Informing resource-poor populations and the delivery of entitled health and social services in rural India

A cluster randomized controlled trial

Priyanka Pandey, Ashwini R. Sehgal, Michelle Riboud, David Levine, Madhav Goyal

Research output: Contribution to journalArticle

Abstract

Context: A lack of awareness about entitled health and social services may contribute to poor delivery of such services in developing countries, especially among individuals of low socioeconomic status. Objective: To determine the impact of informing resource-poor rural populations about entitled services. Design, Setting, and Participants: Community-based, cluster randomized controlled trial conducted from May 2004 to May 2005 in 105 randomly selected village clusters in Uttar Pradesh state in India. Households (548 intervention and 497 control) were selected by a systematic sampling design, including both low-caste and mid- to high-caste households. Intervention: Four to 6 public meetings were held in each intervention village cluster to disseminate information on entitled health services, entitled education services, and village governance requirements. No intervention took place in control village clusters. Main Outcome Measures: Visits by nurse midwife; prenatal examinations, tetanus vaccinations, and prenatal supplements received by pregnant women; vaccinations received by infants; excess school fees charged; occurrence of village council meetings; and development work in villages. Results: At baseline, there were no significant differences in self-reported delivery of health and social services. After 1 year, intervention villagers reported better delivery of several services compared with control villagers: in a multivariate analysis, 30% more prenatal examinations (95% confidence interval [CI], 17%-43%; P

Original languageEnglish (US)
Pages (from-to)1867-1875
Number of pages9
JournalJournal of the American Medical Association
Volume298
Issue number16
DOIs
StatePublished - Oct 24 2007

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Social Work
Social Class
Health Services
India
Randomized Controlled Trials
Vaccination
Population
Nurse Midwives
Fees and Charges
Tetanus
Rural Population
Developing Countries
Pregnant Women
Multivariate Analysis
Outcome Assessment (Health Care)
Confidence Intervals
Education

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Informing resource-poor populations and the delivery of entitled health and social services in rural India : A cluster randomized controlled trial. / Pandey, Priyanka; Sehgal, Ashwini R.; Riboud, Michelle; Levine, David; Goyal, Madhav.

In: Journal of the American Medical Association, Vol. 298, No. 16, 24.10.2007, p. 1867-1875.

Research output: Contribution to journalArticle

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