Imperial College London
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DrEdwardMullins

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Clinical Senior Lecturer in Obstetrics (Public, Global and D
 
 
 
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Contact

 

edward.mullins Website CV

 
 
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Location

 

St Mary's HospitalClarence WingSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Hirst:2023:10.1186/s13063-023-07510-x,
author = {Hirst, J and Votruba, N and Billot, L and Arora, V and Rajan, E and Thout, SR and Peiris, D and Patel, A and Norton, R and Mullins, E and Sharma, A and Kennedy, S and Jha, V and Praveen, D},
doi = {10.1186/s13063-023-07510-x},
journal = {Trials},
pages = {1--17},
title = {A community-based intervention to improve screening, referral and follow-up of non-communicable diseases and anaemia amongst pregnant and postpartum women in rural India: study protocol for a cluster randomised trial},
url = {http://dx.doi.org/10.1186/s13063-023-07510-x},
volume = {24},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundMedical complications during pregnancy, including anaemia, gestational diabetes mellitus and hypertensive disorders of pregnancy place women are at higher risk of long-term complications. Scalable and low-cost strategies to integrate non- communicable disease screening into pregnancy care are needed. We aim to determine the effectiveness and implementation components of a community-based, digitally-enabled approach, “SMARThealth Pregnancy”, to improve health during pregnancy and the first year after birth.MethodsA pragmatic, parallel-group, cluster-randomised, type 2 hybrid effectiveness- implementation trial of a community-based, complex intervention in rural India to decrease anaemia (primary outcome, defined as haemoglobin < 12g/dL) and increase testing for haemoglobin, glucose and blood pressure (secondary outcomes) in the first year after birth. Primary Health Centres (PHCs) are the unit of randomisation. PHCs are eligible with: (1) >1 medical officer and >2 community health workers; and (2) capability to administer intravenous iron sucrose. Thirty PHCs in Telangana and Haryana, will be randomised 1:1 using a matched-pair design accounting for cluster size and distance from the regional centre. The intervention comprises: (i) an education programme for community health workers and PHC doctors; (ii) the SMARThealth Pregnancy App for health workers to support community-based screening, referral, and follow-up of high-risk cases; (iii) a dashboard for PHC doctors to monitor high-risk women in the community; (iv) supply chain monitoring for consumables and medications, and (v) stakeholder engagement to co-develop implementation and sustainability pathways. The comparator is usual care with additional health worker education. Secondary outcomes include implementation outcomes assessed by the RE-AIM framework (reach, effectiveness, adoption, implementation, maintenance), clinical endpoints (anaemia, diabetes, hypertension), clinical ser
AU  - Hirst,J
AU  - Votruba,N
AU  - Billot,L
AU  - Arora,V
AU  - Rajan,E
AU  - Thout,SR
AU  - Peiris,D
AU  - Patel,A
AU  - Norton,R
AU  - Mullins,E
AU  - Sharma,A
AU  - Kennedy,S
AU  - Jha,V
AU  - Praveen,D
DO  - 10.1186/s13063-023-07510-x
EP  - 17
PY  - 2023///
SN  - 1745-6215
SP  - 1
TI  - A community-based intervention to improve screening, referral and follow-up of non-communicable diseases and anaemia amongst pregnant and postpartum women in rural India: study protocol for a cluster randomised trial
T2  - Trials
UR  - http://dx.doi.org/10.1186/s13063-023-07510-x
UR  - https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-023-07510-x
UR  - http://hdl.handle.net/10044/1/105733
VL  - 24
ER  -
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