Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Community-based Perinatal and Newborn Care in Gilgit District, Northern Areas, Pakistan: an AKU-AKHSP Collaboration
Brief Summary: There is limited evidence from community-based interventions to guide the development of effective maternal, perinatal and newborn care practices and services in developing countries. Investigators planned to evaluate the impact of a low-cost package of community-based interventions implemented through government sector lady health workers (LHWs) and community health workers (CHWs) of a NGO namely Aga Khan Health Services on perinatal and neonatal outcomes in a sub-population of the remote mountainous district of Gilgit, Northern Pakistan.

A community-based package for use by LHWs and CHWs geared towards prevention and promotion of maternal and newborn health practices and services will be developed based on formative research in the study district. The package will include promotion of antenatal care, adequate nutrition, skilled delivery and healthy newborn care practices at household level. The health workers will be trained in recognition of danger sign that warrant referral to health care service. LHWs and CHWs will delivered the package via community awareness sessions and two one-to-one counselling sessions to pregnant women during third trimester and five newborn assessment visits in the neonatal period. In addition to this, community mobilization activities included formation of CHCs and creation of support for the uptake of the interventions. Control areas will continue to receive the routine standard health services of governmental and non-governmental organizations in the area. The intervention areas will receive the intervention package in addition to the routine standard health services. Outcome measures will include changes in maternal and newborn-care practices and perinatal and neonatal mortality rates between the intervention and control areas.


Options:
A: Arm Label: Targeted Nurse Home Visits; Type: EXPERIMENTAL; Interventions: Behavioral: Targeted Nurse Home Visits, Other: Conventional prenatal/postpartum care | Arm Label: Conventional prenatal/postpartum care; Type: OTHER; Interventions: Other: Conventional prenatal/postpartum care | Intervention Type: BEHAVIORAL; Name: Targeted Nurse Home Visits; Assigned to Arm(s): Targeted Nurse Home Visits | Intervention Type: OTHER; Name: Conventional prenatal/postpartum care; Assigned to Arm(s): Conventional prenatal/postpartum care, Targeted Nurse Home Visits
B: Arm Label: Usual Care; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Usual care | Arm Label: CenteringPregnancy Plus; Type: EXPERIMENTAL; Interventions: Behavioral: CenteringPregnancy Plus (CP+) | Intervention Type: BEHAVIORAL; Name: CenteringPregnancy Plus (CP+); Assigned to Arm(s): CenteringPregnancy Plus | Intervention Type: BEHAVIORAL; Name: Usual care; Assigned to Arm(s): Usual Care
C: Arm Label: Insight-Plus Cognitive Behavioral Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Insight-Plus Cognitive Behavioral Intervention | Arm Label: Treatment as Usual (TAU); Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Insight-Plus Cognitive Behavioral Intervention; Assigned to Arm(s): Insight-Plus Cognitive Behavioral Intervention
D: Arm Label: Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Health Education & Promotion, Other: Training of Health Workers, Behavioral: Community Mobilization | Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Health Education & Promotion; Assigned to Arm(s): Intervention | Intervention Type: OTHER; Name: Training of Health Workers; Assigned to Arm(s): Intervention | Intervention Type: BEHAVIORAL; Name: Community Mobilization; Assigned to Arm(s): Intervention

Answer: D