Ignite Creation Date:
2024-05-05 @ 11:58 AM
Last Modification Date:
2024-10-26 @ 9:17 AM
Study NCT ID:
NCT00198705
Status:
COMPLETED
Last Update Posted:
2014-09-16
First Post:
2005-09-12
Brief Title:
Community Based Interventions to Reduce Neonatal Mortality in Bangladesh
Sponsor:
Johns Hopkins Bloomberg School of Public Health
Organization:
Johns Hopkins Bloomberg School of Public Health
Study Overview
Official Title:
Community Based Interventions to Reduce Neonatal Mortality in Bangladesh
Status:
COMPLETED
Status Verified Date:
2014-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This project delivers promotes and facilitates services related to pregnancy delivery and newborn care
Detailed Description:
The Project entitled Community-Based Intervention to Reduce Neonatal Mortality in Bangladesh also known as Projahnmo - I Project to Advance the Health of Newborns and Mothers is a partnership project of the Johns Hopkins Bloomberg School of Public Health JHSPH USA with a number of Bangladeshi organizations including a the Ministry of Health and Family Welfare MOHFW of the Government of Bangladesh GoB b the Centre for Health and Population Research ICDDRB c Save the ChildrenUSA Bangladesh Field Office SCBFO d Shimantik a Bangladeshi NGO e BRACBangladesh f Dhaka Shishu Hospital and g the Institute of Child and Mother Health ICMH The project is funded through four mechanisms 1 USAID Global funding to cover expenses of JHSPH to design and to provide technical assistance in the implementation and evaluation of the various components of the project 2 SNLSC funding to JHSPH to sub-contract the Bangladeshi institutions listed above to support implementation of the intervention component of the project 3 USAIDBangladesh funding to ICDDRB to cover the cost of implementation of the research and evaluation component of the project 4 the Bangladeshi governments contribution in-terms of staff time supplies and facilities This partnership between multiple research institutions and donors brings diverse rich and unique experiences and expertise It ensures the relevance of the project and increases the likelihood of scaling up and sustaining the intervention
The goals of Projahnmo I are to a introduce two models of delivering improved maternal and newborn care in rural Bangladesh b measure each models impact on neonatal mortality and other relevant indicators c assess the cost effectiveness and feasibility of the two models
The project includes two intervention arms with two different service delivery models home care HC and clinic care CC Community health workers CHWs and community mobilizers CMs deliver the Birth and Newborn Care Preparedness BNCP package which includes counseling during the antenatal period delivery care care of the baby during delivery postnatal care and continued counseling and education during the neonatal period Service provision also includes making referral for sick newborns and playing the role of facilitator for behavior change in the households and communities The strategic approaches used also include pregnancy surveillance and community-level mobilization of specific target groups such as pregnant women senior female family members husbands and other targeted local advocacy meetings In both arms community-based meetings conducted by CMs focus on facilitating involvement of the mothers and other family members in the decision-making process and making them aware of the importance of proper antenatal care delivery care postpartum care and newborn care In the HC model counseling is conducted at home with pregnant women and their families by CHWs In the CC arm women receive these messages through community meetings by CMs and during antenatal check-up ANC visits by governmental primary health workers and paramedics In CC arms CMs identify community change agents to assist in creating awareness and promoting behavior change In addition traditional birth attendants TBAs who commonly attend home deliveries in the study communities have been oriented on newborn health
The goals of Projahnmo I are to a introduce two models of delivering improved maternal and newborn care in rural Bangladesh b measure each models impact on neonatal mortality and other relevant indicators c assess the cost effectiveness and feasibility of the two models
The project includes two intervention arms with two different service delivery models home care HC and clinic care CC Community health workers CHWs and community mobilizers CMs deliver the Birth and Newborn Care Preparedness BNCP package which includes counseling during the antenatal period delivery care care of the baby during delivery postnatal care and continued counseling and education during the neonatal period Service provision also includes making referral for sick newborns and playing the role of facilitator for behavior change in the households and communities The strategic approaches used also include pregnancy surveillance and community-level mobilization of specific target groups such as pregnant women senior female family members husbands and other targeted local advocacy meetings In both arms community-based meetings conducted by CMs focus on facilitating involvement of the mothers and other family members in the decision-making process and making them aware of the importance of proper antenatal care delivery care postpartum care and newborn care In the HC model counseling is conducted at home with pregnant women and their families by CHWs In the CC arm women receive these messages through community meetings by CMs and during antenatal check-up ANC visits by governmental primary health workers and paramedics In CC arms CMs identify community change agents to assist in creating awareness and promoting behavior change In addition traditional birth attendants TBAs who commonly attend home deliveries in the study communities have been oriented on newborn health
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None