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Field Testing of Appropriate Technological Tool of Individualised Color Coded Any Day Neonatal Growth Monitoring Charts for Neonatal Care at Primary Health Care Level

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Abstract

Objective

To field test the Individualised Color Coded Any Day (ICCAD) growth monitoring charts at primary health care level in three districts of Maharashtra.

Methods

The present study was conducted in three districts of Maharashtra – Pune, Satara and Kolhapur and included newborns with weight ≥ 1500 g born during 1st May 2010 to 30th July 2011. Talukas were matched based on mortality and coverage indicators and put in study (ICCAD use) and control area (ICCAD non-use) from every District. Health centres were selected from each taluka where facilities of expert obstetric and pediatric services did not exist but number of deliveries conducted was high. Data was collected during neonatal period. Three patterns of ICCAD charts; 1500 g to 1999 g, 2000 to 2499 g and ≥2500 g; developed from daily weight record of 430 newborns for 30 d were used. Outcome measures were neonatal mortality rate (NMR) and weight gain in study and control groups.

Results

There were 6705 live births from study and 6341 from control area. The NMR of study area (6.3/1000 live births) was significantly lesser as compared to control area (10.6/1000 live births). Birth weight group specific NMR of birth weight between 1500 to <2000 g and ≥2500 g was significantly lower in study area as compared to control area. There was improvement in mean gain weight of 15 g, 43 g and 89 g for respective birth weight groups in ascending order.

Conclusions

This innovative appropriate technological tool based on translational research of ICCAD neonatal growth monitoring charts appears to have benefited the decision of type of care.

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Acknowledgments

The authors are thankful to Dr. Satish Pawar, Director of Health Services for the permission and cooperation to work in rural health centres of three districts of Maharashtra. They are thankful to Dr. Jayshree Patkar, Dr. Usha Mane, Dr. S.D. Kulkarni, research officers appointed for the project and for field work and supervision of work done by ANMs.

Contributions

AKP: Original idea of appropriate technological tool of growth monitoring charts, study design, supervision and paper writing; PPD: Fine tuning of neonatal growth monitoring charts, study design and paper writing; SVK: Preparation of growth monitoring charts and statistical analysis; CDA, SYI, SSP and SVP: Training of doctors and nurses and supervision of field work. AKP will act as guarantor for the paper.

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Authors and Affiliations

  1. Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, 415539, India

    Asha Krishnaji Pratinidhi

  2. Department of Community Medicine, Dr. D. Y. Patil Medical College, Pimpri-Pune, Maharashtra, India

    P. P. Doke

  3. Department of Community Medicine, Krishna Institute of Medical Sciences, Karad, Maharashtra, India

    S. V. Kakade, S. S. Patil & S. V. Patil

  4. Department of Pediatrics, Krishna Institute of Medical Sciences, Karad, Maharashtra, India

    C. D. Aundhkar & S. Y. Ingale

Authors
  1. Asha Krishnaji Pratinidhi
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  2. P. P. Doke
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  3. S. V. Kakade
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  4. C. D. Aundhkar
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  5. S. Y. Ingale
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  6. S. S. Patil
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  7. S. V. Patil
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Corresponding author

Correspondence to Asha Krishnaji Pratinidhi.

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Source of Funding

National Rural Health Mission, Maharashtra, Govt. of Maharashtra approved the research proposal entitled ‘Field Testing of Appropriate Technology Tools for monotoring of slow progress of labour and growth of LBW babies below 2500 g at PHC/RH level’. Fund released of Rs. 15,00,000/− for the same.

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Pratinidhi, A.K., Doke, P.P., Kakade, S.V. et al. Field Testing of Appropriate Technological Tool of Individualised Color Coded Any Day Neonatal Growth Monitoring Charts for Neonatal Care at Primary Health Care Level. Indian J Pediatr 83, 650–656 (2016). https://doi.org/10.1007/s12098-015-2027-5

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  • DOI: https://doi.org/10.1007/s12098-015-2027-5

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