Challenges in Implementation of the ANISA Protocol at the Odisha Site in India

Radhanath Satpathy, Pritish Nanda, Nimai C. Nanda, Himadri B. Bal, Ranjita Mohanty, Archana Mishra, Tapoja Swain, Keshab C. Pradhan, Kalpana Panigrahi, Ambarish Dutta, Pravas R. Misra, Sailajanandan Parida, Pinaki Panigrahi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: The Aetiology of Neonatal Infection in South Asia (ANISA) study is being carried out at 5 sites across Bangladesh, India and Pakistan, generating in-depth information on etiologic agents in the community setting. Pregnancies are identified, births are registered and young infants are followed up to 59 days old with regular assessments for possible serious bacterial infection following a generic protocol. Specimens are collected from suspected cases. This article describes the challenges in implementing the generic ANISA protocol and modifications made to accommodate the Odisha site, India. Challenges: Primary challenges in implementing the protocol are the large geographic area, with a population of over 350,000, to be covered; assessing young infants at home and arranging timely transport of sick young infants to study hospitals for physician confirmation of illness; and specimen collection and treatment. A large workforce is deployed in a 3-tier system in the field, while clinical, microbiology, laboratory and data management teams collaborate dynamically. Mobile phones with text message capability, integration with the Odisha State government's health system, involvement of local communities and strict monitoring at different levels have been critical in addressing these challenges. Conclusion: This article describes the challenges and modalities adopted to collect complex and accurate data on etiology, timing of disease and associated factors for community-acquired neonatal infections. Attention to local culture and customs, training and employing community level workers and supervisors, involving existing government machinery, using technology (cell phones), and uninterrupted systematic monitoring are critical for implementing such complex protocols that aim to collect population-based data to drive policy.

Original languageEnglish (US)
Pages (from-to)S74-S78
JournalPediatric Infectious Disease Journal
Volume35
Issue number5
DOIs
StatePublished - May 1 2016

Fingerprint

India
Cell Phones
Infection
Text Messaging
Specimen Handling
Community-Acquired Infections
State Government
Bangladesh
Pakistan
Microbiology
Bacterial Infections
Population
Parturition
Technology
Physicians
Pregnancy
Health
Therapeutics

Keywords

  • ANISA
  • Bhubaneswar
  • etiology
  • neonatal
  • Odisha
  • pSBI
  • Rourkela
  • surveillance

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Infectious Diseases
  • Microbiology (medical)

Cite this

Satpathy, R., Nanda, P., Nanda, N. C., Bal, H. B., Mohanty, R., Mishra, A., ... Panigrahi, P. (2016). Challenges in Implementation of the ANISA Protocol at the Odisha Site in India. Pediatric Infectious Disease Journal, 35(5), S74-S78. https://doi.org/10.1097/INF.0000000000001112

Challenges in Implementation of the ANISA Protocol at the Odisha Site in India. / Satpathy, Radhanath; Nanda, Pritish; Nanda, Nimai C.; Bal, Himadri B.; Mohanty, Ranjita; Mishra, Archana; Swain, Tapoja; Pradhan, Keshab C.; Panigrahi, Kalpana; Dutta, Ambarish; Misra, Pravas R.; Parida, Sailajanandan; Panigrahi, Pinaki.

In: Pediatric Infectious Disease Journal, Vol. 35, No. 5, 01.05.2016, p. S74-S78.

Research output: Contribution to journalArticle

Satpathy, R, Nanda, P, Nanda, NC, Bal, HB, Mohanty, R, Mishra, A, Swain, T, Pradhan, KC, Panigrahi, K, Dutta, A, Misra, PR, Parida, S & Panigrahi, P 2016, 'Challenges in Implementation of the ANISA Protocol at the Odisha Site in India', Pediatric Infectious Disease Journal, vol. 35, no. 5, pp. S74-S78. https://doi.org/10.1097/INF.0000000000001112
Satpathy, Radhanath ; Nanda, Pritish ; Nanda, Nimai C. ; Bal, Himadri B. ; Mohanty, Ranjita ; Mishra, Archana ; Swain, Tapoja ; Pradhan, Keshab C. ; Panigrahi, Kalpana ; Dutta, Ambarish ; Misra, Pravas R. ; Parida, Sailajanandan ; Panigrahi, Pinaki. / Challenges in Implementation of the ANISA Protocol at the Odisha Site in India. In: Pediatric Infectious Disease Journal. 2016 ; Vol. 35, No. 5. pp. S74-S78.
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