Conducting community-based pediatric research in rural India: Experience from vadu rural health program
This paper describes unique challenges faced during conduct of community research studies in rural population of Maharashtra at Vadu Rural Health Program, Pune, India. Some of the ethical issues faced include difficulty in comprehending the informed consent by rural families with low education level...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Perspectives in Clinical Research |
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| Online Access: | http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=3;spage=126;epage=132;aulast=Apte |
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| author | Aditi Apte Girish Dayma Himangi Lubree Anand Kawade Sanjay Juvekar Ashish Bavdekar |
| author_facet | Aditi Apte Girish Dayma Himangi Lubree Anand Kawade Sanjay Juvekar Ashish Bavdekar |
| author_sort | Aditi Apte |
| collection | DOAJ |
| description | This paper describes unique challenges faced during conduct of community research studies in rural population of Maharashtra at Vadu Rural Health Program, Pune, India. Some of the ethical issues faced include difficulty in comprehending the informed consent by rural families with low education levels and ensuring adequate compensation for study participation without undue inducement, ensuring large number of recruitments during early infancy, ensuring adherence to intervention by care-providers, retention of participants especially in studies having long follow-ups and regulatory compliance for serious adverse event reports are major operational challenges. The delays faced in approvals from the Health Ministry Screening Committee and lack of specific regulatory guidance on community-based conduct of studies pose challenges in terms of study timelines and operational aspect of these studies. Provision of study-related information during prestudy visits, designing patient information sheets in simple language, involving the decision-making member of the family, adequate time for families for decision-making are certain measures that have been useful for effective informed consent administration. Collaboration with accredited social health activists and auxillary nurse midwives for line-listing of pregnancies and births and regular conduction of prestudy visits or community sensitization meetings have been useful for the recruitment of large number of study participants during infancy. Strategies such as provision of universal immunization, selection of field research assistants from the local population, regular home visits, and provision of medical care has been helpful in retention of the study participants. Networking with local health facilities and local government bodies has helped in the provision of medical care to the study participants and in the management of serious adverse events. Our experience can provide important learnings to other investigators from developing countries working in the domain of child health. |
| first_indexed | 2024-12-22T12:57:57Z |
| format | Article |
| id | doaj.art-ca49d3048e4e4cf3839f18d56497b877 |
| institution | Directory Open Access Journal |
| issn | 2229-3485 |
| language | English |
| last_indexed | 2024-12-22T12:57:57Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Perspectives in Clinical Research |
| spelling | doaj.art-ca49d3048e4e4cf3839f18d56497b8772022-12-21T18:25:03ZengWolters Kluwer Medknow PublicationsPerspectives in Clinical Research2229-34852021-01-0112312613210.4103/picr.picr_325_20Conducting community-based pediatric research in rural India: Experience from vadu rural health programAditi ApteGirish DaymaHimangi LubreeAnand KawadeSanjay JuvekarAshish BavdekarThis paper describes unique challenges faced during conduct of community research studies in rural population of Maharashtra at Vadu Rural Health Program, Pune, India. Some of the ethical issues faced include difficulty in comprehending the informed consent by rural families with low education levels and ensuring adequate compensation for study participation without undue inducement, ensuring large number of recruitments during early infancy, ensuring adherence to intervention by care-providers, retention of participants especially in studies having long follow-ups and regulatory compliance for serious adverse event reports are major operational challenges. The delays faced in approvals from the Health Ministry Screening Committee and lack of specific regulatory guidance on community-based conduct of studies pose challenges in terms of study timelines and operational aspect of these studies. Provision of study-related information during prestudy visits, designing patient information sheets in simple language, involving the decision-making member of the family, adequate time for families for decision-making are certain measures that have been useful for effective informed consent administration. Collaboration with accredited social health activists and auxillary nurse midwives for line-listing of pregnancies and births and regular conduction of prestudy visits or community sensitization meetings have been useful for the recruitment of large number of study participants during infancy. Strategies such as provision of universal immunization, selection of field research assistants from the local population, regular home visits, and provision of medical care has been helpful in retention of the study participants. Networking with local health facilities and local government bodies has helped in the provision of medical care to the study participants and in the management of serious adverse events. Our experience can provide important learnings to other investigators from developing countries working in the domain of child health.http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=3;spage=126;epage=132;aulast=Aptechallengeschildrenfieldpopulation-based |
| spellingShingle | Aditi Apte Girish Dayma Himangi Lubree Anand Kawade Sanjay Juvekar Ashish Bavdekar Conducting community-based pediatric research in rural India: Experience from vadu rural health program Perspectives in Clinical Research challenges children field population-based |
| title | Conducting community-based pediatric research in rural India: Experience from vadu rural health program |
| title_full | Conducting community-based pediatric research in rural India: Experience from vadu rural health program |
| title_fullStr | Conducting community-based pediatric research in rural India: Experience from vadu rural health program |
| title_full_unstemmed | Conducting community-based pediatric research in rural India: Experience from vadu rural health program |
| title_short | Conducting community-based pediatric research in rural India: Experience from vadu rural health program |
| title_sort | conducting community based pediatric research in rural india experience from vadu rural health program |
| topic | challenges children field population-based |
| url | http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=3;spage=126;epage=132;aulast=Apte |
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