Official websites use. Share sensitive information only on official, secure websites. SQ is retired medical officer at the WHO. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The coverage of community-based maternal, neonatal, and child health MNCH services remains low, especially in hard-to-reach areas. This open cluster-randomized trial was conducted in 22 PHCs in six tribal blocks of Bharuch and Narmada districts in India. The ImTeCHO mobile-phoneโand web-based application included various technology-based job aids to facilitate scheduling of home visits, screening for complications, counseling during home visits, and supportive supervision by PHC staff.
Primary outcome indicators were a composite index calculated based on coverage of important MNCH services and coverage of at least two home visitations by ASHA within the first week of birth.
Primary analysis was intention to treat ITT. The intervention was implemented from February, to January, At the end of the implementation, 6, mothers were surveyed. Most of the surveyed women were tribal 5,, The coverage of at least two home visits within first week of birth was Mean number of home visits within first week of birth was 1.
The composite coverage index was There were substantial improvements in coverage home visits by ASHAs during antenatal period adjusted effect size Number of infant and neonatal deaths was similar in the two arms in the ITT analysis. The limitations of the study include potential risk of inaccuracies in reporting events that occurred during pregnancy by the mothers and the duration of intervention being 12 months, which might be considered short.
