Infant and child mortality, maternal mortality Not Applicable
Conditions
Interventions
The health workers will participate in focus group discussions and in-depth interviews on issues related to job satisfaction and retention and their expectations, reservations and ideas regarding the
villages with 1000-3999 population received 2 CHA
villages with 4000 ? 6999 population received 3 CHA and villages with over 7000 population received for 4 CHA.
The CHA intervention integrates various primary health care functions into a single com
(b) comprehensive family planning including distribution of condoms and oral contraceptives, and education and focused referral for long term and permanent acting methods
(c) focused referral for antenatal care for pregnant women
(d) birth planning and referral assistance to ensure institutional delivery
(e) essential newborn care education and promotion and referral assistance for sick newborns
(f) community case management for malaria, diarrhea, and pneumonia
(g) general first aid other commun
Sponsors
Columbia University (USA)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Human subjects that reside within the catchment population of the Ifakara and Rufiji HDSS. 2. The household survey will include roughly 3000 households. Households can be included only if: 2.1. Have women of reproductive age (WRA) (15-49 years of age) or be the primary care takers of at least one under-five year old child for women more than 49 years old. 2.2. The population to be enrolled as participants in the household survey will, in most cases, be non-English speaking, educationally- and economically disadvantaged. Kiswahili is the national language of Tanzania and residents of rural villages are typically impoverished and with limited means to adequate schooling. No children under the age of 15 will be enrolled. All WRA will be enrolled as subjects. 3. Health workers ? Any Community Health Agents and government health employees within the study districts.
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The following discussion provides a subject population description for the three components of phase 1: 1. Sampling Research: This involves the use archival de-identified summary data that reflects the subject accrual of some 350,000 people in the Ifakara and Rufiji health and demographic surveillance system (HDSS). The catchment area of these HDSS areas is comprised of the village clusters that we will randomize into our study by the end of this phase. The Connect project will not enroll these people, but will use de-identified summary statistics that reflect on this population in order to inform our randomization. 2. Baseline Research (3000 subjects total, see below): this will involve the accrual of human subjects that reside within the catchment population of the Ifakara and Rufiji HDSS. The household survey will include roughly 3000 households. Households can be included only if they are among those accrued in the Ifakara and Rufiji HDSS and have women of reproductive age (15-49 years of age) and be the primary care takers of at least one under-five year old child. The population to be enrolled as participants in the household survey will, in most cases, be non-English speaking, educationally- and economically disadvantaged. Kiswahili is the national language of Tanzania and residents of rural villages are typically impoverished and with limited means to adequate schooling. An additional special populations that will figure prominently in this survey are pregnant women, which stands to reason given the objectives of Connect and its core impact and outcome indicators which are well explained in the attached protocol and study description. No children or minors will be enrolled. 3. Formative Research: With respect to the formative research, it will be conducted amongst health workers and members of the study population. The health workers will participate in focus group discussions and in-depth interviews on issues related to job satisfaction and retenti | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Maternal mortality 2. Cause of death, fertility 3. Childhood morbidity 4. Burden of disease life years gained and key maternal and child health behaviors Additional, key secondary outcomes cover a range of relevant reproductive, maternal, newborn and child health seeking and service utilization behaviors and are gathered at baseline and end-line using a sub-HDSS panel survey which is linked to the HDSS using shared respondent IDs. Baseline data were collected between May and July 2011 and the end-line data will be collected during the same period in 2015. | — |
Countries
Tanzania, United States of America
Outcome results
None listed