Infants with birth weight <2000g Neonatal Diseases
Conditions
Interventions
This is an implementation research study to understand the health system and community context, and accordingly design a district-level model for KMC implementation and evaluate whether it is successf
Sponsors
The World Health Organization
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All babies of birthweight less than 2000g born in health facilities and in the community in the geographic area targeted by the intervention 2. Newborns who are severely sick according to pre-defined criteria (does not tolerate oral feeds, severe respiratory distress including respiratory rate less than 20 breaths per minute, grunting, central cyanosis, very severe chest in-drawing, convulsions, unconsciousness and severe hypothermia of less than 32 degrees Centigrade) will have the initiation of KMC delayed until they have stabilized
Exclusion criteria
Exclusion criteria: Deaths, referrals, LAMA etc in the first 3 days of life, irrespective of birth weight
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Population-level effective coverage of KC, as defined by percentage of infants in the study population with birthweight < 2000g who receive KC for at least 8 hours along with exclusive breastfeeding during the 24-hour period prior to data collection. It will be measured based on participant response to a structured questionnaire administered by an independent data collector at discharge from the KC facility, and at 7 days after discharge. Birth weight will be based on birth weight measured and reported at delivery facilities in cases of institutional delivery, and measured at home and reported by frontline health workers (ASHA) in case of home deliveries. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mean days of KC provided to infants at the population level, i.e., mean number of days that KC was received by infants with birth weight < 2000g during the neonatal period. This will be measured based on participant response to a structured questionnaire administered by an independent data collector at 28 days of age 2. Percent of infants with birth weight < 2000g receiving any KC (any duration in the last 24 hours) at 28 days of age. This will be measured based on participant response to a structured questionnaire administered by an independent data collector at 28 days of age 3. Percent of infants with birth weight < 2000g who were exclusively breastfed during the 24-hour period prior to data collection, at discharge, 7 days post discharge, and at 28 days of age 4. Neonatal mortality rate (including early neonatal mortality rate) in infants with birth weight < 2000g | — |
Countries
India
Contacts
Public ContactAarti Kumar
Outcome results
None listed