Bihar Family Health Initiative (Ananya)

University of California San Diego

Status: Completed

Conditions: Maternal and Child Health

Treatments: Behavioral: Ananya

Study type: Interventional

Funder types: Other

Identifiers

NCT02726230

BMGF#22539

Details and patient eligibility

About

Ananya was funded by BMGF to reduce maternal, newborn, and child mortality; fertility; and child undernutrition in Bihar, India. Ananya involved multi-level interventions designed to build front line health worker (FLW) capacities and reach to communities and households, as well as to strengthen public health facilities and quality of care to increase maternal and neonatal care and health behaviors, and thus survival. From 2012 to 2014, eight focal districts in western and central Bihar.received Ananya, while 30 districts did not. Data were collected from mothers of infants 0-11 months at baseline and mothers of infants 0-23 months at 2 year follow-up, from comparable public health blocks in Ananya and Control districts to assess Ananya effects on quality and quantity of FLW home visits, postnatal health behaviors, and among older infants/toddlers, complementary feeding and vaccination. Difference in difference analyses were used to assess Ananya outcome effects in this quasi experimental study.

Enrollment: 27,633 patients

Sex: Female

Ages: 15+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Mothers of infants 0-23 months residing in the catchment area of the subcenters (public health facilities) included in this study.

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

27,633 participants in 2 patient groups

Ananya Intervention

Experimental group

Description:

1. Strengthen enumeration and mapping of areas to ensure reach of front line workers (FLWs: auxiliary nurse midwives- ANMs; community health workers- ASHAs; anganwadi workers- AWWs). 2. Convene monthly FLW meetings to build skills and get trained in job kits to increase the quantity and quality of household visits. 3. Train FLWs on communication skills and use of mobile kunji, a job-aid tool, to improve FLWs' communication with households. 4. A mass media campaign inclusive of street theatre, tv and radio, and a mobile van. 5. Community mobilization linking mass media efforts with self-help groups. 6. Quality improvement activities at public health facilities. 7. Facility-based skills training to staff delivering infants to improve quality of care

Treatment:

Behavioral: Ananya

Control Condition

No Intervention group

Description:

standard of care public health services in India