Abstract
IntroductionCommunity trials in low-income countries require monitoring and evaluation systems.The requirements of a community surveillance system include coherent design, training,field supervision and reporting, as well as the need for a robust and flexible database.Materials and methodsThis paper describes a surveillance system for identification of pregnancy and itsoutcomes in a rural area of Nepal. Mother Infant Research Activities (MIRA), incollaboration with the Institute of Child Health, London, are presently conducting astudy on the impact of a community-based participatory intervention to improveessential newborn care (ENC) in rural Nepal. The study is a cluster randomisedcontrolled trial involving 12 pairs of Village Development Committees (VDCs) inMakwanpur District. The surveillance system covers approximately 28 000 householdsand 28 000 married women of reproductive age. It was designed to identify pregnancy,its outcome for mother and infant, and activities such as antenatal care and problem-related health care seeking behaviour.DiscussionThe paper describes the processes of mapping and enumeration, pregnancyidentification, conduct of interviews, quality control and data management.Key Words: data quality, database, rural Nepal.
Highlights
Community trials in low-income countries require monitoring and evaluation systems
Limited published information exists to help in the design of such a community surveillance system, and this paper attempts to address some of the practicalities on the basis of recent experience in Nepal
12 Village Development Committees (VDCs) will receive the intervention over three years. 12 matched VDCs will serve as controls during this period, after which they will receive the intervention in a form that will have been modified on the basis of the findings of the initial study
Summary
Community trials in low-income countries require monitoring and evaluation systems. Any attempt to improve health should address the decision chain if it is to be effective and sustainable.[1,2] In order to evaluate potential interventions, it may be necessary to operate a monitoring system at community level. Mother Infant Research Activities (MIRA), in collaboration with the Institute of Child Health, London, are presently conducting a study on the impact of a community-based participatory intervention to improve essential newborn care (ENC) in rural Nepal. The study is a cluster randomised controlled trial involving 12 pairs of Village Development Committees (VDCs) in Makwanpur District
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