Chama Cha MamaToto: a Pilot Study of Peer Support Groups in Kenya

Not Applicable

Completed

• Conditions: Group, Peer; Pregnancy Related
• Interventions: Behavioral: Chama cha Mamtoto

• Registration Number: NCT03188250
• Lead Sponsor: Moi University

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.

Study Timeline

• Study Start: 2012-09
• Primary Completion: 2014-06
• Study Completion: 2016-06
• Study First Submitted: 2017-05-31
• Status Verified: 2017-06
• Study First Submitted QC: 2017-06-14
• Last Update Submitted: 2017-06-14
• Study First Posted: 2017-06-15
• Last Update Posted: 2017-06-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 515

Inclusion Criteria

• Pregnant women in communities where chamas were taking place
• Any woman attending chama

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Chama cha MamaToto	Chama cha Mamtoto	Pregnant women in communities where chama cha mamatoto is taking place will be invited to join and participate in bi-weekly group meetings for a year

Primary Outcome Measures

Name	Time	Method
Facility delivery	22 months	Proportion of women giving birth in a health facility based on questionnaire

Secondary Outcome Measures

Name	Time	Method
CHV homevisit	22 months	CHW homevisit within 48 hours of birth based on questionnaire
4 ANC visits	22 months	attendance at 4 or more ANC visits in pregnancy based on questionnaire
Exclusive breastfeeding	22 months	Initiation of solids to the infant after 6 months based on questionnaire