Effectiveness of Advertising Availability of Prenatal Ultrasound on Uptake of Antenatal Care in Rural Uganda: a Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 157
- 主要终点
- Total attendance to antenatal care clinic
研究概览
简要总结
A cluster randomized trial was conducted across eight rural sub-counties in southwestern Uganda. This study was conducted to determine the impact of advertising free obstetric ultrasound on the attendance to antenatal care clinics.
详细描述
Study Design We conducted a non-blinded cluster-randomized controlled trial to evaluate the effectiveness of advertising prenatal portable obstetric ultrasound (pOBU) on uptake of antenatal care (ANC) services. This study design was selected to mitigate confounding variables and use the natural landscape of the region (described below), which is conveniently divided into geographically isolated but otherwise homogenous sub-counties, to our advantage.
The study was conducted in Kabale District, a rural highland located in southwestern Uganda. It is roughly 560 km from the capital city of Kampala and has a population of approximately 522,000. It is divided into three regions - north, central and south, and is further subdivided into 22 sub-counties, with 11 in the North, four centrally and seven in the South.
Ethics approval was obtained from Lakeridge Health Corporation in the city of Oshawa, Canada as well as Mbarara University of Science and Technology (MUST) in Mbarara, Uganda. The study protocol can be found at the following link:
http://bridgetohealth.ca/study-protocol/
Study Population All sub-counties of southern and northern regions of Kabale district were eligible for inclusion as a cluster in this study. This population predominantly engages in subsistence agriculture. There is very limited data describing the healthcare of this rural and isolated region, and it is believed that government statistics are often inaccurate. The Ugandan Ministry of Health, numerous non governmental organizations (NGOs) and other faith-based organizations provide for the regions' healthcare. Data suggests that uptake of any ANC services is close to 66%, with only one third of these women returning for a fourth visit or delivering in a healthcare facility (HCF).
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
- Single (Participant)
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
- •Participants must be residents of the Kabale Region
- •All pregnant women aged 18 and above who present to one of the antenatal care clinics
排除标准
- •Pregnant women under the age of consent (under 18 years); and any males or non-pregnant females who attend the health camps will be excluded from the study.*
- •All participants excluded from the study will still be offered free medical and dental care as part of a mobile free medical/dental clinic that will be offered in the same community at the same time but in a neighbouring location. For pregnant women under the age of 18, free obstetric ultrasound will also be offered.
结局指标
主要结局
Total attendance to antenatal care clinic
时间窗: 9 days
The primary outcome in this study was attendance to antenatal care clinic in each sub-county
次要结局
- Attendance to antenatal care clinic by women who had previously seen a traditional healer/birth attendant(9 days)
- Attendance to antenatal care clinic by women who had not previously received antenatal care services in their current pregnancy(9 days)
- Attendance to antenatal care clinic specifically because of portable obstetric ultrasound(9 days)