Treatment of Pneumonia, Diarrhoea and Fever in Children by Community Health Workers

To Operationalise the Policy of Treating Uncomplicated Pneumonia, Diarrhoea and Fever in Children Aged 2-59 Months by Community Health Workers(CHW)

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02623166

Enrollment

24000

Registered

2015-12-07

Start date

2015-11-30

Completion date

2017-02-28

Last updated

2018-09-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pneumonia, Diarrhea, Fever

Keywords

Pneumonia, Fever, Diarrhoea

Brief summary

The investigators propose to test the feasibility and acceptability of community health workers (ASHAs and ANMs) being able to treat sick children in the community. There is a national policy for treatment for children aged 2-59 months with illnesses such as pneumonia, diarrhea and fever by community health workers (CHWs), this policy has not been implemented as yet in Haryana. This research will identify barriers and opportunities for use of CHWs as treatment sources.

Detailed description

Using indepth interviews, focus group discussions and other qualitative research methods barriers and opportunities for promoting use of ASHAs as a treatment source for diarrhea, pneumonia and fever will be identified. An intervention package which includes training of ASHAs and ANMs to treat uncomplicated cases of pneumonia, diarrhea and fever, ensuring they have required supplies, creating awareness in community and monitoring and supervising the treatment provided by them will be implemented in primary health centre areas in Haryana, India. ASHAs will treat cases of fast breathing pneumonia with amoxicillin and refer children with danger signs or chest indrawing pneumonia. Three rounds of cross sectional surveys will be conducted to ascertain prevalence of morbidity, careseeking and hospitalizations in children aged 2 to 59 months.

Interventions

None listed

Study design

Observational model

ECOLOGIC_OR_COMMUNITY

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

2 Months to 59 Months

Healthy volunteers

Yes

Inclusion criteria

* Children aged 2-59 months with uncomplicated pneumonia or diarrhoea or fever

Exclusion criteria

* Refusal for participation * Diarrhea with dehydration * Danger signs * Chest indrawing pneumonia

Design outcomes

Primary

Measure	Time frame
Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)	To be assessed at baseline
Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.	To be assessed at baseline

Secondary

Measure	Time frame
Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews	To be assessed at baseline
Proportion of caregivers who complied with referral.	To be assessed at baseline
Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions	To be assessed at baseline
Proportion of times of families who tried to contact CHW and were unable to do so.	To be assessed at baseline
Proportion of children treated by ANMs with injectable antibiotics.	To be assessed at baseline
Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires	To be assessed at baseline

Countries

India

Outcome results