None listed
Conditions
Interventions
Intervention1: Digital decision support tool will be provided to front line health providers with role based modules: Rolling recruitment of 1000 consented pregnant women will be done who will be foll
Sponsors
Indian Council of Medical Research
Eligibility
Inclusion criteria
Inclusion criteria: Pregnant women less than or equal to 20 weeks gestation at the time of ANC registration at study PHC and CHC Willing to provide informed consent Plan to remain in the catchment area for the duration of pregnancy and postpartum.
Exclusion criteria
Exclusion criteria: Women with pre-existing diabetes or chronic hypertension diagnosed prior to pregnancy, Referred or transferred out before initial assessment Known diagnosis of diabetes mellitus prior to current screening (for pregnancy-related studies: pre-existing type 1 or type 2 diabetes). Severe comorbid illness limiting participation (e.g., advanced chronic kidney disease, severe cardiac disease). Unable to provide informed consent. Planning to move away from study area during the study period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of women diagnosed with GDM by 20 weeks gestational age using OGTTTimepoint: At baseline, midline at the time of delivery and postpartum 6 weeks and 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Neonatal Outcomes: Birth weight and incidence of macrosomia. Rates of NICU admission and neonatal hypoglycemiaTimepoint: At the time of delivery and postpartum 6 weeks and 6 months.;Glycemic Control Blood Pressure Control Treatment Needs and Adherence Maternal ComplicationsTimepoint: At baseline, midline at the time of delivery and postpartum 6 weeks and 6 months.;System and Provider Outcomes: Fidelity: DSS usage fidelity (percentage of prompts followed). Knowledge: Provider knowledge scores before and after training. Referrals: Appropriateness and timeliness of referrals for high-risk cases. Acceptability: Overall usability and satisfaction with the DSSTimepoint: From midline to end of the study;Qualitative Outcomes: Perceived empowerment among frontline workers (ANMs/ASHAs). User feedback on the ease of providing Medical Nutrition Therapy (MNT) and Physical Activity (PA) counselingTimepoint: Pre-intervention and post-intervention | — |
Countries
India
Contacts
Public ContactDr Santosh Kumar Banjara
ICMR NIN, HYDERABAD
Outcome results
None listed