Pneumonia Policy Formation in Pakistan

NCT03784274 | Completed

• 1 other identifier: AC18007
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

In Pakistan, numerous policies have been formulated in the past on pneumonia management translated into various programs. However, despite completion, the state of pneumonia mortality remains unchanged as no sustainable solutions have been yielded by these programs. This is probably because there was no ownership of these policies and programs at the provincial, district and community level. We, therefore, plan to understand pneumonia related policy environment within Pakistan to identify gaps in this system through a two phased study. The first will be qualitative with key informant interviews conducted from relevant stakeholders, e.g, policy makers, practitioners, academicians, researchers etc., to understand how policies are conceptualized. Data will be analyzed through an integrated approach in a software. The second phase will social network research conducted by studying actors linked together by social relations. This will be achieved through net mapping exercise to understand, discuss, and visualize how various actors influence pneumonia related outcomes through technical and financial links. Data will be analyzed through the Organizational Risk Analyzer (ORA) which is a meta-network assessment and analysis tool. This study will be the first of its kind for under-five pneumonia and will guide policy makers for creating effective solutions to combat the disease.

Conditions

Pneumonia; Childhood Pneumonia

Outcome Measures

Primary Outcomes (2)

• Identification of Pneumonia Policy Formation in Pakistan

  To identify and analyse pneumonia related policies/strategies in Pakistan for children under five. A matrix would be developed to assess all relevant national and governmental policies related to pediatric pneumonia in Pakistan. Descriptive content analysis would be conducted for national policies on acute respiratory illness (both federal and provincial).

  12 months

• Facilitators and barriers for under five pneumonia related policy development and implementation

  In depth interviews of key stakeholders will be conducted to assess the facilitators and barriers to under five pneumonia related policy development and implementation.

  6 months

Study Arms (1)

Stakeholders

Key stakeholders involved program and policy making

Behavioral: Stakeholder analysis

Interventions

Stakeholder analysis BEHAVIORAL

• INCLUSION CRITERIA FOR NET MAPPING ACTIVITIES: Those respondents who are directly involved or knowledgeable about pneumonia related policy environment in the country/province. * Respondents who consent to participate in the study. * Respondents belonging to Sindh, Punjab, Baluchistan, KPK and Islamabad. EXCLUSION CRITERIA: • Respondents belonging to Gilgit-Baltistan (GB), Azad Jammu and Kashmir (AJK) and Federally Administered Tribal Area (FATA). Reasons of their exclusion are newly developed governance system (GB), separate governance (AJK) and security threat (FATA).

Stakeholders

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

For the qualitative phase of interviews and focus group discussions, purposeful sampling will be employed and the sample size will be based on the point of theoretical saturation, although at least 20 interviews will be conducted (4 in each of the five administrative divisions; Punjab, Sindh, Baluchistan, KPK and Federal capital). The type of respondents for the in depth interviews would be policy makers, program managers, project coordinators (national or provincial), academicians, researchers, practitioners etc.

You may qualify if:

• Those respondents who are directly involved or knowledgeable about pneumonia related policy environment in the country/province.
• Respondents who consent to participate in the study.
• Respondents belonging to Sindh, Punjab, Baluchistan, KPK and Islamabad.

Sponsors & Collaborators

• University of Edinburgh: lead
• Maternal, Neonatal and Child Health Research Network: collaborator

Study Sites (1)

Maternal, Neonatal and Child Health Research Netork

Islamabad, Federal, 44000, Pakistan

Location

MeSH Terms

Conditions

Pneumonia

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases

Study Officials

• Dr Tabish Hazir, MBBS, FRCPCH

  Maternal, Neonatal and Child Health Research Network

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 26, 2018
• First Posted: December 21, 2018
• Study Start: May 1, 2018
• Primary Completion: January 1, 2020
• Study Completion: April 30, 2020
• Last Updated: June 10, 2024

Record last verified: 2024-06

Locations

PA (1)