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Community resource centres to improve the health of women and children in Mumbai slums: a cluster randomised trial of a complex intervention
Project Summary
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 resource centres will be run by the Society for Nutrition, Education and Health Action, and the trial will evaluate their effects on a series of public health indicators.
Each resource centre will be located in a vulnerable Mumbai slum area and will serve as a base for salaried community workers, supervised by officers and coordinators, to organize the 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 and support for their access, meetings of community members and providers, and events and campaigns on health issues.
The project is a cluster randomized controlled trial in which 20 urban slum areas with resource centres are compared with 20 control areas. Each cluster will contain approximately 600 households and randomized allocation will be in three blocked phases, of 12, 12 and 16 clusters. Any resident of an intervention cluster will be able to participate in the intervention, but the resource centres will target women and children, particularly women of reproductive age and children under 5. The outcomes will be assessed through a household census after 2 years of resource centre operations.
The primary outcomes are unmet need for family planning in women aged 15 to 49 years, proportion of children under 5 years of age not fully immunized for their ages, and proportion of children under 5 years of age with weight for height less than 2 standard deviations below the median for age and sex. Secondary outcomes describe adolescent pregnancies, home deliveries, receipt of conditional cash transfers for institutional delivery, other childhood anthropometric indices, use of public sector health and nutrition services, indices of infant and young child feeding, and consultation for violence against women and children.
Key Project Information
Dates: 1 Feb 2011 - 31 Jan 2016
Principal Investigator: Prof David Osrin
Partner: Society for Nutrition, Education and Health Action (SNEHA), Mumbai
Location: India
Funding: Wellcome Trust and CRY India
Contact: d.osrin@ucl.ac.uk
- Research Team
Prof David Osrin
Glyn Alcock
SNEHA: Neena Shah More, Sushmita Das
Publications
Das S, Bapat U, Shah More N, et al. Intimate partner violence against women during and after pregnancy: a cross-sectional study in Mumbai slums. BMC Public Health 2013;13:817
Shah More N, Das S, Bapat U, et al. Community resource centres to improve the health of women and children in Mumbai slums: study protocol for a cluster randomized controlled trial. Trials 2013;14:132
Rydin Y, Bleahu A, Davies M, et al. Shaping cities for health: complexity and the planning of urban environments in the 21st century. Lancet 2012;379(9831):2079-108
Das S, Bapat U, Shah More N, et al. Nutritional status of young children in Mumbai slums: a follow-up anthropometric study. Nutr J 2012;11:100
Bapat U, Alcock G, More NS, et al. Stillbirths and newborn deaths in slum settlements in Mumbai, India: a prospective verbal autopsy study. BMC Pregnancy Childbirth 2012;12:39
Mistry N, Tolani M, Osrin D. Drug-resistant tuberculosis in Mumbai, India: An agenda for operations research. Operations research for health care 2012;1(2-3):45-53
Das S, Bapat U, More NS, et al. Nutritional status of young children in Mumbai slums: a follow-up anthropometric study. Nutr J 2012;11:100
