Assess effectiveness of a new mobile phone application towards improving community based maternal, newborn and child health services in tribal areas of Gujarat

Phase 3

Completed

• Registration Number: CTRI/2015/06/005847
• Lead Sponsor: Indian Council of Medical Research

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2018-03-31
• Last Update Posted: 24 November 2021

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 0

Inclusion Criteria

As this is a cluster randomized trial, there are two categories for inclusion and exclusion criteria.

For selecting clusters: All clusters (PHCs) belonging to Valia, Netrang (except those where ImTeCHO is being implemented already as part of another project), Dediyapada, Nandod, Garudeshwar and Tilakwada blocks in Gujarat with 100% rural population and scheduled tribe population of more than 45% will be eligible to be included.

For enrolling respondents for endline survey:

•For coverage of maternal, and newborn health services: All woman who are native of study village and is mother of an infant who is one to four months old at the time of survey will be considered as respondents for evaluation. All native women who resided most of the time (at least five months) in study cluster during antenatal period will be included. All women must be in the study cluster at the time of birth in case of home deliveries and in case of institutional deliveries if the she went to hospital from study cluster and came back to same study cluster immediately after delivery, and who provided consent for the evaluation will be included. All women who resided in study cluster for most of time during first month after delivery will be included.

•For coverage of child health services: All woman who are native of study cluster and is mother of an infant who is six to eight months old at the time of survey will be considered as respondents for evaluation.

Exclusion Criteria

For selecting clusters:Those PHCs will be excluded where all medical officer posts, and 20% post for ASHAs are vacant at the time of initiation of study. Those PHCs will be excluded whose more than 10% villages have no mobile signal most of the time. Although ImTeCHO mobile application can function without GPRS signal, lack of such signal in large areas of intervention will affect components of intervention to significant extent. PHCs where internet cannot be accessed reliably by medical officer and PHC staff to view web interface and an alternative arrangement is not possible will be excluded too as web interface is important part of the ImTeCHO intervention.

For enrolling respondents for endline survey, following respondents will be excluded:

1. Mothers who had twins/multiple births

2. Infants who died before survey

3. Not willing to provide consent

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary outcome 1 <br/ ><br>Proportion of neonates/mothers who received at least two postnatal home visits within first week of delivery by ASHA <br/ ><br>Primary outcome 2 <br/ ><br>Modified ASHA-centric Composite Coverage Index <br/ ><br>Timepoint: At baseline (May to July, 2015) and endline (February, to July 2017)