title: Field Testing of Appropriate Technological Tool of Individualised Color Coded Any Day Neonatal Growth Monitoring Charts for Neonatal Care at Primary Health Care Level.
abstract: OBJECTIVE
  To field test the Individualised Color Coded Any Day (ICCAD) growth monitoring charts at primary health care level in three districts of Maharashtra.
  
  
  METHODS
  The present study was conducted in three districts of Maharashtra - Pune, Satara and Kolhapur and included newborns with weight ≥ 1500 g born during 1st May 2010 to 30th July 2011. Talukas were matched based on mortality and coverage indicators and put in study (ICCAD use) and control area (ICCAD non-use) from every District. Health centres were selected from each taluka where facilities of expert obstetric and pediatric services did not exist but number of deliveries conducted was high. Data was collected during neonatal period. Three patterns of ICCAD charts; 1500 g to 1999 g, 2000 to 2499 g and ≥2500 g; developed from daily weight record of 430 newborns for 30 d were used. Outcome measures were neonatal mortality rate (NMR) and weight gain in study and control groups.
  
  
  RESULTS
  There were 6705 live births from study and 6341 from control area. The NMR of study area (6.3/1000 live births) was significantly lesser as compared to control area (10.6/1000 live births). Birth weight group specific NMR of birth weight between 1500 to <2000 g and ≥2500 g was significantly lower in study area as compared to control area. There was improvement in mean gain weight of 15 g, 43 g and 89 g for respective birth weight groups in ascending order.
  
  
  CONCLUSIONS
  This innovative appropriate technological tool based on translational research of ICCAD neonatal growth monitoring charts appears to have benefited the decision of type of care.
authors.affiliation: Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, 415539, India. ashapratinidhi@gmail.com.
authors.forename: Asha Krishnaji
authors.initials: AK
authors.lastname: Pratinidhi
authors.affiliation: Department of Community Medicine, Dr. D. Y. Patil Medical College, Pimpri-Pune, Maharashtra, India.
authors.forename: P P
authors.initials: PP
authors.lastname: Doke
authors.affiliation: Department of Community Medicine, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
authors.forename: S V
authors.initials: SV
authors.lastname: Kakade
authors.affiliation: Department of Pediatrics, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
authors.forename: C D
authors.initials: CD
authors.lastname: Aundhkar
authors.affiliation: Department of Pediatrics, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
authors.forename: S Y
authors.initials: SY
authors.lastname: Ingale
authors.affiliation: Department of Community Medicine, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
authors.forename: S S
authors.initials: SS
authors.lastname: Patil
authors.affiliation: Department of Community Medicine, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
authors.forename: S V
authors.initials: SV
authors.lastname: Patil
mesh_terms: D005260:Female; D057238:Growth Charts; D006801:Humans; D007194:India; D007223:Infant; D007226:Infant Mortality; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D011247:Pregnancy; D011320:Primary Health Care
keywords: Growth monitoring charts; Neonatal mortality rate; Translational study