Improving anaemia in pregnancy using tailored home visit intervention and participatory learning and action: A non-blinded cluster randomized controlled trial in Kapilvastu

Project Progress :

37 % progress so far

Started Date:November 01 2018 Estimated Complete Date:October 31 2021


Improving anaemia in pregnancy using tailored home visit intervention and participatory learning and action: A non-blinded cluster randomized controlled trial in Kapilvastu

Categories :

Randomized Control Trial (RCT)

Running

Anaemia means that there are fewer red blood cells than normal in the blood or there is less haemoglobin than normal in each red blood cell. In either case, a reduced amount of oxygen is carried around in the bloodstream. Lack of iron is the most common cause of anaemia, this is called iron-deficiency anaemia. Anaemia in pregnancy is associated with low birth weight and maternal mortality, with 20% of maternal deaths’ directly related to anaemia. In Nepal, the prevalence of anaemia in pregnant women is highest in Terai (36.4%) as compared to other ecological regions. Amongst all provinces, province 5 (43.5%) ranks second highest prevalence of anaemia. As part of routine antenatal services provided by the government, despite with iron/folic acid (IFA) as per the government’s protocol from 20 weeks’ gestation in Nepal, anaemia levels in pregnancy remain high.

HERD International in partnership with University College London, UK is conducting a study to trying to reduce anaemia in pregnant women by trialing participatory women’s groups with and without a home-based intervention that provide information and advice about anaemia, good eating practices and antenatal care.

Objective

The overall aim is to improve maternal nutrition and reduce iron deficiency anaemia in pregnant women in this community.

Methodology

This is a non-blinded cluster randomized controlled trial which will be conducted in 60 clusters in rural municipalities of Kapilvastu. Each cluster will comprise of 60 randomly selected FCHV-working areas of around 1000 population each. In the beginning, we plan to conduct qualitative semi-structured interviews and focus group discussions with relevant stakeholders and community people which will help us to develop context-specific interventions. A household census will be conducted in the selected clusters to identify eligible participants (married women aged 13049 years). A local female monitor will conduct menstrual monitoring of consenting women identified in the census and will alert data assistants to visit woman after two missed periods. After a positive urine pregnancy test, she will be enrolled in the trial.

Project focal person

This project's focal person is Dr. Chandani Kharel