Community Mobilisation in Mumbai Slums to Improve Perinatal Care and Outcomes: A Cluster Randomised Controlled Trial
The trial addresses the general question of whether community resource centres run by a non-government organization improve the health of women and children in slums. The trial will evaluate the effects of the resource centres on a series of public health indicators.
Each centre will be located in a vulnerable Mumbai slum area and will serve as a base for salaried community workers, supervised by SNEHA coordinators. It will act as a base for 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, meetings of community members and providers, and events and campaigns on health issues.
The evaluation is a cluster randomized controlled trial in which 20 urban slum areas with resource centres will be compared with 20 control areas. Each cluster will contain ~600 households and randomized allocation will be in three phases, of 12, 12 and 16 clusters. Any resident of an intervention area will be able to participate in the activities, but the centres will target women and children, particularly women of reproductive age and children under five.
The outcomes will be assessed through a households census after two years of operations. The primary outcomes are unmet need for family planning in women aged 15-49, the proportion of home deliveries for births in the preceding year, the proportion of children under five not fully immunized for their ages, and the proportion of children under five with low weight for height.
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