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.

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