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Table 2 Primary and secondary outcomes of interest

From: Cluster randomized trial of a mHealth intervention “ImTeCHO” to improve delivery of proven maternal, neonatal, and child care interventions through community-based Accredited Social Health Activists (ASHAs) by enhancing their motivation and strengthening supervision in tribal areas of Gujarat, India: study protocol for a randomized controlled trial

1. Primary outcomes of interest

 1.1 Proportion of neonates/mothers who were visited at home by ASHA at least twice within first week of delivery

 1.2 Modified ASHA-centric Composite Coverage Index (MACCI)

2. Secondary outcomes of interest

Maternal outcomes. Proportion of:

 2.1 Mothers who had first antenatal examination within first trimester

 2.2 Mothers who had four or more ANC examinations by ANM/doctor including at least one examination in last trimester

 2.3 Mothers with full antenatal checkup (at least three antenatal examinations, one Inj.TT, and 100 IFA tablets)

 2.4 Mothers who were visited at home by ASHA at least three times during last pregnancy including at least one visit during last trimester

 2.5 Mothers who had complications during last pregnancy and sought care from ASHA

 2.6 Mothers who had complications within first month of last delivery and sought care from ASHA

 2.7 Mothers who had serious complications during last pregnancy or within 6 weeks of last delivery and sought care from qualified health personnel

 2.8 Mothers who delivered in a facility

Neonatal outcomes. Proportion of:

 2.9 Mothers who initiated breast feeding within an hour of last delivery

 2.10 Neonates/mothers who were visited by ASHA at home within 24 hours of delivery (in case of home delivery) or within 24 hours of return to home from hospital in case of hospital delivery

 2.11 Neonates/mothers who received the recommended number of postnatal visits and at recommended times within first month of delivery by ASHA

 2.12 Mothers who received satisfactory counseling about caring for neonatal baby from ASHA during her home visits after last delivery

 2.13 Neonates who were satisfactorily examined by ASHA during her home visits after last delivery

 2.14 Mothers who adopted selected neonatal care practices during first month after delivery

 2.15 Neonates who had complications within first month of last delivery and sought care from ASHA

Young infant outcomes. Proportion of:

 2.16 Mother who exclusively breast fed infant for first 6 months

 2.17 Infants (6–8 months of age) who received solid, semi-solid, or soft foods during the previous day

 2.18 Infants (6–8 months) who had received all three doses of pentavalent vaccine

 2.19 Infants (6–8 months) who had diarrhea within last 2 weeks and received ORS from ASHA

 2.20 Infants (6–8 months) with ARI/fever within last 2 weeks and family sought care from ASHA

 2.21 Any harm suffered due to treatment or advice provided by the ASHA

Selected process indicators

 2.22 Proportion of days ASHAs and medical officers logged in ImTeCHO mobile phone and web-based application respectively (login rate)

 2.23 Proportion of scheduled tasks completed by ASHAs and medical officers in ImTeCHO mobile phone and web-based application respectively (task completion rate)

 2.24 Number of pregnancies registered using mobile phones against expected number of registration

 2.25 Number of complicated maternal, newborn, and child cases identified against expected

 2.26 Stock-out rate (proportion of times when a drug or equipment was not available when required, e.g., non-availability of antibiotics in case of child with pneumonia)