Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Implementing an Integrated RMNCH Intervention by Community Health Workers in Achham and Dolakha: National Pilot
Brief Summary: The investigators will conduct a cluster-controlled, stepped wedge implementation science trial of a bundled reproductive, maternal, neonatal, and child healthcare (RMNCH) delivery intervention within an approximate population of 300,000 people in rural Nepal. This intervention integrates five evidence-based approaches for reproductive, maternal, newborn, and child health focused on the "golden 1000 days" from conception through age two: 1) Community Health Worker model of home-based care to monitor and increase utilization of services, maternal and neonatal health knowledge, self-efficacy, social support, and emergency planning among mothers; 2) Continuous surveillance of all pregnancies and children via an integrated electronic medical record; 3) Delivering community-based integrated management of newborn and childhood illness (CB-IMNCI) via CHWs; 4) Group antenatal and postnatal care to improve care delivery and reduce mortality during the "golden 1000 days" from conception to age two; and 5) Balanced counseling to increase post-partum contraception.


Options:
A: Arm Label: Bundled RMNCH Intervention; Type: EXPERIMENTAL; Interventions: Other: Community Health Worker, Other: Continuous Surveillance, Other: CB-Integrated Management of Newborn and Childhood Illness, Other: Group Antenatal and Postnatal Care, Other: Balanced Post-Partum Contraceptive Counseling | Intervention Type: OTHER; Name: Community Health Worker; Assigned to Arm(s): Bundled RMNCH Intervention | Intervention Type: OTHER; Name: Continuous Surveillance; Assigned to Arm(s): Bundled RMNCH Intervention | Intervention Type: OTHER; Name: CB-Integrated Management of Newborn and Childhood Illness; Assigned to Arm(s): Bundled RMNCH Intervention | Intervention Type: OTHER; Name: Group Antenatal and Postnatal Care; Assigned to Arm(s): Bundled RMNCH Intervention | Intervention Type: OTHER; Name: Balanced Post-Partum Contraceptive Counseling; Assigned to Arm(s): Bundled RMNCH Intervention
B: Arm Label: 1; Type: EXPERIMENTAL; Interventions: Drug: Coartem and amoxicillin | Arm Label: 2; Type: ACTIVE_COMPARATOR; Interventions: Drug: Coartem | Intervention Type: DRUG; Name: Coartem and amoxicillin; Assigned to Arm(s): 1 | Intervention Type: DRUG; Name: Coartem; Assigned to Arm(s): 2
C: Arm Label: 1; Type: EXPERIMENTAL; Interventions: Behavioral: IMNCI | Arm Label: 2; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: IMNCI; Assigned to Arm(s): 1
D: Arm Label: ICCM delivered by VHT; Type: ACTIVE_COMPARATOR; Interventions: Other: ICCM delivered by VHT | Arm Label: ICCM delivered by VHT with cell phone; Type: ACTIVE_COMPARATOR; Interventions: Other: ICCM delivered by VHT, Other: ICCM delivered by VHT with Cell Phone | Arm Label: Health outcomes in communities with no ICCM; Type: ACTIVE_COMPARATOR; Interventions: Other: No intervention | Intervention Type: OTHER; Name: ICCM delivered by VHT; Assigned to Arm(s): ICCM delivered by VHT, ICCM delivered by VHT with cell phone | Intervention Type: OTHER; Name: ICCM delivered by VHT with Cell Phone; Assigned to Arm(s): ICCM delivered by VHT with cell phone | Intervention Type: OTHER; Name: No intervention; Assigned to Arm(s): Health outcomes in communities with no ICCM

Answer: A