Health Condition 1: null- Stable LBW babies with birth weight less than 2500 grams (specifically all those less than 2000grams)and their mothers and family members
Conditions
Interventions
None listed
Sponsors
World Health Organisation WHO
Eligibility
Inclusion criteria
Inclusion criteria: 1. LBW babies with birth weight less than 2500grams (specifically those less than 2000 grams) who are stable and in Koppal district 2. Mothers and family members of LBW babies who consent to provide KMC for the LBW baby. 3. Health care professionals (nurses and doctors) working in public and private health care facilities in Koppal District and who work in the neonatal intensive care unit (NICU); Sick newborn care unit (SNCU); Newborn Stabilisation Unit (NBSU); Postnatal ward and Labour room. 4. Community health workers which includes ANMs, ASHA facilitators, ASHA workers and Community coordinators
Exclusion criteria
Exclusion criteria: 1. LBW babies that are not stable, or who have been shifted out of Koppal district for advanced care 2. Mothers and family members of LBW babies not able to provide KMC, and not available. 3. Health care professionals not consenting to take part in the study 4. Community health workers who are not available or not willing to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To develop a delivery model that will result in high coverage (80%+) and quality of KMC for all eligible LBW babies in Koppal district of Karnataka state in Southern IndiaTimepoint: Phase 1: Will be the first 6 months and includes formative research to identify barriers including identification of LBW (specifically those below 2000grams); and to develop a model for scale up. Phase 2: to test a model for scale up in 5-10 health care facilities; identify successes and develop costed scale up plans Phase 3: Scale up KMC coverage throughout Koppal district | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Facility-level effective coverage of KMC; 2.Continued facility-level effective coverage of KMC; 3.Population-level duration of KMC; 4.Percent of LBW infants who are exclusively breastfed; 5.Percent of LBW infants less than 2000grams who have signs of a severe neonatal infection; 6.Early neonatal mortality rate; and 7.Neonatal mortality rate. Timepoint: 1.The percent of LBW infants at a KMC facility (specifically those less than 2000grams) who received KMC in a facility at time of discharge (no of days and for no. of hours); 2.The percent of LBW infants at a KMC facility who continued to receive KMC 7 days after discharge. 3. No of days of KMC received by LBW infants in the population at 28 days of age; 4.At 7 and 28 days of age; 5.At 7 and 28 days of age; 6. Measured at 7 days of age; and 7. Measured at 28 days of age | — |
Countries
India
Contacts
Public ContactDr Prem K Mony
St Johns Research Institute (SJRI)
Outcome results
None listed