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Completed

NCT Number: NCT02797353

Strengthening Maternal Neonatal and Child Health Services in a Rural District of Pakistan

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.

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Key information

Conditions

Antepartum Hemorrhage Anemia Asphyxia Neonatorum Birth Asphyxia Congenital, Hereditary, and Neonatal Diseases and Abnormalities Diarrhea Diarrhoea Eclampsia Female Urogenital Diseases and Pregnancy Complications Hematologic Diseases Hemic and Lymphatic Diseases Hemorrhage Hypertension, Pregnancy-Induced Infant, Newborn, Diseases Infections Inflammation Lung Diseases Neonatal SEPSIS Obstetric Labor Complications Pathologic Processes Pathological Conditions, Signs and Symptoms Pneumonia Postpartum Hemorrhage Pregnancy Complications Puerperal Disorders Respiratory Tract Diseases Respiratory Tract Infections Sepsis Signs and Symptoms Signs and Symptoms, Digestive Systemic Inflammatory Response Syndrome Urogenital Diseases Uterine Hemorrhage

Age range

1 day–49 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Maternal Neonatal and Child Health Interventions

Other

Antenatal care, postnatal care, skilled birth attendance, recognition and referral of complicated cases, immunization

Primary outcomes

  1. Maternal, Neonatal and infant mortality

    Time frame: 24 months

    A 20% reduction in mortality rates is expected

Secondary outcomes

  1. Antenatal Care

    Time frame: 12 months

    A 40% Increase in Antenatal care is expected

  2. Skilled Birth attendance

    Time frame: 12 months

    A 40% increase in Skilled Birth attendance is expected

  3. Essential Neonatal Care

    Time frame: 24 months

    A 40% increase in uptake of Essential Neonatal Care

  4. Child hood Immunization Rates

    Time frame: 24 months

    A 30% increase in child hood immunization rates

Sponsors and collaborators

Lead sponsor

Aga Khan University

Other

Collaborators

  • The International Federation of Red Cross and Red Crescent Societies

Registry information

Acronym: SRC

Important dates

Study start
2013
Primary completion
2016
Study completion
2016
First posted
Jun 13, 2016
Registry last updated
Jun 22, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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