Community resource centres to improve the health of women and children in Mumbai slums

ISRCTN ISRCTN56183183
DOI https://doi.org/10.1186/ISRCTN56183183
Secondary identifying numbers CTRI/2012/09/003004
Submission date
09/11/2011
Registration date
14/11/2011
Last edited
06/09/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims:
Urban health is a critical but under-researched requirement for India’s development. The Government of India plans a National Urban Health Mission which recommends decentralization and partnerships between the public, private and non-government sectors. The research programme aims to develop and test a model strategy to improve women’s and children’s health in Mumbai slum communities.

Who can participate?
Key participants will be women and their families, but anyone resident in the slum communities involved can participate in activities to improve health.

What does the study involve?
We will set up community resource centres in urban slums. Each centre will be developed in partnership with its surrounding community and health care providers, and staffed by two community mobilizers. With support from a non-government organization hub, they will collect and disseminate health information, identify families at risk, make referrals to appropriate services and follow them up, coordinate community health promotion events, communicate with service providers, and promote interaction between communities and providers.

What are the possible benefits and risks of participating?
Participants will help to improve their own health, the health of their children, and the health of their communities. There are no particular risks to participating.

Where is the study run from?
The study is run by the Society for Nutrition, Education and Health Action, a non-government organization based in Mumbai.

When is the study starting and how long is it expected to run for?
The study will begin in February 2012. 20 community resource centres will be set up in 3 phases over 18 months. Each will run for 2 years, after which outcomes will be compared between the 20 intervention and 20 control areas through a cross-sectional survey. The survey will run from February 2012 to July 2015.

Who is funding the study?
The Wellcome Trust

Who is the main contact?
Dr David Osrin
d.osrin@ucl.ac.uk

Contact information

Dr David Osrin
Scientific

Centre for International Health and Development
UCL Institute of Child Health
30 Guilford Street
London
WC1N 1EH
United Kingdom

Study information

Study designCluster randomized controlled trial
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)Community
Study typeQuality of life
Participant information sheet Not available in the web format, please use the contact details to request a patient information sheet
Scientific titleCommunity resource centres to improve the health of women and children in Mumbai slums: a cluster randomized controlled trial of a complex intervention
Study acronymSNEHA CRC
Study objectivesSociety for Nutrition, Education and Health Action (SNEHA) Community Resource Centre (CRC) Trial.

Community resource centres based in urban slums will improve indicators of maternal health and infant feeding, women’s reproductive health, childhood nutrition, and domestic violence
Ethics approval(s)The Institutional Ethics Committee of the Anusandhan Trust has given the following approvals:
March 2011: Formative research
May 2011: Vulnerability assessment and community guardian study
August 2011: Baseline and endline surveys
November 2011: Community resource centre intervention (approval pending)
Health condition(s) or problem(s) studiedWomen’s health, child health, urban health
InterventionIntervention: 20 slum clusters with community resource centres
Control: 20 slum clusters without community resource centres

In collaboration with communities, we will set up 20 community resource centres, one in each intervention cluster at a dedicated location. Linking with SNEHA expertise across a range of themes, they will:
1. Collect and provide information and education on health issues
2. Identify families at risk and work with them on strategies to improve their health
3. Refer individuals and families to appropriate services
4. Make sure that advice and action is followed up
5. Co-ordinate activities such as home visits, group events and community campaigns
6. Liaise with providers such as ICDS, the Municipal Corporation, local practitioners, police and legal services, and
7. Create opportunities for communities to come together for local action
Intervention typeOther
Primary outcome measure1. Maternity and infant feeding: institutional delivery; exclusive breastfeeding under six months of age
2. Women’s reproductive health: use of contemporary family planning methods
3. Childhood nutrition: height-for-age, weight-for-age, weight-for-height
Secondary outcome measures1. Maternity and infant feeding: uptake of Janani Suraksha Yojana incentive, exclusive breastfeeding in the first month
2. Women’s reproductive health: adolescent pregnancies
3. Childhood nutrition: recommended feeding practicies for children 6-23 months of age, weighing of children under 6 years of age at an ICDS centre
4. Domestic violence: consultation with support services in the event of domestic violence
Overall study start date01/02/2012
Completion date31/07/2015

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participantsResidents of 20,000 households in 40 urban slum clusters
Total final enrolment24853
Key inclusion criteria1. Women aged 15-49 years
2. Who consent to interview and reside in study clusters
Key exclusion criteriaHouseholds used for business purposes, with no female residents
Date of first enrolment01/02/2012
Date of final enrolment31/07/2015

Locations

Countries of recruitment

  • England
  • India
  • United Kingdom

Study participating centre

UCL Institute of Child Health
London
WC1N 1EH
United Kingdom

Sponsor information

UCL Centre for International Health and Development (UK)
University/education

UCL Institute of Child Health
30 Guilford Street
London
WC1N 1EH
England
United Kingdom

Email d.osrin@ucl.ac.uk
Website http://www.ucl.ac.uk/cihd
ROR logo "ROR" https://ror.org/02jx3x895

Funders

Funder type

Charity

Wellcome Trust ref: 091561/Z/10/Z
Private sector organisation / International organizations
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 08/05/2013 Yes No
Results article results 28/03/2016 Yes No
Results article results 01/03/2017 Yes No
Other publications stunting analysis 27/11/2020 30/11/2020 Yes No
Other publications Evaluation of the Hindi version of the London Measure of Unplanned Pregnancy among pregnant and postnatal women in urban India 04/09/2021 06/09/2021 Yes No

Editorial Notes

06/09/2021: Publication reference added.
30/11/2020: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the 2017 reference.
3. The CTRI number has been added to the protocol/serial numbers.
15/02/2017: Publication reference added.
29/03/2016: Publication reference added.