Implementation research to promote treatment of pneumonia in under-five children in a north Indian district to achieve high population-based coverage
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- To promote pneumonia treatment in under-five children to achieve high and effective population-based coverage, defined as 80% or more under-five children in the defined study area, receiving the full course of pneumonia treatment, as recommended in Government of India Childhood Pneumonia Management Guidelines in under-five children.
Study Overview
Brief Summary
This is implementation research that will be done in close collaboration with the government of Haryana. The aim is to achieve high and effective coverage of pneumonia treatment in under-five children in a defined catchment area of 14 health and wellness centers (HWC) in the district of Palwal, Haryana. For the treatment of pneumonia in under-five children, the childhood pneumonia management guidelines recommended by the Government of India for under-five children will be followed. Treatment will be provided by the government health care providers in the HWCs, Primary Health Centers (PHCs), Community Health Centers (CHCs) , and District Hospital. The government health care providers will be trained in the appropriate management of pneumonia. The formal private sector may be involved in consensus with the government. The population of the catchment areas of the 14 Health Wellness Centers in Palwal district is around 1,40,000 and has 45 villages and 7 Primary Health Centers in the district.
The study will include formative research to identify barriers and facilitators in the implementation of pneumonia treatment through in-depth interviews and focus group discussions. An implementation strategy will be developed by testing iterative models to achieve high coverage.
An independent team will assess the outcomes through baseline, and end-line cross-sectional surveys in the study area.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 0.00 Day(s) to 59.00 Month(s) (—)
- Sex
- All
Inclusion Criteria
- •Children aged 0 day to 59 months with symptoms of pneumonia residing in the catchment area.
Exclusion Criteria
- •â€“ Non consent to participation.
- •Children with hypoxemia and danger signs.
Outcomes
Primary Outcomes
To promote pneumonia treatment in under-five children to achieve high and effective population-based coverage, defined as 80% or more under-five children in the defined study area, receiving the full course of pneumonia treatment, as recommended in Government of India Childhood Pneumonia Management Guidelines in under-five children.
Time Frame: Baseline, and End-line
Secondary Outcomes
- To assess the proportion of children who recovered after 7 days of treatment(To assess the proportion of children with treatment failure)
- To promote care seeking and treatment of pneumonia in the girl child in the context of “Save the girl child†(Beti Bachao) programme of the government.(Cross-sectional surveys)
- To ascertain knowledge, perception and experiences of health facility staff, community health workers and beneficiaries, around implementation of pneumonia management.(Endline)
- To ascertain knowledge, perception and(experiences of health facility staff, community)