To Operationalise the Policy of Treating Uncomplicated Pneumonia, Diarrhoea and Fever in Children Aged 2-59 Months by Community Health Workers(CHW)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 24,000
- 试验地点
- 1
- 主要终点
- Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)
研究概览
简要总结
The investigators propose to test the feasibility and acceptability of community health workers (ASHAs and ANMs) being able to treat sick children in the community. There is a national policy for treatment for children aged 2-59 months with illnesses such as pneumonia, diarrhea and fever by community health workers (CHWs), this policy has not been implemented as yet in Haryana. This research will identify barriers and opportunities for use of CHWs as treatment sources.
详细描述
Using indepth interviews, focus group discussions and other qualitative research methods barriers and opportunities for promoting use of ASHAs as a treatment source for diarrhea, pneumonia and fever will be identified. An intervention package which includes training of ASHAs and ANMs to treat uncomplicated cases of pneumonia, diarrhea and fever, ensuring they have required supplies, creating awareness in community and monitoring and supervising the treatment provided by them will be implemented in primary health centre areas in Haryana, India. ASHAs will treat cases of fast breathing pneumonia with amoxicillin and refer children with danger signs or chest indrawing pneumonia. Three rounds of cross sectional surveys will be conducted to ascertain prevalence of morbidity, careseeking and hospitalizations in children aged 2 to 59 months.
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 2 Months 至 59 Months（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Children aged 2-59 months with uncomplicated pneumonia or diarrhoea or fever
排除标准
- •Refusal for participation
- •Diarrhea with dehydration
- •Danger signs
- •Chest indrawing pneumonia
结局指标
主要结局
Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)
时间窗: To be assessed 8 months after start of study
Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.
时间窗: To be assessed 8 months after start of study
次要结局
- Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions(To be assessed 8 months after start of study)
- Proportion of children treated by ANMs with injectable antibiotics.(To be assessed 8 months after start of study)
- Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires(To be assessed 8 months after start of study)
- Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews(To be assessed 8 months after start of study)
- Proportion of caregivers who complied with referral.(To be assessed 8 months after start of study)
- Proportion of times of families who tried to contact CHW and were unable to do so.(To be assessed 8 months after start of study)