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OpenTrials
Completed

NCT Number: NCT02623166

Treatment of Pneumonia, Diarrhoea and Fever in Children by Community Health Workers

The investigators propose to test the feasibility and acceptability of community health workers (ASHAs and ANMs) being able to treat sick children in the community. There is a national policy for treatment for children aged 2-59 months with illnesses such as pneumonia, diarrhea and fever by community health workers (CHWs), this policy has not been implemented as yet in Haryana. This research will identify barriers and opportunities for use of CHWs as treatment sources.

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Key information

Conditions

Pneumonia, Diarrhea, Fever Body Temperature Changes Diarrhea Fever Infections Lung Diseases Pathological Conditions, Signs and Symptoms Pneumonia Respiratory Tract Diseases Respiratory Tract Infections Signs and Symptoms Signs and Symptoms, Digestive

Age range

2 month–59 month

Sex eligibility

All sexes

Study type

Observational

Primary location

CHRD, Society for Applied Studies

Palwal, Haryana, 121102, India

About this study

Using indepth interviews, focus group discussions and other qualitative research methods barriers and opportunities for promoting use of ASHAs as a treatment source for diarrhea, pneumonia and fever will be identified. An intervention package which includes training of ASHAs and ANMs to treat uncomplicated cases of pneumonia, diarrhea and fever, ensuring they have required supplies, creating awareness in community and monitoring and supervising the treatment provided by them will be implemented in primary health centre areas in Haryana, India. ASHAs will treat cases of fast breathing pneumonia with amoxicillin and refer children with danger signs or chest indrawing pneumonia. Three rounds of cross sectional surveys will be conducted to ascertain prevalence of morbidity, careseeking and hospitalizations in children aged 2 to 59 months.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Children aged 2-59 months with uncomplicated pneumonia or diarrhoea or fever

Exclusion criteria

  • Refusal for participation
  • Diarrhea with dehydration
  • Danger signs
  • Chest indrawing pneumonia

Treatment and study plan

Primary outcomes

  1. Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)

    Time frame: To be assessed at baseline

  2. Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)

    Time frame: To be assessed 5 months after start of study

  3. Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)

    Time frame: To be assessed 8 months after start of study

  4. Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.

    Time frame: To be assessed at baseline

  5. Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.

    Time frame: To be assessed 5 months after start of study

  6. Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.

    Time frame: To be assessed 8 months after start of study

Secondary outcomes

  1. Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions

    Time frame: To be assessed at baseline

  2. Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions

    Time frame: To be assessed 5 months after start of study

  3. Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions

    Time frame: To be assessed 8 months after start of study

  4. Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires

    Time frame: To be assessed at baseline

  5. Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires

    Time frame: To be assessed 5 months after start of study

  6. Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires

    Time frame: To be assessed 8 months after start of study

  7. Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews

    Time frame: To be assessed at baseline

  8. Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews

    Time frame: To be assessed 5 months after start of study

  9. Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews

    Time frame: To be assessed 8 months after start of study

  10. Proportion of caregivers who complied with referral.

    Time frame: To be assessed at baseline

  11. Proportion of caregivers who complied with referral.

    Time frame: To be assessed 5 months after start of study

  12. Proportion of caregivers who complied with referral.

    Time frame: To be assessed 8 months after start of study

  13. Proportion of children treated by ANMs with injectable antibiotics.

    Time frame: To be assessed at baseline

  14. Proportion of children treated by ANMs with injectable antibiotics.

    Time frame: To be assessed 5 months after start of study

  15. Proportion of children treated by ANMs with injectable antibiotics.

    Time frame: To be assessed 8 months after start of study

  16. Proportion of times of families who tried to contact CHW and were unable to do so.

    Time frame: To be assessed at baseline

  17. Proportion of times of families who tried to contact CHW and were unable to do so.

    Time frame: To be assessed 5 months after start of study

  18. Proportion of times of families who tried to contact CHW and were unable to do so.

    Time frame: To be assessed 8 months after start of study

Sponsors and collaborators

Lead sponsor

Society for Applied Studies

Other

Collaborators

  • World Health Organization

Registry information

Official study title

To Operationalise the Policy of Treating Uncomplicated Pneumonia, Diarrhoea and Fever in Children Aged 2-59 Months by Community Health Workers(CHW)

Important dates

Study start
2015
Primary completion
2017
Study completion
2017
First posted
Dec 7, 2015
Registry last updated
Sep 6, 2018

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

View the official ClinicalTrials.gov record (opens in a new tab)

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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