The investigators propose to test the feasibility and acceptability of community health workers (ASHAs and ANMs) being able to treat sick children in the community. There is a national policy for treatment for children aged 2-59 months with illnesses such as pneumonia, diarrhea and fever by community health workers (CHWs), this policy has not been implemented as yet in Haryana. This research will identify barriers and opportunities for use of CHWs as treatment sources.
Using indepth interviews, focus group discussions and other qualitative research methods barriers and opportunities for promoting use of ASHAs as a treatment source for diarrhea, pneumonia and fever will be identified. An intervention package which includes training of ASHAs and ANMs to treat uncomplicated cases of pneumonia, diarrhea and fever, ensuring they have required supplies, creating awareness in community and monitoring and supervising the treatment provided by them will be implemented in primary health centre areas in Haryana, India. ASHAs will treat cases of fast breathing pneumonia with amoxicillin and refer children with danger signs or chest indrawing pneumonia. Three rounds of cross sectional surveys will be conducted to ascertain prevalence of morbidity, careseeking and hospitalizations in children aged 2 to 59 months.
Study Type
OBSERVATIONAL
Enrollment
24,000
CHRD, Society for Applied Studies
Palwal, Haryana, India
Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)
Time frame: To be assessed at baseline
Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)
Time frame: To be assessed 5 months after start of study
Increase in the proportion of caregivers seeking care for 2-59 months old children with pneumonia, diarrhoea and fever from trained Community Health Workers (CHW)
Time frame: To be assessed 8 months after start of study
Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.
Time frame: To be assessed at baseline
Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.
Time frame: To be assessed 5 months after start of study
Increase in proportion of caregivers seeking care for 2-59 months, old children with pneumonia, diarrhoea and fever from appropriate sources of care.
Time frame: To be assessed 8 months after start of study
Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions
Time frame: To be assessed at baseline
Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions
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Time frame: To be assessed 5 months after start of study
Knowledge and perceptions of caregivers about treatment from trained CHWs assessed by indepth interviews and focus group discussions
Time frame: To be assessed 8 months after start of study
Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires
Time frame: To be assessed at baseline
Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires
Time frame: To be assessed 5 months after start of study
Experiences of CHW about themselves as treatment providers assessed by indepth interviews using questionnaires
Time frame: To be assessed 8 months after start of study
Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews
Time frame: To be assessed at baseline
Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews
Time frame: To be assessed 5 months after start of study
Perceptions and experiences of caregivers belonging to disadvantaged section of the community who could not access treatment from CHWs assessed by using questionnaires, indepth interviews
Time frame: To be assessed 8 months after start of study
Proportion of caregivers who complied with referral.
Time frame: To be assessed at baseline
Proportion of caregivers who complied with referral.
Time frame: To be assessed 5 months after start of study
Proportion of caregivers who complied with referral.
Time frame: To be assessed 8 months after start of study
Proportion of children treated by ANMs with injectable antibiotics.
Time frame: To be assessed at baseline
Proportion of children treated by ANMs with injectable antibiotics.
Time frame: To be assessed 5 months after start of study
Proportion of children treated by ANMs with injectable antibiotics.
Time frame: To be assessed 8 months after start of study
Proportion of times of families who tried to contact CHW and were unable to do so.
Time frame: To be assessed at baseline
Proportion of times of families who tried to contact CHW and were unable to do so.
Time frame: To be assessed 5 months after start of study
Proportion of times of families who tried to contact CHW and were unable to do so.
Time frame: To be assessed 8 months after start of study