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CTRI Number  CTRI/2022/01/039688 [Registered on: 25/01/2022] Trial Registered Prospectively
Last Modified On: 17/05/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Experiences and perspectives of services during pregnancy among rural pregnant women during Covid-19. 
Scientific Title of Study   An exploratory study of perspectives and experiences of antenatal care services among pregnant women during COVID-19 pandemic in rural areas of Billawar, Kathua District, Jammu and Kashmir Union Territory 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aastha Radotra 
Designation  Post graduation student  
Affiliation  Prasanna School of Public Health 
Address  Master of Public Health, Department of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education, Madhav Nagar, Manipal, District Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  6005312434  
Fax    
Email  aastha.radotra@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr P Arathi Rao 
Designation  Associate Professor 
Affiliation  Prasanna School of Public Health 
Address  Master of Public Health, Prasanna School Of Public Health, Manipal Academy of Higher Education Madhav Nagar, Manipal, District Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  9008418848  
Fax    
Email  arathi.anil@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Aastha Radotra 
Designation  Post graduation student  
Affiliation  Prasanna School of Public Health 
Address  Master of Public Health, Department of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education, Madhav Nagar, Manipal, District Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  6005312434  
Fax    
Email  aastha.radotra@learner.manipal.edu  
 
Source of Monetary or Material Support  
Department of Health Policy, Prasanna School of Public Health, Madhav Nagar, Manipal Academy of Higher Education, District Udupi, Karnataka. 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [Nil] 
 
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 Suman Gupta  Community Health Centre  room no. 12, Gynaecology Department, Community Health Centre, Bilawar, Ditrict Kathua. Jammu and Kashmir
Kathua
JAMMU & KASHMIR 
9419182691

adfamilywelfarejammu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy 
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  30.00 Year(s)
Gender  Female 
Details  Pregnant women who are enrolled in Community Health Centres will be recruited for the study.
 
 
ExclusionCriteria 
Details  Pregnant women who are not willing to participate in the study will be excluded. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Experiences and perspectives of pregnant women on antenatal care services.  4-6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Identification of gaps in the provision of antenatal care services.  30th June 2022 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="14" 
Phase of Trial   N/A 
Date of First Enrollment (India)   29/01/2022 
Date of Study Completion (India) 29/03/2022 
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   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Antenatal care (ANC) is potentially one of the most effective health interventions for preventing maternal morbidity and mortality, particularly in places where the general health status of women is poor. The World Health Organization (WHO) recommends a minimum of four ANC visits, comprising interventions such as tetanus toxoid vaccination, iron, and folic acid supplementation, screening and treatment for infections, and identification of warning signs during pregnancy. According to a report by UNICEF India (7th May 2020). India was projected to record the highest number of births since COVID-19 was declared a pandemic in March 2020, with 20.1 million babies expected to be born between March and December. This gives us a rough estimate that a large number of women are deprived of appropriate antenatal care during their pregnancy. As the majority of health care delivery facilities are dedicated to COVID-19 care, staff getting engaged in emergency COVID-19 duties, staff becoming COVID-19 positive, and mandatory quarantines of staff have restricted delivery of antenatal care. On the demand side, lack of information about the availability of services increased fears and concerns of being exposed, movement restrictions, loss of income, and social factors caused hindrance in seeking continuous antenatal care services. There are studies that reflect the district-level disparities in the coverage of ANC services in J&K in context to socioeconomic status. The overall coverage gap for ANC was 23.9%Pregnant women especially those that live in rural areas of J&K usually have to cover long distances and embark on difficult journeys to reach the maternity hospitals as the nearby hospital was converted into COVID center. These long journeys are the ‘silent killer’ as the over-exertion or injury caused by journeying on this road can lead to miscarriages. Inclusion criteria: Pregnant women who are enrolled in Community Health Centres will be recruited for the study. b) Exclusion criteria: Pregnant women who are not willing to participate in the study will be excluded.
Tools used: In-depth interview guide will be used for data collection.  Statistical methods: MAXQDA software.
 
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