Enhancing Retention in PMTCT/MNCH Services and Facility Delivery in Tabora, Tanzania
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,505
- 试验地点
- 1
- 主要终点
- Early identification of HEI at Reproductive and Child Health (RCH) Clinic
研究概览
简要总结
The goal of this proposed intervention study is to increase the proportion of HIV positive and HIV negative pregnant women who deliver in a facility, the proportion of HIV exposed infants (HEI) who receive nevirapine (NVP) within 48 hours of delivery, and the proportion of HEI who are bled for HIV polymerase chain reaction (PCR) deoxyribonucleic acid (DNA) testing within 8 weeks of age.
详细描述
Following a formative phase I, we propose in phase II to implement a three-group cluster-randomized study to test the effectiveness of short message service (SMS) reminders and notifications, [mobile health or mhealth] (group 1) and the combined effectiveness of SMS reminders/notifications and cash transfers (group 2) compared to the standard prevention of mother-to-child transmission (of HIV)/maternal, neonatal and child health, (PMTCT/MNCH) practices (group 3).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Known or recently diagnosed HIV-positive in ANC or; Tested HIV-negative at ANC
- •Plans to deliver in facility catchment area
- •18 years or older
- •Able and willing to provide consent
排除标准
- 未提供
研究组 & 干预措施
Clinic group 3
Services provided under the Ministry of Health standard care
Clinic group 2
Clinics using SMS health promotion and reminder messages + Clinics providing payment scaled to reflect typical transport costs to facility (transport payments)
干预措施: Transport Payments (Behavioral)
Clinic group 1
Clinics using SMS health promotion and reminder messages (mhealth messaging)
干预措施: mHealth messaging (Behavioral)
结局指标
主要结局
Early identification of HEI at Reproductive and Child Health (RCH) Clinic
时间窗: 1 year
Proportion of HEI identified early (48 hours,3 and 7 days) at RCH clinic
Antenatal care (ANC) visits
时间窗: 1 year
Proportion of pregnant women attending at least 4 ANC visits
Facility delivery
时间窗: 1 year
Proportion of pregnant women delivering in a health facility
Post natal care (PNC) visits
时间窗: 1 year
Proportion of post partum women attending PNC 48 hours, 3 and 7 days post delivery
Nevirapine (NVP) at delivery
时间窗: 1 year
Proportion of HEI given NVP at delivery
Attendance for Early infant diagnosis (EID) of HIV
时间窗: 1 year
Proportion of HIV-exposed infants (HEI) attending for early infant diagnosis of HIV (DBS collected) by 8 weeks
次要结局
- Receipt of EID results(1 year)
- Time to receipt of EID results(1 year)
- Time to treatment(! year)
- HIV infected infants initiated on antiretroviral therapy (ART)(1 year)
- Time to EID(1 year)