Neonatal Illnesses, Neonatal Morbidity
Conditions
Keywords
neonatal illness, qualified care seeking, Behaviour change, Urban slums, India, Neonatal morbidity, Care seeking for neonatal illnesses, Qualified medical care seeking, Integrated management of neonatal and childhood illnesses (IMNCI)
Brief summary
Neonatal mortality rate in Uttar Pradesh, Northern India is 53.6 per thousand, and accounts for 8% of global neonatal deaths.It has been argued that prompt and appropriate care-seeking for sick neonates can substantially reduce neonatal mortality. This pre and post intervention trial was done to assess the impact of a pictorial Neonatal referral Card and one-to-one counseling of mothers on the qualified medical care-seeking behavior for sick neonates in urban Lucknow. The study hypothesis was that the counseling on danger signs along with neonatal referral card has no impact on availing services of a qualified medical practitioner by caregivers of sick neonates.
Detailed description
The study was conducted in two government maternity hospitals in Lucknow. Neonates enrolled in the pre intervention phase were followed up for 6 weeks+15 days but did not recieve the study intervention. While, the mothers of the neonates enrolled in the post intervention phase recieved the study intervention within 48 hours of institutional delivery.Enrollment and follow-up procedures were same in both the phases.
Interventions
BEHAVIORALReferral Card with one-to-one counseling
A Referral Card (Neonatal Well-Being Card) along with one-to-one counseling to mothers within 48 hours of institutional delivery
Sponsors
Indian Council of Medical Research
King George's Medical University
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 4 Weeks
Healthy volunteers
Yes
Inclusion criteria
* Neonates born in the participating hospital within last 48 hours and the parents on which gave written informed consent to participate in the study.
Exclusion criteria
* Neonates presenting with any clinically detectable congenital malformation at birth or who required any resuscitation at birth or who were admitted for any morbidity immediately after birth or those who were not the residents of Lucknow or were likely to leave the city limits within next one month.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The utilization of health services of qualified medical care provider (attendance; hospitalization) for neonatal sickness | In neonatal period |
Secondary
| Measure | Time frame |
|---|---|
| To assess the causes of failure of health seeking behavior for neonatal illnesses of the community | in neonatal period |
Countries
India
Outcome results
None listed