1. What data in particular will be shared?
   Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
   


2. What additional supporting information will be shared?
   Response -  Study Protocol
   Response - Clinical Study Report
   
   
3. Who will be able to view these files?
   Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
   


4. For what types of analyses will this data be available?
   Response - For individual participant data meta-analysis.
   


5. By what mechanism will data be made available?
   Response (Others) -  On request to Principal Investigator/Director NIRRH after permission from ICMR


6. For how long will this data be available start date provided 01-01-2025 and end date provided 01-01-2030?
   Response - Beginning 9 months and ending 36 months following article publication.
   


7. Any URL or additional information regarding plan/policy for sharing IPD? 
   Additional Information - NIL

Snakebite is a major public health problem in India leading to nearly 50,000 deaths every year. Snakebite affects mainly poor, agricultural and migrant workers, tribals, hunters and mainly earning family member. Lack of awareness, inadequate knowledge of prevention of snakebite and first aid amongst community as well as peripheral health care workers, delay in receiving lifesaving treatment [anti-snake venom (ASV)] and non-availability of trained medical officers for management of snakebite contribute to higher number of deaths. Earlier study conducted through Model Rural Health Research Unit (MRHRU) at Sub District Hospital Dahanu, District Palghar, Maharashtra reported higher incidence of snakebites in tribal area of Dahanu, lack of awareness on snakebites, inadequate knowledge on prevention and first aid amongst community and peripheral health care workers in Dahanu block. We also observed that none of the medical officers in Dahanu block were aware about National snakebite treatment protocol and there was no uniformity in giving treatment dose of ASV. Most of the medical officers were practising ASV skin test which is not recommended leading to wastage of precious ASV. We provided training to all the Medical Officers and also implemented National snakebite treatment protocol. Intense training was provided to ASHA, ANM, MPW on prevention and first aid for snakebites. The snake rescuers, local tantriks were also provided training on prevention, first aid and timely referral of snakebite cases to the nearest public health facility having ASV and trained manpower. A  model has been established involving community, training of healthcare workers, implementation of National snakebite treatment protocol for reducing burden of snakebites. ICMR-National Task Force on snakebite recommended to upscale the model in selected districts of Maharashtra and Odisha States. The objectives of the proposed study are to empower the community on prevention, appropriate first aid,  and early transfer of snakebite patients to nearest health facility for reducing the mortality and morbidity due to snakebites in selected districts in Maharashtra and Odisha. The culturally appropriate IECs, training manuals for outreach health worker (in regional languages), Training manuals for Medical Officers will be developed. The facility check assessment will also be carried out to understand ASVs distribution and utilization in selected regions of India. Interviews of outreach health care workers (ASHA,ANM,MPW) and Medical Officers will be conducted to understand the knowledge gaps. This would be crucial for planning appropriate and effective training in order to build the capacity of the health system in different zones of India. The prospective data will be collected from health facilities in all study sites for one year period and implementation of STG for snakebite treatment will be monitored regularly. The impact evaluation of the capacity building will also be carried out. The results of this study will be useful for expansion of the study at National level. The study will be useful for providing inputs for National Snakebite Management Protocol relevant to public health system taking into consideration regional differences in India. The study will help in reducing the mortality and morbidity due to snakebites in selected regions in India. The study will empower the community and health system for prevention and improved management of snakebites in selected regions in India. The results of the study will be crucial for establishing centers of excellence for snakebite management in 2 study sites spread across two geographical zones. The evidence generated from the study may be useful to the Government of India and other agencies for developing Strategies to reduce burden of snakebites.