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Improving maternal and newborn health through participatory community groups in three rural districts in Bangladesh
ISRCTN ISRCTN54792066
DOI 10.1186/ISRCTN54792066
ClinicalTrials.gov identifier
EudraCT number
Public title Improving maternal and newborn health through participatory community groups in three rural districts in Bangladesh
Scientific title Improving maternal and newborn health through participatory community groups in three rural districts in Bangladesh: a cluster randomised controlled trial
Acronym BADAS (Perinatal Care Project)
Serial number at source N/A
Study hypothesis Will a community mobilisation intervention improve maternal and neonatal home care, service uptake, morbidity and mortality in three rural districts in Bangladesh?
Lay summary
Ethics approval Not provided at the time of registration
Study design Cluster randomised controlled trial
Countries of recruitment Bangladesh
Disease/condition/study domain Maternal and child health
Participants - inclusion criteria Women (no defined age range) who reside in 18 communities during the study period.
Participants - exclusion criteria 1. Women who decline to be interviewed or reside outside the study area
2. Women residing in a Tea Estate
Anticipated start date 01/02/2005
Anticipated end date 31/12/2007
Status of trial Completed
Patient information material
Target number of participants 2000 women group members
Interventions In each intervention cluster a facilitator will convene community groups to explore maternal and neonatal health issues. Groups will meet once or twice a month and move through action research cycles. The programme inputs can be itemised as:
1. Recruitment, training, supervisions and remuneration of facilitators. The role of the facilitator is to activate and strengthen groups, support them in identifying problems, help to plan possible solutions and support the implementation and monitoring of solution strategies in the community. Although she requires a grasp of health issues and some knowledge of potential interventions, she needs to be a facilitator rather than a teacher. As such, she may act as a broker of information and communication but her prime importance is as a catalyst for community mobilisation
2. Development of tools for conducting group meetings, process evaluation and documentation
3. Recruitment, training, supervision and remuneration of a supervisory cadre to support the community-based facilitators

There is no follow-up period after the intervention ends. The intervention is a community mobilisation intervention, which only occurs in the intervention clusters. All clusters, control and intervention, receive health system strengthening activities.
Primary outcome measure(s) Neonatal and maternal mortality rates, measured prospectively from 1st February 2005 until the end of the trial (31 December 2007).
Secondary outcome measure(s) 1. Maternal and neonatal home care practices
2. Utilisation of antenatal, delivery and postnatal services

All outcomes measured prospectively from 1st February 2005 until the end of the trial (31 December 2007).
Sources of funding Department for International Development (DFID) (UK) (ref: RPC HD5)
Trial website
Publications 2010 results in http://www.ncbi.nlm.nih.gov/pubmed/20207412
Contact name Prof  Anthony  Costello
  Address University College London (UCL) Institute of Child Health
Centre for International Health and Development
30 Guilford Street
  City/town London
  Zip/Postcode WC1N 1EH
  Country United Kingdom
  Tel +44 (0)20 7905 2883
  Fax +44 (0)20 7404 2062
  Email a.costello@ich.ucl.ac.uk
Sponsor University College London (UCL) Institute of Child Health (UK)
  Address Centre for International Health and Development
30 Guilford Street
  City/town London
  Zip/Postcode WC1N 1EH
  Country United Kingdom
  Tel +44 (0)20 7905 2883
  Fax +44 (0)20 7404 2062
  Email a.costello@ich.ucl.ac.uk
  Sponsor website: http://www.ich.ucl.ac.uk/
Date applied 27/02/2009
Last edited 27/04/2010
Date ISRCTN assigned 06/04/2009
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