Treatment of Pneumonia, Diarrhoea and Fever in Children by Community Health Workers

Pneumonia, Diarrhea, Fever Clinical Trial

Official title:

To Operationalise the Policy of Treating Uncomplicated Pneumonia, Diarrhoea and Fever in Children Aged 2-59 Months by Community Health Workers(CHW)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02623166
• Other study ID #: 2015/517094-0
• Status: Completed
• Start date: November 2015
• Est. completion date: February 2017

Study information

• Verified date: September 2018
• Source: Society for Applied Studies
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The investigators propose to test the feasibility and acceptability of community health workers (ASHAs and ANMs) being able to treat sick children in the community. There is a national policy for treatment for children aged 2-59 months with illnesses such as pneumonia, diarrhea and fever by community health workers (CHWs), this policy has not been implemented as yet in Haryana. This research will identify barriers and opportunities for use of CHWs as treatment sources.

Description:

Using indepth interviews, focus group discussions and other qualitative research methods barriers and opportunities for promoting use of ASHAs as a treatment source for diarrhea, pneumonia and fever will be identified. An intervention package which includes training of ASHAs and ANMs to treat uncomplicated cases of pneumonia, diarrhea and fever, ensuring they have required supplies, creating awareness in community and monitoring and supervising the treatment provided by them will be implemented in primary health centre areas in Haryana, India. ASHAs will treat cases of fast breathing pneumonia with amoxicillin and refer children with danger signs or chest indrawing pneumonia. Three rounds of cross sectional surveys will be conducted to ascertain prevalence of morbidity, careseeking and hospitalizations in children aged 2 to 59 months.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24000
• Est. completion date: February 2017
• Est. primary completion date: February 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 2 Months to 59 Months

Eligibility

Inclusion Criteria:

• Children aged 2-59 months with uncomplicated pneumonia or diarrhoea or fever

Exclusion Criteria:

• Refusal for participation

• Diarrhea with dehydration

• Danger signs

• Chest indrawing pneumonia

Related Conditions & MeSH terms

• Diarrhea
• Fever
• Pneumonia
• Pneumonia, Diarrhea, Fever

Locations

Country	Name	City	State
India	CHRD, Society for Applied Studies	Palwal	Haryana

Sponsors (2)

Lead Sponsor	Collaborator
Society for Applied Studies	World Health Organization

Country where clinical trial is conducted

India, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)		To be assessed at baseline
Primary	Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)		To be assessed 5 months after start of study
Primary	Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)		To be assessed 8 months after start of study
Primary	Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.		To be assessed at baseline
Primary	Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.		To be assessed 5 months after start of study
Primary	Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.		To be assessed 8 months after start of study
Secondary	Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions		To be assessed at baseline
Secondary	Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions		To be assessed 5 months after start of study
Secondary	Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions		To be assessed 8 months after start of study
Secondary	Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires		To be assessed at baseline
Secondary	Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires		To be assessed 5 months after start of study
Secondary	Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires		To be assessed 8 months after start of study
Secondary	Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews		To be assessed at baseline
Secondary	Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews		To be assessed 5 months after start of study
Secondary	Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews		To be assessed 8 months after start of study
Secondary	Proportion of caregivers who complied with referral.		To be assessed at baseline
Secondary	Proportion of caregivers who complied with referral.		To be assessed 5 months after start of study
Secondary	Proportion of caregivers who complied with referral.		To be assessed 8 months after start of study
Secondary	Proportion of children treated by ANMs with injectable antibiotics.		To be assessed at baseline
Secondary	Proportion of children treated by ANMs with injectable antibiotics.		To be assessed 5 months after start of study
Secondary	Proportion of children treated by ANMs with injectable antibiotics.		To be assessed 8 months after start of study
Secondary	Proportion of times of families who tried to contact CHW and were unable to do so.		To be assessed at baseline
Secondary	Proportion of times of families who tried to contact CHW and were unable to do so.		To be assessed 5 months after start of study
Secondary	Proportion of times of families who tried to contact CHW and were unable to do so.		To be assessed 8 months after start of study