Improving Survival of Low Birth Weight Newborns with Enhanced Home-Based Newborn Care by frontline workers

Effectiveness of Enhanced Home Based Newborn Care model to reduce Neonatal Mortality in Low Birth Weight Newborns: Cluster Randomized Trial of ASHA, ANM led Interventions - PALAN MAA

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/11/097405

Enrollment

11121

Registered

2025-11-13

Start date

Unknown

Completion date

Unknown

Last updated

2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Intervention1: Enhanced HBNC: This will comprise routine visits by ASHAs as per the HBNC Guidelines and two joint home visits by ASHAs and ANMs on days 3 and 7, with an extra optional visit subsequent

Eligibility

Inclusion criteria

Inclusion criteria: All newborns delivered at home and at health facilities weighing less than 2500 gms and their mothers will be included

Exclusion criteria

Exclusion criteria: Newborns weighing less than 1000 gms will be excluded from the study. LBW newborns who are discharged from hospital after 28 days will not qualify for inclusion in the study. Mothers who consent to participate will be included in the study. LBW newborns born with major congenital malformations will be excluded. Mothers who do not consent to participate and those who intend to leave the study area within a month will not be enrolled in the study.

Design outcomes

Primary

Measure	Time frame
30 % reduction in Neonatal Mortality Rate (NMR) of home delivered or post discharge LBW newborns.Timepoint: FOUR YEARS	—

Secondary

Measure	Time frame
Proportion of LBW newborns who - were visited by ANMs and ASHAs, were received cKMC at least 8 hours per day until the baby wriggles out, were exclusively breastfed at 42 days of age, gained weight, length and head circumference at days 14 and 42, sought care from appropriate health facility before 42 days of age, required readmission post discharge, developed possible serious bacterial infection (PSBI). Proportion of mothers with- improved knowledge on exclusive breastfeeding, cKMC, recognition of danger signs in LBW newborn, counselled by ASHA and ANM on all components of enhanced HBNC package, satisfactory maternal outcomes (without continued bleeding, no features of puerperal sepsis) after 42 days of delivery. Timepoint: Four Years	—

Measure

Time frame

Proportion of LBW newborns who - were visited by ANMs and ASHAs, were received cKMC at least 8 hours per day until the baby wriggles out, were exclusively breastfed at 42 days of age, gained weight, length and head circumference at days 14 and 42, sought care from appropriate health facility before 42 days of age, required readmission post discharge, developed possible serious bacterial infection (PSBI). Proportion of mothers with- improved knowledge on exclusive breastfeeding, cKMC, recognition of danger signs in LBW newborn, counselled by ASHA and ANM on all components of enhanced HBNC package, satisfactory maternal outcomes (without continued bleeding, no features of puerperal sepsis) after 42 days of delivery. Timepoint: Four Years

—

Countries

India

Contacts

Public ContactDr Harish Kumar

Foundation for Survival of Women and Children

drharish@swach.org8826626663

Outcome results