Effect of promotion of care-seeking for Acute Respiratory Infections (ARI) Needing Assessment (ANA) on the utilisation of lady health workers services for the management of acute respiratory infections among children aged zero to 59 months in district Haripur, Pakistan
| ISRCTN | ISRCTN10618300 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN10618300 |
| Secondary identifying numbers | NCH06001 |
- Submission date
- 04/10/2006
- Registration date
- 09/10/2006
- Last edited
- 20/12/2011
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Shamim Ahmad Qazi
Scientific
Scientific
Department of Child and Adolescent Health and Development
World Health Organization
20 Avenue Appia
Geneva-27
CH 1211
Switzerland
| Phone | +41 22 791 2547 |
|---|---|
| qazis@who.int |
Study information
| Study design | Randomised trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Not specified |
| Study type | Treatment |
| Scientific title | |
| Study objectives | Promotion of care-seeking for ARI Needing Assessment (ANA) in children zero to 59 months of age, leads mothers to increasingly seek care from Lady Health Workers (LHW) or other appropriate providers with in 24 hours of recognising ANA in their children. |
| Ethics approval(s) | Institutional Review Board of Save the Children, Pakistan and Ethical Review Committee of the World Health Organization (WHO), Geneva, approval gained on the 18/07/2006. |
| Health condition(s) or problem(s) studied | Pneumonia and severe pneumonia in children zero to 59 months old. |
| Intervention | 1. Sensitisation workshop/seminar at district level of district officials and elected representatives on ARI - once at the start of the trial 2. Sensitisation workshop/seminar on ARI at community level at Rural Health Center level - two in a year 3. Training of Lady Health Workers (LHW) on ARI counselling skills and ARI case management - once at the start of the trial 4. Orientation of male activists in communications skills and use of Information Education and Communication (IEC) material - once at the start of the trial 5. Community Awareness Sessions (CAS) at mohalla level for males and females once every month and household visits (five to seven houses) by LHW daily Of 28 clusters, LHWs in 14 clusters will be randomised to enhanced ARI case management training, which will include management of non-severe and severe pneumonia under supervision and LHWs in the other 14 clusters will be randomised to the standard ARI case management, which will only include management of non-severe pneumonia working in those clusters - once at the start of the trial. One Union council in the district is one cluster. The Principal Investigator for this trial is: Dr Abdul Bari Save the Children US House No. 5, Street No. 29 Sector F-7/1, Islamabad Pakistan Telephone: +92 51 111 107 108/ext. 106 Email: drabdulbari99@yahoo.com |
| Intervention type | Other |
| Primary outcome measure | To see the proportionate change in care-seeking by mothers and care-takers for ANA among children zero to 59 months old. This change in care-seeking will be assessed for both from LHW and other appropriate health care providers. |
| Secondary outcome measures | 1. To compare the enhanced ARI case management with standard ARI case management for the clinical outcome (cure or failure) for the management of pneumonia at the community level in children up to 59 months old 2. The signs and symptoms used by LHW to classify the ARI in children 3. Compliance by the mother to LHW referral to nearest public health facility 4. Outcome of the referral |
| Overall study start date | 01/10/2006 |
| Completion date | 31/03/2007 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Child |
| Sex | Not Specified |
| Target number of participants | 85481 |
| Key inclusion criteria | For improving careseeking practices component, mothers of all zero to 59 months old children in the 28 union councils of District Haripur. For the ARI standard case management component, children up to 59 months of age. |
| Key exclusion criteria | 1. Mothers who refuse to take part in the careseeking components 2. Children with pneumonia, whose mother/parents refuse to accept ARI case management by the LHW and those who have danger signs like: 2.1. Inability to drink 2.2. Difficult to awake/drowsy/unconscious 2.3. Grunting 2.4. Cyanosis 2.5. Convulsions 2.6. Severe respiratory distress |
| Date of first enrolment | 01/10/2006 |
| Date of final enrolment | 31/03/2007 |
Locations
Countries of recruitment
- Pakistan
- Switzerland
Study participating centre
Department of Child and Adolescent Health and Development
Geneva-27
CH 1211
Switzerland
CH 1211
Switzerland
Sponsor information
World Health Organization (WHO) (Switzerland)
Research organisation
Research organisation
Department of Child and Adolescent Health and Development
20 Avenue Appia
Geneva-27
CH 1211
Switzerland
"ROR" |
https://ror.org/01f80g185 |
|---|
Funders
Funder type
Research organisation
The Department of Child and Adolescent Health (CAH)/World Health Organisation (WHO) (Switzerland) (ref: NCH06001)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 19/11/2011 | Yes | No |
