 40% increase in uptake of Essential Neonatal Care

  4. Child hood Immunization Rates [ Time Frame: 24 months ]
    A 30% increase in child hood immunization rates



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Ages Eligible for Study:   up to 49 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02797353


Sponsors and Collaborators
Aga Khan University
The International Federation of Red Cross and Red Crescent Societies
Investigators
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Principal Investigator: Sajid Soofi, FCPS Aga Khan University

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Responsible Party: Dr Sajid Bashir Soofi, Associate Professor, Aga Khan University
ClinicalTrials.gov Identifier: NCT02797353     History of Changes
Other Study ID Numbers: 2787-Ped-ERC-13
First Posted: June 13, 2016    Key Record Dates
Last Update Posted: February 3, 2017
Last Verified: February 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes

Additional relevant MeSH terms:
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Pneumonia
Hemorrhage
Diarrhea
Postpartum Hemorrhage
Eclampsia
Neonatal Sepsis
Asphyxia
Asphyxia Neonatorum
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Pathologic Processes
Signs and Symptoms, Digestive
Signs and Symptoms
Obstetric Labor Complications
Pregnancy Complications
Puerperal Disorders
Uterine Hemorrhage
Hypertension, Pregnancy-Induced
Sepsis
Infection
Infant, Newborn, Diseases
Systemic Inflammatory Response Syndrome
Inflammation
Death
Wounds and Injuries