Effect of Referral Card on Neonatal Medical Care Seeking for Institutional Births in Urban Lucknow
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Purpose
Neonatal mortality rate in Uttar Pradesh, Northern India is 53.6 per thousand, and accounts for 8% of global neonatal deaths.It has been argued that prompt and appropriate care-seeking for sick neonates can substantially reduce neonatal mortality. This pre and post intervention trial was done to assess the impact of a pictorial "Neonatal referral Card" and one-to-one counseling of mothers on the qualified medical care-seeking behavior for sick neonates in urban Lucknow.
The study hypothesis was that the counseling on danger signs along with neonatal referral card has no impact on availing services of a qualified medical practitioner by caregivers of sick neonates.
| Condition | Intervention |
|---|---|
|
Neonatal Morbidity Neonatal Illnesses |
Behavioral: Referral Card with one-to-one counseling |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Effect of Referral Card on Neonatal Medical Care Seeking for Institutional Births in Urban Lucknow |
- The utilization of health services of qualified medical care provider (attendance; hospitalization) for neonatal sickness [ Time Frame: In neonatal period ] [ Designated as safety issue: No ]
- To assess the causes of failure of health seeking behavior for neonatal illnesses of the community [ Time Frame: in neonatal period ] [ Designated as safety issue: No ]
| Enrollment: | 1020 |
| Study Start Date: | March 2007 |
| Study Completion Date: | June 2008 |
| Primary Completion Date: | June 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: 1
Usual Care
|
|
|
Experimental: 2
Referral Card with one-to-one counseling
|
Behavioral: Referral Card with one-to-one counseling
A Referral Card (Neonatal Well-Being Card) along with one-to-one counseling to mothers within 48 hours of institutional delivery
|
Detailed Description:
The study was conducted in two government maternity hospitals in Lucknow. Neonates enrolled in the pre intervention phase were followed up for 6 weeks+15 days but did not recieve the study intervention. While, the mothers of the neonates enrolled in the post intervention phase recieved the study intervention within 48 hours of institutional delivery.Enrollment and follow-up procedures were same in both the phases.
Eligibility| Ages Eligible for Study: | up to 4 Weeks |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Neonates born in the participating hospital within last 48 hours and the parents on which gave written informed consent to participate in the study.
Exclusion Criteria:
- Neonates presenting with any clinically detectable congenital malformation at birth or who required any resuscitation at birth or who were admitted for any morbidity immediately after birth or those who were not the residents of Lucknow or were likely to leave the city limits within next one month.
Contacts and Locations More Information
Publications:
| Responsible Party: | Prof Shally Awasthi, Chattrapati Shahuji Maharaj Medical University |
| ClinicalTrials.gov Identifier: | NCT00832143 History of Changes |
| Other Study ID Numbers: | 819/R.Cell 04, ICMR 5/7/94/04/RHN |
| Study First Received: | January 28, 2009 |
| Last Updated: | January 28, 2009 |
| Health Authority: | India: Indian Council of Medical Research |
Keywords provided by King George's Medical University:
|
neonatal illness qualified care seeking Behaviour change Urban slums India |
Neonatal morbidity Care seeking for neonatal illnesses Qualified medical care seeking Integrated management of neonatal and childhood illnesses (IMNCI) |
ClinicalTrials.gov processed this record on June 18, 2013