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Clinical Trial Summary

The trial aims to enhance antenatal care (ANC) to address the changing disease burden affecting pregnant women in India and Nepal. The enhancement includes using a tablet-based electronic decision support system that prompts front line health workers to provide evidence-based routine ANC, enhances detection and management of pregnancy-induced hypertension and gestational diabetes, facilitates record-keeping and reporting, and links across levels of care providers.

Clinical Trial Description

The investigators propose to develop and evaluate the use of mHealth to enhance antenatal care (ANC) in primary care settings of India and Nepal. Currently, the usual pathways for obtaining ANC in India and Nepal start with Accredited Social Health Activists (ASHAs) and Female Community Health Volunteers (FCHVs) respectively. These workers mobilize pregnant women in the community to attend ANC services with Auxiliary Nurse Midwifes (ANMs), who provide routine ANC, and refer women to physicians (MBBS doctors) at PHCs, or higher levels of care, as required. However, health programme managers and providers in both India and Nepal are cognizant of concerns over current ANC practice, and wish to enhance ANC in a number of ways. First, they recognize the changing disease burden and rising importance of PIH and GDM, and seek to increase access to specialized care when needed.

The investigators propose using an EDSS intervention to enhance ANC. EDSS can allow FHWs to incorporate screening, detection and referral of high-risk pregnancies for appropriate clinical management into routine ANC services to improve glucose and blood pressure control and health outcomes for both mothers and babies. EDSS should also improve adherence to National ANC guidelines and provide an integrated continuum of maternal care services across several levels of care. ;

Study Design

Related Conditions & MeSH terms

NCT number NCT03700034
Study type Interventional
Source Public Health Foundation of India
Contact Sailesh Mohan, PhD
Phone 9650335597
Status Not yet recruiting
Phase N/A
Start date November 2019
Completion date January 2022

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