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Effect of Referral Card on Neonatal Medical Care Seeking for Institutional Births in Urban Lucknow

NCT ID: NCT00832143

Last Updated: 2009-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1020 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2008-06-30

Brief Summary

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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

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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.

Conditions

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Neonatal Morbidity Neonatal Illnesses

Keywords

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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)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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1

Usual Care

Group Type NO_INTERVENTION

No interventions assigned to this group

2

Referral Card with one-to-one counseling

Group Type EXPERIMENTAL

Referral Card with one-to-one counseling

Intervention Type BEHAVIORAL

A Referral Card (Neonatal Well-Being Card) along with one-to-one counseling to mothers within 48 hours of institutional delivery

Interventions

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Referral 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

Intervention Type BEHAVIORAL

Eligibility Criteria

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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.
Maximum Eligible Age

4 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Indian Council of Medical Research

OTHER_GOV

Sponsor Role collaborator

King George's Medical University

OTHER

Sponsor Role lead

Responsible Party

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Chattrapati Shahuji Maharaj Medical University

Locations

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King George's Medical University

Lucknow, Uttar Pradesh, India

Site Status

Countries

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India

References

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Awasthi S, Srivastava NM, Pant S. Symptom-specific care-seeking behavior for sick neonates among urban poor in Lucknow, Northern India. J Perinatol. 2008 Dec;28 Suppl 2:S69-75. doi: 10.1038/jp.2008.169.

Reference Type RESULT
PMID: 19057571 (View on PubMed)

Other Identifiers

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ICMR 5/7/94/04/RHN

Identifier Type: -

Identifier Source: secondary_id

819/R.Cell 04

Identifier Type: -

Identifier Source: org_study_id