Improving maternal and child health service utilization and dietary intake to enhance maternal and child health in rural areas of southern Terai, Nepal

Not Applicable

Completed

• Conditions: Pregnancy; Pregnancy and Childbirth

• Registration Number: ISRCTN60684155
• Lead Sponsor: BHORE Janakpur

Brief Summary

2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/30400313 results (added 29/01/2019) 2020 Results article in https://pubmed.ncbi.nlm.nih.gov/32766199/ results (added 10/08/2020) 2018 Protocol article in https://pubmed.ncbi.nlm.nih.gov/29898717/ (added 18/08/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2015-07-03
• Study Completion: 2016-12-21
• Last Update Posted: 28 August 2023

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 413

Inclusion Criteria

Current inclusion criteria as of 11/05/2017:
1. Pregnant women in the second trimester (13-28 weeks) of any age who visit or do not visit health facilities for MCH services in 54 clusters in given period of time
2. Dhanusha district has 101 Village Development Committees (VDCs). 64 VDCs were excluded. 39 VDCs were excluded because of Maternal and Infant Research Activities by MIRA Dhanusha and 25 VDCs were excluded because of programmatic activities (Sunaula Hazar Din) of Government of Nepal. Baseline survey was done only in 54 wards (cluster) of six VDCs selected randomly
2. The intervention in this research involved only VDCs which have SBA utilization less than 12% and 4ANC less than 40%
3. Evaluation will be done longitudinally at different points of time until 6 months after childbirth

Previous inclusion criteria:
1. Pregnant women in the second trimester (12-24 weeks) of any age who visit or do not visit health facilities for MCH services in 54 clusters in given period of time
2. Dhanusha district has 101 Village Development Committees (VDCs). 64 VDCs were excluded. 39 VDCs were excluded because of Maternal and Infant Research Activities by MIRA Dhanusha and 25 VDCs were excluded because of programmatic activities (Sunaula Hazar Din) of Government of Nepal. Baseline survey was done only in 54 wards (cluster) of six VDCs selected randomly
2. The intervention in this research involved only VDCs which have SBA utilization less than 12% and 4ANC less than 40%
3. Evaluation will be done longitudinally at different points of time until 6 months after childbirth

Exclusion Criteria

1. Women in the third trimester of pregnancy
2. Women with a disability that makes the intervention difficult (for example, with hearing or sight problem or mentally handicapped)

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Utilization of Skilled Birth Attendant (SBA) by pregnant women at delivery. % of births for which pregnant women delivered with a skilled birth attendant (doctor, Auxiliary Nurse Midwife [ANM], or nurse) either at a health facility or at home, evaluated just after delivery (at Follow up-II)<br>2. Consumption of diversified diet. % of women who consumed diversified food (number of food groups consumed) by Food and Agriculture Organization (FAO) 2007 recommendations for pregnant women, evaluated after 37 weeks of gestation (at Follow up-I)