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

NCT00832143 | Completed

• 2 other identifiers: 819/R.Cell 04ICMR 5/7/94/04/RHN
• Study Type: interventional
• Target: 1,020
• Locations: 1 country
• Sites: 1

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.

Conditions

Neonatal Morbidity; Neonatal Illnesses

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)

Outcome Measures

Primary Outcomes (1)

• The utilization of health services of qualified medical care provider (attendance; hospitalization) for neonatal sickness

  In neonatal period

Secondary Outcomes (1)

• To assess the causes of failure of health seeking behavior for neonatal illnesses of the community

  in neonatal period

Study Arms (2)

1

NO INTERVENTION

Usual Care

2

EXPERIMENTAL

Referral Card with one-to-one counseling

Behavioral: Referral Card with one-to-one counseling

Interventions

Referral Card with one-to-one counseling BEHAVIORAL

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

2

Eligibility Criteria

• Age: Up to 4 Weeks
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Neonates born in the participating hospital within last 48 hours and the parents on which gave written informed consent to participate in the study.

You may not qualify if:

• 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.

Sponsors & Collaborators

• King George's Medical University: lead
• Indian Council of Medical Research: collaborator

Study Sites (1)

King George's Medical University

Lucknow, Uttar Pradesh, 226003, India

Location

Related Publications (1)

• 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.

  PMID: 19057571 RESULT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: January 28, 2009
• First Posted: January 29, 2009
• Study Start: March 1, 2007
• Primary Completion: June 1, 2008
• Study Completion: June 1, 2008
• Last Updated: January 29, 2009

Record last verified: 2009-01

Locations

IN (1)