protocolSection identificationModule nctId: NCT06313112, orgStudyIdInfo id: JCDC/BHR/23/036, briefTitle: Impact of Food Insecurity on Utilization of Maternal Healthcare Services and Birth Outcomes in Slums in Pune, India, statusModule overallStatus: RECRUITING, startDateStruct date: 2023-09-25, primaryCompletionDateStruct date: 2025-02, completionDateStruct date: 2025-02, studyFirstPostDateStruct date: 2024-03-15, lastUpdatePostDateStruct date: 2024-03-15, sponsorCollaboratorsModule leadSponsor name: Hirabai Cowasji Jehangir Medical Research Institute, class: OTHER, descriptionModule briefSummary: The goal of this observational study is to assess household food insecurity among slum-dwelling women in India and to explore if household food insecurity is associated with utilization of maternal healthcare services, birth outcomes and infant growth.The main questions it aims to answer are:* Is the utilization of maternal healthcare services antenatally, during delivery, and postnatally associated with household food insecurity among slum-dwelling women in Pine, India?* Is household food insecurity associated with birth outcomes and infant growth in these women?Participants will be asked:* For information related to socio-demographic characteristics, healthcare services utilization, food insecurity experience, dietary intake, and infant feeding indicators using a questionnaire.* Anthropometric measurements of the participant, her husband and her infant/s will be collected.* Two focused group discussions (FGDs) will also be conducted to gain insight into the perceptions of these women with respect to the utilization of maternal healthcare services. One FGD will be conducted for women who availed all the healthcare services and the other for those who did not adequately avail of the antenatal and postnatal services., conditionsModule conditions: Prenatal Care, conditions: Food Insecurity, conditions: Pregnancy Outcome, designModule studyType: OBSERVATIONAL, designInfo observationalModel: COHORT, timePerspective: RETROSPECTIVE, enrollmentInfo count: 200, type: ESTIMATED, armsInterventionsModule interventions name: Observational study, outcomesModule primaryOutcomes measure: Percentage of women who availed at least three Antenatal Care (ANC) visits, primaryOutcomes measure: Percentage of women who had contact with ASHA worker during pregnancy, primaryOutcomes measure: Percentage of women who consumed at least 100 Iron Folic Acid tablets, primaryOutcomes measure: Percentage of women who consumed deworming tablets at least once during pregnancy, primaryOutcomes measure: Percentage of women who underwent delivery preparedness, primaryOutcomes measure: Percentage of women with knowledge of key danger signs during pregnancy, primaryOutcomes measure: Percentage of women who delivered at institution, primaryOutcomes measure: Percentage of women who stayed at a facility for at least 24 hours post-delivery, primaryOutcomes measure: Percentage of women who received post-natal care within a week of delivery, secondaryOutcomes measure: Association of demographic characteristics and household food insecurity scores with the indicators of utilization of healthcare services, otherOutcomes measure: Correlation of indicators of utilization of healthcare services with birth outcomes, otherOutcomes measure: Correlation of indicators of utilization of healthcare services with infant growth, eligibilityModule sex: FEMALE, minimumAge: 18 Years, maximumAge: 49 Years, stdAges: ADULT, contactsLocationsModule locations facility: Hirabai Cowasji Jehangir Medical Research Institute, status: RECRUITING, city: Pune, state: Maharashtra, zip: 411001, country: India, contacts name: Anuradha V. Khadilkar, MBBS,MD, role: CONTACT, phone: 9850244305, email: anuradhavkhadilkar@gmail.com, contacts name: Rubina M. Mandlik, Ph.D., role: CONTACT, phone: 9922959588, email: rubymandlik@hotmail.com, geoPoint lat: 18.51957, lon: 73.85535, hasResults: False