Community resource centres to improve the health of women and children in Mumbai slums: study protocol for a cluster randomized controlled trial

Trials

David Osrin²  Shanti Pantvaidya¹  Wasundhara Joshi¹  Glyn Alcock²  Mahesh Rajguru¹  Ujwala Bapat¹  Sushmita Das¹  Neena Shah More¹ 

[1] Society for Nutrition, Education and Health Action (SNEHA), Urban Health Centre, Chota Sion Hospital, 60 Feet Road, Shahunagar, Dharavi, Mumbai, 400017 Maharashtra, India;Institute for Global Health, UCL Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK

关键词: Poverty;    Slums;    Urban health;    Mumbai;    India;    Public health;   

Others  :  1094078
DOI  :  10.1186/1745-6215-14-132

 received in 2012-11-19, accepted in 2013-04-19,  发布年份 2013

【 摘 要 】

Background

The trial addresses the general question of whether community resource centers run by a non-government organization improve the health of women and children in slums. The resource centers will be run by the Society for Nutrition, Education and Health Action, and the trial will evaluate their effects on a series of public health indicators. Each resource center will be located in a vulnerable Mumbai slum area and will serve as a base for salaried community workers, supervised by officers and coordinators, to organize the collection and dissemination of health information, provision of services, home visits to identify and counsel families at risk, referral of individuals and families to appropriate services and support for their access, meetings of community members and providers, and events and campaigns on health issues.

Methods/design

A cluster randomized controlled trial in which 20 urban slum areas with resource centers are compared with 20 control areas. Each cluster will contain approximately 600 households and randomized allocation will be in three blocked phases, of 12, 12 and 16 clusters. Any resident of an intervention cluster will be able to participate in the intervention, but the resource centers will target women and children, particularly women of reproductive age and children under 5.

The outcomes will be assessed through a household census after 2 years of resource center operations. The primary outcomes are unmet need for family planning in women aged 15 to 49 years, proportion of children under 5 years of age not fully immunized for their ages, and proportion of children under 5 years of age with weight for height less than 2 standard deviations below the median for age and sex. Secondary outcomes describe adolescent pregnancies, home deliveries, receipt of conditional cash transfers for institutional delivery, other childhood anthropometric indices, use of public sector health and nutrition services, indices of infant and young child feeding, and consultation for violence against women and children.

Trial registration

ISRCTN Register: ISRCTN56183183

Clinical Trials Registry of India: CTRI/2012/09/003004

【 授权许可】

   
2013 Shah More et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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