Clinical trial NCT02797353: Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan
Official title: Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Antepartum Hemorrhage
Postpartum Hemorrhage
Anemia
Eclampsia
Neonatal Sepsis
Birth Asphyxia
Diarrhoea
Pneumonia
Lead sponsor: Aga Khan University
Sponsor class: OTHER
Collaborators: name: The International Federation of Red Cross and Red Crescent Societies
First posted: 2016-06-13
Enrollment: 15000
Sex: ALL
Minimum age (years): 1
Maximum age (years): 49
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The Maternal Neonatal and Child health indicators in District Dadu of Pakistan portrays a dismal pictures and after the floods of 2010-2011 the health infrastructure of this district was badly affected. Aga Khan University Pakistan is intending to implement a service delivery project for the improvement of Maternal Neonatal and Child health situation through evidence based MNCH interventions.

Detailed description: The Aga Khan University is implementing together with its local partners a MNCH project in five Union Councils (UC) in Dadu District in Sindh Province. The project will scale up the already existing health services for MNCH in the district referral hospital and the five Basic Health Units (BHUs), one in each UC. Institutional based services as well as their scope for outreach to pregnant women, mothers and children in the communities with the aim to promote safe deliveries as per WHO guidelines and Government policy will be enhanced. In order to deliver quality services, the facilities will be renovated and equipped and the capacity of the existing staff will be strengthened through different training courses in MNCH. In addition professionally trained Lady Health Visitors will be introduced in the BHUs, who will conduct all maternal services including deliveries in the BHU and the communities. The health staff is furthermore responsible to establish and facilitate community support groups and raise communal awareness for the importance of mother and child health care as well as safe deliveries with skilled attendants. Operational research is an integral part of this pilot project. The research validates the progress and improvement of maternal and child health indicators. The results will be used to lobby the scale up of MNCH interventions with the Ministry of Health in Pakistan.

Eligibility criteria: Inclusion Criteria:

* Be a resident of target areas and consent to participate in the study

Exclusion Criteria:

* Do not fulfill the residence and consent criteria

Primary outcomes:
measure: Maternal, Neonatal and infant mortality
timeFrame: 24 months
Secondary outcomes:
measure: Antenatal Care
timeFrame: 12 months
measure: Skilled Birth attendance
timeFrame: 12 months
measure: Essential Neonatal Care
timeFrame: 24 months
measure: Child hood Immunization Rates
timeFrame: 24 months
Other outcomes:
Locations:
Study officials:
affiliation: Aga Khan University
name: Sajid Soofi, FCPS
role: PRINCIPAL_INVESTIGATOR
References: