Background: The prevalence of gestational diabetes mellitus (GDM) is rising rapidly in many low- and middle-income countries (LMICs). Most women with GDM in LMICs are undiagnosed and/or inadequately managed due to a lack of knowledge and skills about GDM on the part of both providers and patients. Following contextual analysis, we developed an educational/behavioural intervention for GDM delivered through a package of culturally tailored films. This trial aims to evaluate whether the intervention can improve the timely detection and management of GDM in two LMIC settings.
Methods: Two independent cluster randomised controlled trials, one each to be conducted in Uganda and India. Thirty maternity facilities in each country have been recruited to the study and randomised in a 1:1 ratio to the intervention and control arms. The intervention comprises of three interconnected sets of films with the following aims: to improve knowledge of GDM guidelines and skills of health providers, to raise awareness of GDM screening among pregnant women and their families, and to improve confidence and skills in self-management among those diagnosed with GDM. In facilities randomised to the intervention arm, a GDM awareness-raising film will be shown in antenatal care waiting rooms, and four films for pregnant women with GDM will be shown in group settings and made available for viewing on mobile devices. Short films for doctors and nurses will be presented at professional development meetings. Data will be collected on approximately 10,000 pregnant women receiving care at participating facilities, with follow-up at 32 weeks gestational age and 6 weeks postnatally. Women who self-report a GDM diagnosis will be invited for a clinic visit at 34 weeks. Primary outcomes are (a) the proportion of women who report a GDM diagnosis by 32 weeks of pregnancy and (b) glycaemic control (fasting glucose and HbA1C) in women with GDM at 34 weeks of pregnancy. The secondary outcome is a composite measure of GDM-related adverse perinatal-neonatal outcome.
film indian babu part 1
By Nirali Kanabar: Bollywood actor John Abraham recently made a startling remark about not doing regional movies. In one of his interviews, John refused to be a part of Telugu or any regional films and called himself a 'Hindi film hero'. Much before the actor made this statement, Mahesh Babu had stated that he would only do Telugu movies as long as he is acting. The actor even mentioned that he won't do Hindi movies.
After the success of 'Pushpa: The Rise- part 1', Allu Arjun has been ruling headlines. From his dialogues to his dance in the film, fans have been gushing over the actor's phenomenal performance. And now it seems like Allu Arjun has bagged a film that will be directed by Atlee. As per an Aaj Tak report, Allu Arjun has reportedly been offered Rs 100 crore for his next outing. 2ff7e9595c
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