“ EFFECT OF HOME BASED CHILD CARE ON DIARREAL DEAHTS IN A TRIBAL POPULATION: RESULT OF A FIELD TRIAL.”
ESPID Education. Bharadwaj A. Jun 7, 2011; 7661
Dr. Abhijit Bharadwaj
Dr. Abhijit Bharadwaj

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ABSTRACT

Abstract entitled “ EFFECT OF HOME BASED CHILD CARE ON DIARREAL DEAHTS IN A TRIBAL POPULATION: RESULT OF A FIELD TRIAL.”
Ashish Satav M.D.1,2, Abhijeet Bharadwaj D.Ch.1,
Jayashree Pendharkar M.Sc.1, Manohar Khake M.Sc1,
Kavita Satav M.S.1,2, Yogesh Kalkonde M.D., M.Sc.3,
Annekoos Wiersinga (MD)4

1. MAHAN, Utavali , 2. Kasturba Health Society, Sevagram 3. Lata Medical Research Foundation, Nagpur, Maharashtra, India 4. Stichting Geron, Netherlands.

Background:
Melghat is tribal area in India with very high child mortality & malnutrition. The major causes of mortality & morbidity are infectious diseases like diarrhea due to scarcity of doctors. We developed Home Based Child Care (HBCC) model for tribal population to reduce children mortality and infectious diseases.

Aims :
1. To reduce diarrheal deaths by at least 35% in population of 14,120 of Melghat over 3 years.

2. To reduce case fatality rate of diarrhoea by at least 50% in population of 14,120 of Melghat over 3 years.

3. To reduce incidence of diarrheal diseases by 35% over 3 years.

Methods:
Study-design was Randomised Control Trial . We selected 16 intervention (population 14,888) and 18 control (population 16,310) villages. Trained village health workers in intervention area treated diseases such as diarrhoea, dysentery, etc. Behaviour Change Communication programs were conducted.

Results:
The incidence , number of deaths & case fatality rates due to diarrhoea in intervention area were reduced significantly from 1139 to 631 , 14 to 2, 1.23 % to 0.32% respectively (p< 0.001).Baseline mortality indices in control versus intervention areas were: NMR- 57.19 vs 50.93, IMR- 72.97 vs 94.9, & U5MR- 102.56 vs 143.52. After intervention NMR, IMR & U5MR were significantly decreased in intervention area to 29.2, 44.64 & 58.04 respectively(p< 0.05).

Conclusions:

HBCC resulted in significant decrease in children mortality due to diarrheal deaths & incidence of diarrhoea. Our model is replicable for reducing children mortality due to diarrhoea in other backward part of world.
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