None listed
Conditions
Interventions
Intervention1: ImTeCHO (Innovative Mobile-phone Technology for Community Health Operations) mobile and web application: Intervention (called â??ImTeCHOâ??) is a platform based on mobile phone technolo
Sponsors
Indian Council of Medical Research
Department of maternal newborn child and adolescent health World Health Organization
John D and Catherine T MacArthur Foundation
Eligibility
Inclusion criteria
Inclusion criteria: As this is a cluster randomized trial, there are two categories for inclusion and exclusion criteria. For selecting clusters: All clusters (PHCs) belonging to Valia, Netrang (except those where ImTeCHO is being implemented already as part of another project), Dediyapada, Nandod, Garudeshwar and Tilakwada blocks in Gujarat with 100% rural population and scheduled tribe population of more than 45% will be eligible to be included. For enrolling respondents for endline survey: • For coverage of maternal, and newborn health services: All woman who are native of study village and is mother of an infant who is one to four months old at the time of survey will be considered as respondents for evaluation. All native women who resided most of the time (at least five months) in study cluster during antenatal period will be included. All women must be in the study cluster at the time of birth in case of home deliveries and in case of institutional deliveries if the she went to hospital from study cluster and came back to same study cluster immediately after delivery, and who provided consent for the evaluation will be included. All women who resided in study cluster for most of time during first month after delivery will be included. • For coverage of child health services: All woman who are native of study cluster and is mother of an infant who is six to eight months old at the time of survey will be considered as respondents for evaluation.
Exclusion criteria
Exclusion criteria: For selecting clusters:Those PHCs will be excluded where all medical officer posts, and 20% post for ASHAs are vacant at the time of initiation of study. Those PHCs will be excluded whose more than 10% villages have no mobile signal most of the time. Although ImTeCHO mobile application can function without GPRS signal, lack of such signal in large areas of intervention will affect components of intervention to significant extent. PHCs where internet cannot be accessed reliably by medical officer and PHC staff to view web interface and an alternative arrangement is not possible will be excluded too as web interface is important part of the ImTeCHO intervention. For enrolling respondents for endline survey, following respondents will be excluded: 1. Mothers who had twins/multiple births 2. Infants who died before survey 3. Not willing to provide consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome 1 Proportion of neonates/mothers who received at least two postnatal home visits within first week of delivery by ASHA Primary outcome 2 Modified ASHA-centric Composite Coverage Index Timepoint: At baseline (May to July, 2015) and endline (February, to July 2017) | — |
Secondary
| Measure | Time frame |
|---|---|
| Process indicators for intervention area only -ASHA login rate -ASHA Task completion rate -Number of pregnancy registration forms filled using mobile phones against expected number of registration -Proportion of live and still births reported on the day of outcome -VHND attendance rate -Number of complicated maternal (severe anaemia), newborn (LBW) and child (severe underweight) cases identified against expected -Medical officer login and task completion rate -Stock out rate Timepoint: Ongoing during the study period;Proportion of ASHAs who were contacted by supervisor for non-adherence to interventionTimepoint: At endline;Proportion of ASHAs who were visited in field by supervisor monthlyTimepoint: At endline;Proportion of ASHAs whose performance was reviewed monthlyTimepoint: At endline;Proportion of beneficiaries with high risk complications who received guidance from the helplineTimepoint: Ongoing during study period;Proportion of children who received all three doses of pentavalent/DPT3 vaccinesTimepoint: At baseline and endline;Proportion of children who received solid, semi-solid or soft foods during previous dayTimepoint: At baseline and endline;Proportion of children who suffered from diarrhea within last two weeks and received ORSTimepoint: At baseline and endline;Proportion of children who suffered from diarrhea within last two weeks and received ORS and continued breast feedingTimepoint: At endline;Proportion of children who suffered from diarrhea within last two weeks and received ORS from ASHATimepoint: At baseline and endline;Proportion of children who visited ANM or doctor at least once within last 3 months (at VHND or any health facility)Timepoint: At endline;Proportion of children who were fed solid, semisolid or soft food at least twice within last 24 hours (Minimum meal frequency)Timepoint: At endline;Proportion of children who were fed solid, semisolid or soft food with added oil, jiggery or sugar at least once during previous dayTime | — |
Countries
India
Contacts
Public ContactDr Pankaj Shah
SEWA Rural
Outcome results
None listed