Increasing Pregnancy Health Services Uptake Through Integrated Peer Support Groups in Kenya: A Prospective Cohort Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pregnancy Related
- Sponsor
- Moi University
- Enrollment
- 515
- Primary Endpoint
- Facility delivery
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Preventing maternal and newborn deaths remain high on the global agenda. To address this, the Academic Model Providing Access to Healthcare (AMPATH), in partnership with the Government of Kenya, launched Chama cha MamaToto, a community-led peer-support model that groups women together in pregnancy and infancy. Central to the chama approach is the integration of health, social and financial literacy education with a savings/loans program.
Detailed Description
To evaluate the feasibility of chamas, we analysed group attendance rates, GISE participation, membership retention, and continuation of the groups beyond the one year. To evaluate the effect of chamas, the investigators compared data from a prospective cohort of women in chamas with a group of controls who did not belong to a chama, matched for age, parity, and location of prenatal care. To evaluate the acceptability of chamas, FGDs were carried out with chama and non-chama participants, health providers and community health workers.
Investigators
Astrid Christoffersen-Deb
Visiting Lecturer
Moi University
Eligibility Criteria
Inclusion Criteria
- •Pregnant women in communities where chamas were taking place
- •Any woman attending chama
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Facility delivery
Time Frame: 22 months
Proportion of women giving birth in a health facility based on questionnaire
Secondary Outcomes
- CHV homevisit(22 months)
- 4 ANC visits(22 months)
- Exclusive breastfeeding(22 months)