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Community resource centres to improve the health of women and children in Mumbai slums
DOI 10.1186/ISRCTN56183183
ClinicalTrials.gov identifier
EudraCT number
Public title Community resource centres to improve the health of women and children in Mumbai slums
Scientific title Community resource centres to improve the health of women and children in Mumbai slums: a cluster randomized controlled trial of a complex intervention
Acronym SNEHA CRC Trial
Serial number at source N/A
Study hypothesis Society 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
Lay summary 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
Ethics approval 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)
Study design Cluster randomized controlled trial
Countries of recruitment India
Disease/condition/study domain Women’s health, child health, urban health
Participants - inclusion criteria 1. Women aged 15-49 years
2. Who consent to interview and reside in study clusters
Participants - exclusion criteria Households used for business purposes, with no female residents
Anticipated start date 01/02/2012
Anticipated end date 31/07/2015
Status of trial Ongoing
Patient information material Not available in the web format, please use the contact details below to request a patient information sheet
Target number of participants Residents of 20,000 households in 40 urban slum clusters
Interventions Intervention: 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
Primary outcome measure(s) 1. 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 measure(s) 1. 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
Sources of funding The Wellcome Trust (UK) ref: 091561/Z/10/Z
Trial website
Publications 1. 2013 protocol in http://www.ncbi.nlm.nih.gov/pubmed/23782816
Contact name Dr  David  Osrin
  Address Centre for International Health and Development
UCL Institute of Child Health
30 Guilford Street
  City/town London
  Zip/Postcode WC1N 1EH
  Country United Kingdom
Sponsor UCL Centre for International Health and Development (UK)
  Address UCL Institute of Child Health
30 Guilford Street
  City/town London
  Zip/Postcode WC1N 1EH
  Country United Kingdom
  Email d.osrin@ucl.ac.uk
  Sponsor website: http://www.ucl.ac.uk/cihd
Date applied 09/11/2011
Last edited 28/06/2013
Date ISRCTN assigned 14/11/2011
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