scholarly journals Effectiveness of community health workers in improving early initiation and exclusive breastfeeding rates in a low‐resource setting: A cluster‐randomized longitudinal study

2020 ◽  
Vol 8 (6) ◽  
pp. 2719-2727
Author(s):  
Dorothy Mituki‐Mungiria ◽  
Prisca Tuitoek ◽  
Aniko Varpolatai ◽  
Douglas Ngotho ◽  
Elizabeth Kimani‐Murage
Keyword(s):  
Longitudinal Study ◽  
Community Health ◽  
Community Health Workers ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Breastfeeding Rates ◽  
Cluster Randomized

Community health workers for prevention of corneal ulcers in South India: a cluster-randomized trial

2021 ◽  
Author(s):  
Muthiah Srinivasan ◽  
Thulasiraj Ravilla ◽  
Valaguru Vijayakumar ◽  
Devanesam Yesunesan ◽  
Iswarya Mani ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Community Health ◽  
Community Health Workers ◽  
South India ◽  
Health Workers ◽  
Cluster Randomized Trial ◽  
Corneal Ulcers ◽  
Cluster Randomized

scholarly journals Enhancing early detection of neurological and developmental disorders and provision of intervention in low-resource settings in Uttar Pradesh, India: study protocol of the G.A.N.E.S.H. programme

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037335
Author(s):  
Moreno Toldo ◽  
Swami Varishthananda ◽  
Christa Einspieler ◽  
Neeraj Tripathi ◽  
Anshu Singh ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Early Identification ◽  
Developmental Disorders ◽  
Health Workers ◽  
Uttar Pradesh ◽  
Autism Spectrum ◽  
Low Resource ◽  
Movement Assessment ◽  
General Movement

IntroductionAround 9% of India’s children under six are diagnosed with neurodevelopmental disorders. Low-resource, rural communities often lack programmes for early identification and intervention. The Prechtl General Movement Assessment (GMA) is regarded as the best clinical tool to predict cerebral palsy in infants <5 months. In addition, children with developmental delay, intellectual disabilities, late detected genetic disorders or autism spectrum disorder show abnormal general movements (GMs) during infancy. General Movement Assessment in Neonates for Early Identification and Intervention, Social Support and Health Awareness (G.A.N.E.S.H.) aims to (1) provide evidence as to whether community health workers can support the identification of infants at high-risk for neurological and developmental disorders and disabilities, (2) monitor further development in those infants and (3) initiate early and targeted intervention procedures.MethodsThis 3-year observational cohort study will comprise at least 2000 infants born across four districts of Uttar Pradesh, India. Community health workers, certified for GMA, video record and assess the infants’ GMs twice, that is, within 2 months after birth and at 3–5 months. In case of abnormal GMs and/or reduced MOSs, infants are further examined by a paediatrician and a neurologist. If necessary, early intervention strategies (treatment as usual) are introduced. After paediatric and neurodevelopmental assessments at 12–24 months, outcomes are categorised as normal or neurological/developmental disorders. Research objective (1): to relate the GMA to the outcome at 12–24 months. Research objective (2): to investigate the impact of predefined exposures. Research objective (3): to evaluate the interscorer agreement of GMA.Ethics and disseminationG.A.N.E.S.H. received ethics approval from the Indian Government Chief Medical Officers of Varanasi and Mirzapur and from the Ramakrishna Mission Home of Service in Varanasi. GMA is a worldwide used diagnostic tool, approved by the Ethics Committee of the Medical University of Graz, Austria (27-388 ex 14/15). Apart from peer-reviewed publications, we are planning to deploy G.A.N.E.S.H. in other vulnerable settings.

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