A study on the effect of demand and supply side interventions on maternal and neonatal mortality in three districts in Malawi
Completed
- Conditions
- Maternal and neonatal mortalityPregnancy and Childbirth
- Registration Number
- ISRCTN18073903
- Lead Sponsor
- niversity College London (UK)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Female
- Target Recruitment
- 45000
Inclusion Criteria
All pregnant women who agree to take part in the programme
Exclusion Criteria
Women who have no possibility of conceiving during the study period (women who have had hysterectomy or permanent sterilisation)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Maternal, neonatal and perinatal mortality, assessed by monthly community surveillance of all pregnant women and their infants until two months after delivery throughout the 27 month intervention period (01/10/08 to 31/12/2010). <br>2. Any mothers or infants who have died were followed up with a verbal autopsy interview to establish the cause of death
- Secondary Outcome Measures
Name Time Method The following were determined through monthly community surveillance, monthly health <br>facility surveillance and collection of process data on the interventions: <br>1. Percentage of deliveries at a health facility (for both interventions)<br>2. At facility level (for the quality improvement trial):<br>2.1. Percentage met need for emergency obstetric care<br>2.2. Number of deliveries at facility<br>3. Percentage of maternal deaths subjected to maternal death audit<br>4. Case fatality rate<br>5. Caesarean section rate<br>6. Practice of signal obstetric care functions<br>7. At the community level (for the women?s group trial): <br>7.1. No. of women?s groups mobilized annually<br>7.2. Percentage of women attending women?s groups