Investigating Validity of Maternal Recall of Care-seeking Location

Study Title: Investigating Validity of Maternal Recall of Care-seeking Location
Principal Investigators: Dr. Harry Campbell, Dr. Sanjay Juvekar
Co- Investigator/s: Dr. Siddhivinayak Hirve, Dr. Harish Nair, Tathagata Bhattacharjee
Study Duration: 1 Year
Aims and Objectives
The overall aim is to compare reports of care seeking obtained in response to care-seeking questions in a modified Demographic and Health Survey (DHS) questionnaire to “actual” care-seeking events determined through two mobile health (mHealth) approaches. These approaches will use location services built into a smart phone application to determine when a care-seeking visit has occurred. These will constitute an operational gold standard for defining “actual” care-seeking events.
The primary objectives are:

  1. Objective 1: To estimate what percent of all reported care-seeking events for children under five years of age actually took place (i.e. positive predictive value of reported care-seeking compared to an operational gold standard)
  2. Objective 2: To estimate what percent of all “actual” care-seeking contacts for children under five years of age are reported by caregivers (i.e. sensitivity of reported care-seeking compared to our an operational gold standard)

The secondary objectives of this study are:

  1. Objective 3: To estimate the percentages in Objectives 1 and 2 by type of care provider (e.g. hospital, clinic, pharmacy, etc.) and by type of service (i.e. treatment or preventive)
  2. Objective 4: To estimate the out-of-pocket (OOP) costs of care-seeking and explore their relationship with the decision to seek care
  3. Objective 5: To describe patterns of sequential care seeking for an episode of childhood illness, by type of illness, child’s age, and other relevant covariates
  4. Objective 6: To compare the two mHealth approaches used to assess “actual” care-seeking events with specific focus on the practicability of each approach and the accuracy of the data generated
  5. Objective 7: To compare the reported time spent during a provider visit with the “actual” time and to assess differences in time spent during a provider visit by provider type
  6. Objective 8: To pilot an approach for completing Objectives 1-3 in the context of maternal care seeking (i.e. antenatal care, delivery care, and postnatal care)

Study Design – Prospective cohort
Target Population – Women having children less than five years of age
A doctoral student from Johns Hopkins School of Public Health is  assisting in this study and will use data from this study as the basis for his dissertation.

 
Contact Us
eg. (Mark Calcara)
eg. (yourname@domain.com)
Reach Us
BilerChildrenLeg og SpilAutobranchen