Pregnancy Pregnancy and Childbirth
Conditions
Interventions
The intervention package to be implemented has two components to address MCH Service utilization and dietary intake.
Component 1: Capacity Building of FCHVs through Reinforcement Training and their
Training of Trainers (ToT) module of Community Based - Maternal and Child Health Nutrition (CB-MCHN) project (motivation for change), UP, India.
A system for monitoring of FCHVs is prepared. A researc
ToT module of CB-MCHN project (motivation for change), UP, India.
Component 2: Text messages through mobile phone to the pregnant women:
All the pregnant women in the intervention arm will receive te
Sponsors
BHORE Janakpur
Janaki Medical College Teaching Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 11/05/2017: 1. Pregnant women in the second trimester (13-28 weeks) of any age who visit or do not visit health facilities for MCH services in 54 clusters in given period of time 2. Dhanusha district has 101 Village Development Committees (VDCs). 64 VDCs were excluded. 39 VDCs were excluded because of Maternal and Infant Research Activities by MIRA Dhanusha and 25 VDCs were excluded because of programmatic activities (Sunaula Hazar Din) of Government of Nepal. Baseline survey was done only in 54 wards (cluster) of six VDCs selected randomly 2. The intervention in this research involved only VDCs which have SBA utilization less than 12% and 4ANC less than 40% 3. Evaluation will be done longitudinally at different points of time until 6 months after childbirth Previous inclusion criteria: 1. Pregnant women in the second trimester (12-24 weeks) of any age who visit or do not visit health facilities for MCH services in 54 clusters in given period of time 2. Dhanusha district has 101 Village Development Committees (VDCs). 64 VDCs were excluded. 39 VDCs were excluded because of Maternal and Infant Research Activities by MIRA Dhanusha and 25 VDCs were excluded because of programmatic activities (Sunaula Hazar Din) of Government of Nepal. Baseline survey was done only in 54 wards (cluster) of six VDCs selected randomly 2. The intervention in this research involved only VDCs which have SBA utilization less than 12% and 4ANC less than 40% 3. Evaluation will be done longitudinally at different points of time until 6 months after childbirth
Exclusion criteria
Exclusion criteria: 1. Women in the third trimester of pregnancy 2. Women with a disability that makes the intervention difficult (for example, with hearing or sight problem or mentally handicapped)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Utilization of Skilled Birth Attendant (SBA) by pregnant women at delivery. % of births for which pregnant women delivered with a skilled birth attendant (doctor, Auxiliary Nurse Midwife [ANM], or nurse) either at a health facility or at home, evaluated just after delivery (at Follow up-II) 2. Consumption of diversified diet. % of women who consumed diversified food (number of food groups consumed) by Food and Agriculture Organization (FAO) 2007 recommendations for pregnant women, evaluated after 37 weeks of gestation (at Follow up-I) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. % of women who received four Antenatal Care (ANC) visits from a skilled provider (doctor, ANM, or other nurse), evaluated just after delivery (at Follow up-II) 2. Institutional delivery: % of births that took place at health facility (public or private), evaluated just after delivery (at Follow up-II) 3. % of mothers who received three postnatal check-ups from a skilled provider (doctor, ANM or other nurse), evaluated just after completion of six months after delivery (Follow up-III) 4. Weight gain during pregnancy: % of pregnant women with a weight gain during pregnancy (per kg/month) from the 4th month of pregnancy, evaluated just after delivery (at Follow up-II) 5. Changes in child feeding practices: % of women who initiate breast milk within ½ hour, fed colostrums, practices exclusive breastfeeding and complementary feeding in time, evaluated just after completion of six months after delivery (Follow up-III) 6. Performance of FCHV: % of FCHV reporting timely and correctly and conducted mothers meetings regularly, evaluated just after completion of six months after delivery (Follow up-III). 7. Feasibility of mobile phone text messages as tool for health education in MCH service utilization: % of women who utilized MCH Services followed by text messages, evaluated just after completion of six months after delivery (Follow up-III). | — |
Countries
Nepal
Outcome results
None listed