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CTRI Number  CTRI/2018/11/016440 [Registered on: 27/11/2018] Trial Registered Prospectively
Last Modified On: 21/11/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Cluster Randomized Trial 
Public Title of Study   early identification of children with developmental delay in villages through trained ASHAs and Anganwadi workers 
Scientific Title of Study   Evaluating the effectiveness of a structured training module in detecting children with developmental delays in a rural setting of Odisha ; A Cluster Randomized Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR G Susmita Dora 
Designation  Junior Resident 
Affiliation  All Indian Institute of Medical Scienes, Bhubaneswar 
Address  Bio-informatics Room Department of Community Medicine and Family Medicine AIIMS, Bhubaneswar Sijua, Patrapada

Khordha
ORISSA
751019
India 
Phone  8093456022  
Fax    
Email  susmitadora90@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR G Susmita Dora 
Designation  Junior Resident 
Affiliation  All Indian Institute of Medical Scienes, Bhubaneswar 
Address  Bio-informatics Room Department of Community Medicine and Family Medicine AIIMS, Bhubaneswar Sijua, Patrapada

Khordha
ORISSA
751019
India 
Phone  8093456022  
Fax    
Email  susmitadora90@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vikas Bhatia 
Designation  Professor and Head of Department 
Affiliation  All Indian Institute of Medical Scienes, Bhubaneswar 
Address  Department of Community Medicine and Family Medicine AIIMS, Bhubaneswar Sijua, Patrapada

Khordha
ORISSA
751019
India 
Phone  9438884000  
Fax    
Email  bhatiaaiims@gmail.com  
 
Source of Monetary or Material Support  
self funded(investigator bears all expenses) Dr G.Susmita Dora Junior Resident Department of Community Medicine & Family Medicine AIIMS, Bhubaneswar 
 
Primary Sponsor  
Name  Dr G Susmita Dora 
Address  room no-609, PG-2 Hostel AIIMS, Bhubaneswar sijua, patrapada 751019 dist-khurdha Bhubaneswar, Odisha 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Susmita Dora  Community Health Center,Tangi   Tangi Block district- Khurdha Bhubaneswar
Khordha
ORISSA 
8093456022

susmitadora90@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Intitutional Ethics Commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Frontline Workers(Anganwadi workers ans ASHA) 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  training for detection of developmental delays in under 5 children  structured training of frontline workers for early and accurate detection of developmental delays in children less then 5 years of age 
Comparator Agent  usual process of care under programme  usual process of screening children by RBSK Mobile Health team  
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  6.00 Year(s)
Gender  Both 
Details  all children in the sector selected for intervention 
 
ExclusionCriteria 
Details  none 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
number of children detected with developmental delays by frontline workers  baseline and after intervention 
 
Secondary Outcome  
Outcome  TimePoints 
number of children detected with developmental delay by the investigator  after intervention 
 
Target Sample Size   Total Sample Size="780"
Sample Size from India="780" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="113" 
Phase of Trial   N/A 
Date of First Enrollment (India)   04/02/2019 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
none yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
Developmental delay is when a child does not achieve his/her developmental milestones at the expected time. Rashtriya Bal Swasthya Karyakram (RBSK) was launched in february 2013 for early detection and management of 4Ds i.e. Defects at birth, Diseases, Deficiencies, Developmental Delays including Disabilities prevalent in children from 0 to 18 years of age.

RBSK doctors have huge work load and it is mandatory for them to visit each school atleast once in a year and AWCs atleast twice a year besides arranging for their follow up visits, various documentation and meetings etc. . It would be easier if certain children are already screened by FLWs between their visits that would allow quality time for high suspicion subjects. Since Anganwadi Workers are responsible for health status recording of children from 6 weeks to 6 years of age and helped by ASHAs in Village Health and Nutrition Day, these functionaries are ideally suited for screening of children with developmental delays.
In our study we would like to explore a strategy that would use these workers effectively in hope to detect children with Developmental Delays and make them available for advice of RBSK doctors.
 
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