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CTRI Number  CTRI/2019/01/017284 [Registered on: 28/01/2019] Trial Registered Prospectively
Last Modified On: 26/05/2019
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Antenatal care services utilization among tribal block of Maharashtra  
Scientific Title of Study   A study on utilization of Antenatalcare services by tribals in Javhar block of Palghar district. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Saurabh Sanjaykumar Gurav  
Designation  3rd semester student  
Affiliation  Prasanna school of public health 
Address  G17, Grace cottage, near remix pub, Manipal, udupi.
Prasanna school of Public health, Manipal academy of Higher education, Manipal(576104), udupi
Udupi
KARNATAKA
576104
India 
Phone    
Fax    
Email  saurabh.gurav88@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajesh Shivpujimath 
Designation  Assistant Professor  
Affiliation  Prasanna School of public Health 
Address  Prasanna School of public Health, Manipal Acedamy of Higher Education, Manipal, Karnataka
Prasanna School of public Health, Manipal Acedamy of Higher Education, Manipal, Karnataka
Udupi
KARNATAKA
576104
India 
Phone    
Fax    
Email  rajesh.bs@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Saurabh Sanjaykumar Gurav  
Designation  3rd semester student  
Affiliation  Prasanna School of Public Health 
Address  G-17, Grace Cottage, Near Remix Hotel, Manipal, Dist. Udupi
Prasanna School of public Health, Manipal Acedamy of Higher Education, Manipal, Karnataka
Udupi
KARNATAKA
576104
India 
Phone    
Fax    
Email  saurabh.gurav88@gmail.com  
 
Source of Monetary or Material Support  
Prasanna schoolof public Health, Manipal academy of higher education, Manipal, Udupi, Karnataka.(576104) 
 
Primary Sponsor  
Name  Prasanna schoolof public Health Manipal 
Address  Prasanna schoolof public Health, Manipal academy of higher education, Manipal, Udupi, Karnataka.(576104) 
Type of Sponsor  Other [Public health education and research institute] 
 
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 Saurabh Sanjaykumar Gurav  Prasanna School of Public Health, Manipal  Prasanna School of Public Health, Manipal Acedamy of Higher Education, Manipal
Udupi
KARNATAKA 
9130057711

saurabh.gurav88@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical Coolege and Kasturba Hopsital Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Recently delivered women who had delivered baby in last one year 
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Recently delivered women – tribal (tribes: Warli/ Bhilla/ Katkari/ Gond/ Malhar koli) women of age from 18 to 45 years who underwent child birth within last one year
 
 
ExclusionCriteria 
Details  participants those who will not be ready to participate in study 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Percentage of Antenatal care service utilization in Jwhar Block  January 2019 to June 2019 
 
Secondary Outcome  
Outcome  TimePoints 
Factors affecting the access to antenatal care service utilization in Jawhar Block  January 2019 to June 2019 
 
Target Sample Size   Total Sample Size="360"
Sample Size from India="360" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="286" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/01/2019 
Date of Study Completion (India) 05/03/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   not yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
World health Organization defines reproductive health as a state of complete physical mental and social wellbeing and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. The study states ANC service utilization for Maharashtra is 37%. There are total 3002 health infrastructures required in tribal area of Maharashtra out of which 2057 are in position in record and there is still shortfall of 945 health infrastructures in Maharashtra for total tribal population of 9006077. (annual report , 2017-2018)Also another study states that ANC service utilization among one of the tribal district i.e., Thane is 70%(the target population for current research). There are many studies concluding that tribal population is always considered as vulnerable population to innumerable adversities.
Many studies have concluded that there are many barriers in accessing ANC services in rural areas of developing countries.(5) Additionally, lack of medical and paramedical staff providing services are also lacking at many places. The study showed shortfall of physicians, pediatricians, or any other specialist at Community Health Centers (CHCs) and doctors at PHCs in tribal areas
Every day, approximately 830 women die from preventable causes related to pregnancy and childbirth.99% of all maternal deaths occur in developing countries. The ante-natal care and post natal care has huge influence in reducing maternal mortality rate as well as Infant mortality rate.
Maternal mortality is higher in women living in rural areas and among poorer communities i.e., vulnerable population like Tribals. The estimates of Infant Mortality Rate in the Scheduled Tribes population, was found to be about 62 per 1000 live births and U5MR was 96 per 1000 live births. Compared to rest of the population, IMR was higher by 27 percent and U5MR rate was higher by 61 percent. The above data concluded that the reproductive health in tribal area is very much poor in India. So, studying utilization of Ante-natal care among tribal population is important. The results will be at least helpful to local stakeholders so that they can improve and bring changes in policies.
 
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