Home Visits by Health Workers to Check for Diabetes After Childbirth
Tests whether community health worker home visits increase diabetes screening in women after gestational diabetes.
Plain-language title generated from the registry record
Registry title: Community Health Worker-Led Postpartum Diabetes Screening
Key facts
- Where
- Pune, IndiaSee the site
AI summary: who the study is looking for
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for pregnant women living in selected slum communities in Pune, India, who are diagnosed with gestational diabetes. It also enrolls community health workers, clinicians and Ministry of Health officials.
- Age
- 18 years or older
- Sex
- Women (for the pregnant participants)
- Disease stage
- Pregnant, at least 24 weeks, with a result on the fasting sugar test (OGTT) at or above the threshold for gestational diabetes (GDM)
- Biomarker or test result
- Fasting glucose tolerance test (OGTT) result at or above the threshold for GDM, done by a community health worker
Main reasons for not taking part
- Diabetes diagnosed before the current pregnancy
- Cannot stay fasting for 8 hours
- Unwilling or unable to take part in study procedures
- Unwilling or unable to give informed consent
Read by machine on 12 November 2026.
Where in India
- Deep Griha SocietyPune, IndiaContact: Ashlesha OnawaleTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorTrial details
- Who runs it
- Weill Medical College of Cornell University
- Trial code
- NCT06209411
- Record updated
- 6 May 2026
- Original description
Women who experience gestational diabetes are at high risk of developing type 2 diabetes mellitus in the postpartum period-especially in low- and middle-income countries like India where the burden of diabetes is high and disproportionately affects women- but few receive the World Health Organization-recommended postpartum diabetes screening test. The investigators propose a cluster randomized clinical trial to determine whether community health worker-administered, home-based testing increases uptake of postpartum diabetes screening in the urban slums of Pune, India. The proposed study will provide an acceptable and scalable model that can be used to improve postpartum diabetes screening in other low-income settings, thereby improving early detection of diabetes in women and preventing morbidity and mortality in this high-risk population. A substudy will also test the effectiveness of a timed protein-fiber supplement in glucose control.Read full original descriptionShow less
A Type 2 Hybrid Effectiveness-Implementation Trial of Community Health Workers to Improve Screening for Postpartum Diabetes in Urban Slums of India
Women who experience gestational diabetes are at high risk of developing type 2 diabetes mellitus in the postpartum period-especially in low- and middle-income countries like India where the burden of diabetes is high and disproportionately affects women- but few receive the World Health Organization-recommended postpartum diabetes screening test. The investigators propose a cluster randomized clinical trial to determine whether community health worker-administered, home-based testing increases uptake of postpartum diabetes screening in the urban slums of Pune, India. The proposed study will provide an acceptable and scalable model that can be used to improve postpartum diabetes screening in other low-income settings, thereby improving early detection of diabetes in women and preventing morbidity and mortality in this high-risk population. A substudy will also test the effectiveness of a timed protein-fiber supplement in glucose control.
Inclusion: Pregnant Women:; Pregnant woman residing in one of pre-selected slum communities; 18 years or older; ≥ 24 weeks gestational age (as determined by self-reported last menstrual period or ultrasound); Meet or exceed the threshold for GDM as determined by the CHW-delivered fasting OGTT; Agrees to study procedures, including in-person visits with the CHW postpartum if they are diagnosed with GDM; Community Health Workers:; 18 years or older; Willingness to participate in study procedures and recruit eligible pregnant women; Agreement with goals of the study; Resides in one of the study communities; Willing to participate in surveys and interviews; Clinicians:; 18 years or older; Diabetes or obstetrics physicians; In a patient-facing position for over 1 year; Ministry of Health Officials; 18 years or older; Employed by the Ministry of Health and Family Welfare, Maternal Health Division.
Exclusion: Preexisting diabetes diagnosis prior to current pregnancy; Pregnant Women:; Unable to tolerate food/ drink and remain fasting for 8 hoursUnwilling or unable to participate in study procedures; Unwilling or unable to provide informed consent; CHW, Clinicians, Ministry of Health Officials; Unwilling or unable to participate in study procedures; Unwilling or unable to provide informed consent.