Bihar Family Health Initiative (Ananya)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 27,633
- 主要终点
- Receipt of any postnatal home visits from an FLW (in the first 24 hours at home after delivery and in first month following delivery), using maternal survey response
研究概览
简要总结
Ananya was funded by BMGF to reduce maternal, newborn, and child mortality; fertility; and child undernutrition in Bihar, India. Ananya involved multi-level interventions designed to build front line health worker (FLW) capacities and reach to communities and households, as well as to strengthen public health facilities and quality of care to increase maternal and neonatal care and health behaviors, and thus survival. From 2012 to 2014, eight focal districts in western and central Bihar.received Ananya, while 30 districts did not. Data were collected from mothers of infants 0-11 months at baseline and mothers of infants 0-23 months at 2 year follow-up, from comparable public health blocks in Ananya and Control districts to assess Ananya effects on quality and quantity of FLW home visits, postnatal health behaviors, and among older infants/toddlers, complementary feeding and vaccination. Difference in difference analyses were used to assess Ananya outcome effects in this quasi experimental study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Mothers of infants 0-23 months residing in the catchment area of the subcenters (public health facilities) included in this study.
排除标准
- 未提供
研究组 & 干预措施
Ananya Intervention
- Strengthen enumeration and mapping of areas to ensure reach of front line workers (FLWs: auxiliary nurse midwives- ANMs; community health workers- ASHAs; anganwadi workers- AWWs).
- Convene monthly FLW meetings to build skills and get trained in job kits to increase the quantity and quality of household visits.
- Train FLWs on communication skills and use of mobile kunji, a job-aid tool, to improve FLWs' communication with households.
- A mass media campaign inclusive of street theatre, tv and radio, and a mobile van.
- Community mobilization linking mass media efforts with self-help groups.
- Quality improvement activities at public health facilities.
- Facility-based skills training to staff delivering infants to improve quality of care
干预措施: Ananya (Behavioral)
Control Condition
standard of care public health services in India
结局指标
主要结局
Receipt of any postnatal home visits from an FLW (in the first 24 hours at home after delivery and in first month following delivery), using maternal survey response
时间窗: 2-year follow-up
Assessed via self-report from representative sample of mothers of children aged 0-11 months; items created for Ananya Survey
Postnatal care behaviors (4 outcomes)- clean cord care, KMC, delayed bath, initiation of breastfeeding), reported by mothers
时间窗: 2 year follow-up
Postnatal care practices \[Nothing applied to cord or umbilicus; Health worker placed child unclothed on mother's chest/abdomen in skin-to-skin contact; First bath delayed by two or more days; Breastfed child within one hour of birth\] assessed via self-report using a single item for each behavior from representative sample of mothers of children aged 0-11 months; items from demographic and health surveys
Any complementary feeding of solid or semisolid food for infants aged 6-11 months, using maternal survey response
时间窗: 2 year follow-up
a survey item was used to assesse complementary feeding of infants as reported by mothers of infants aged 0-11 months; items taken from the Demographic and Health Survey
Immunizations (4 outcomes)- receipt of DBT1 and DBT3 for infants 6-11 mo; receipt of DPT3 and measles vaccine for children 12-23 months, using immunization cards or maternal self report if not card
时间窗: 2 year follow-up
data from immunization cards or from self-reports when women did not have cards; approximately 50-60% of participants did not have immunization cards
Receipt of two or more home visits from an FLW in the final trimester of pregnancy, using maternal survey response
时间窗: 2 year follow up
Assessed via self-report from representative sample of mothers of children aged 0-11 months; item created for Ananya Survey
次要结局
未报告次要终点
研究者
Anita Raj
Professor
University of California, San Diego