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22 May 2012
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| [ Print-friendly version ] |
| Community resource centres to improve the health of women and children in Mumbai slums |
| ISRCTN | ISRCTN56183183 |
| ClinicalTrials.gov identifier | |
| 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 |
Lay summary added as of 02/05/2012
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 |
| 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 | |
| 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 |
| d.osrin@ucl.ac.uk | |
| Sponsor website: | http://www.ucl.ac.uk/cihd |
| Date applied | 09/11/2011 |
| Last edited | 02/05/2012 |
| Date ISRCTN assigned | 14/11/2011 |
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| © 2012 ISRCTN unless otherwise stated. | |
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