Ignite Creation Date:
2024-05-06 @ 8:16 PM
Last Modification Date:
2024-10-26 @ 3:23 PM
Study NCT ID:
NCT06313112
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-03-15
First Post:
2024-02-23
Brief Title:
Impact of Food Insecurity on Utilization of Maternal Healthcare Services and Birth Outcomes in Slums in Pune India
Sponsor:
Hirabai Cowasji Jehangir Medical Research Institute
Organization:
Hirabai Cowasji Jehangir Medical Research Institute
Study Overview
Official Title:
Utilization of Maternal Health Services Birth Outcomes and Infant Growth and Its Linkage With Food Insecurity Among Slum-Dwelling Women in Pune India
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
MCH
Brief Summary:
The goal of this observational study is to assess household food insecurity among slum-dwelling women in India and to explore if household food insecurity is associated with utilization of maternal healthcare services birth outcomes and infant growth
The main questions it aims to answer are
Is the utilization of maternal healthcare services antenatally during delivery and postnatally associated with household food insecurity among slum-dwelling women in Pune India
Is household food insecurity associated with birth outcomes and infant growth in these women
Participants will be asked
For information related to socio-demographic characteristics healthcare services utilization food insecurity experience dietary intake and infant feeding indicators using a questionnaire
Anthropometric measurements of the participant her husband and her infants will be collected
Two focused group discussions FGDs will also be conducted to gain insight into the perceptions of these women with respect to the utilization of maternal healthcare services One FGD will be conducted for women who availed all the healthcare services and the other for those who did not adequately avail of the antenatal and postnatal services
The main questions it aims to answer are
Is the utilization of maternal healthcare services antenatally during delivery and postnatally associated with household food insecurity among slum-dwelling women in Pune India
Is household food insecurity associated with birth outcomes and infant growth in these women
Participants will be asked
For information related to socio-demographic characteristics healthcare services utilization food insecurity experience dietary intake and infant feeding indicators using a questionnaire
Anthropometric measurements of the participant her husband and her infants will be collected
Two focused group discussions FGDs will also be conducted to gain insight into the perceptions of these women with respect to the utilization of maternal healthcare services One FGD will be conducted for women who availed all the healthcare services and the other for those who did not adequately avail of the antenatal and postnatal services
Detailed Description:
The first target indicator of Sustainable Development Goals SDG 3 ie Good Health and Well-being for all at all ages is reducing the global maternal mortality ratio MMR to less than 70 per 100000 live births by 2030 While there had been a significant reduction in the MMR globally from 385 maternal deaths per 100000 live births in 1990 to 211 maternal deaths per 100000 live births in 2017 the MMR increased slightly to 223 deaths per 100000 live births in 2020 India however has been performing well on this indicator with progressive reduction in MMR from 130 deaths per 100000 live births in 2014-16 to 97 deaths per 100000 live births in 2018-2020 with eight Indian states achieving the SDG target of MMR 70 Maharashtra ranks 2nd among these eight states with an MMR of 33 in 2018-2020 In spite of the stellar progress made by India together with Nigeria it still accounted for one-third of the global MMR contributing to 8 of the total maternal deaths in 2020 and India also accounted for nearly two-thirds of the MMR in the South East Asia region
It is well-known that the appropriate utilization of maternal healthcare services contributes to reduced maternal morbidity and mortality and improved offspring health It has also been established that utilization of one of the services in the continuum of care for maternal and child health greatly increases the likelihood of utilization of the subsequent services For example women who availed of even one ANC visit were more likely to opt for institutional deliveries and postnatal care India provides comprehensive continuum of care in maternal and newborn health comprising quality antenatal care ANC delivery care and postnatal care PNC However there is considerable regional inequity in the utilization of these services There are multiple factors that influence the utilization of maternal healthcare services which vary by region religion socio-economic status and service delivery environment among many others Thus it is imperative to identify enablers barriers and need gaps location wise so that appropriate interventions can be developed for promotion of healthcare service utilization
Considering the rapid proliferation of the slum population in India and also Pune household food insecurity is proving to be a major challenge due to competition among the informal workforce residing in slums for basic life necessities In particular food insecurity negatively impacts pregnant and lactating women as gender biases may interfere with their access to adequate food thus affecting their health and the health of their offspring Food insecurity may cause people to prioritize activities that enable them to gain access to food over health seeking This may result in poor utilization of maternal healthcare services which may be difficult to access or may involve costs and time in accessing them Thus the investigators deemed it necessary to assess household food insecurity among slum-dwelling women in India and to explore if household food insecurity is associated with maternal healthcare services utilization
The objectives of the study are as follows
1 To assess the utilization of antenatal and postnatal health care services by slum-dwelling women from Pune
2 To explore the association of utilization of maternal healthcare services ante and postnatally with birth outcomes and infant growth
3 To examine the association of household food insecurity with maternal healthcare service utilization birth outcomes and infant growth
It is well-known that the appropriate utilization of maternal healthcare services contributes to reduced maternal morbidity and mortality and improved offspring health It has also been established that utilization of one of the services in the continuum of care for maternal and child health greatly increases the likelihood of utilization of the subsequent services For example women who availed of even one ANC visit were more likely to opt for institutional deliveries and postnatal care India provides comprehensive continuum of care in maternal and newborn health comprising quality antenatal care ANC delivery care and postnatal care PNC However there is considerable regional inequity in the utilization of these services There are multiple factors that influence the utilization of maternal healthcare services which vary by region religion socio-economic status and service delivery environment among many others Thus it is imperative to identify enablers barriers and need gaps location wise so that appropriate interventions can be developed for promotion of healthcare service utilization
Considering the rapid proliferation of the slum population in India and also Pune household food insecurity is proving to be a major challenge due to competition among the informal workforce residing in slums for basic life necessities In particular food insecurity negatively impacts pregnant and lactating women as gender biases may interfere with their access to adequate food thus affecting their health and the health of their offspring Food insecurity may cause people to prioritize activities that enable them to gain access to food over health seeking This may result in poor utilization of maternal healthcare services which may be difficult to access or may involve costs and time in accessing them Thus the investigators deemed it necessary to assess household food insecurity among slum-dwelling women in India and to explore if household food insecurity is associated with maternal healthcare services utilization
The objectives of the study are as follows
1 To assess the utilization of antenatal and postnatal health care services by slum-dwelling women from Pune
2 To explore the association of utilization of maternal healthcare services ante and postnatally with birth outcomes and infant growth
3 To examine the association of household food insecurity with maternal healthcare service utilization birth outcomes and infant growth
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None