Study to Identify Factors Influencing Access of Pregnant Women and Their Infants to Local Healthcare Systems

Completed

Brief Summary: This study collected information regarding the factors that might influence access of pregnant women to the local healthcare system. The main visits of the study screened \& enrollment, delivery and 90 day infant follow-up. Data were collected mainly from questionnaires administered to pregnant women at these visits. The questionnaires contained the following standard questions which were asked at each visit, in addition to some visit-specific questions related to delivery and health status of infants up to 90 days of age. The standard questions related to the following aspects:

* Logistics of transportation to the study site (type, time it takes, cost incurred)

* Accessibility to a telephone/cell phone

* Provisions of alternative child care during site visits if there are other children under the subject's care

Recruitment & Eligibility

Inclusion Criteria

Pregnant women with gestational age of greater than or equal to 24 weeks at the time of enrollment
Subject / subject's parents or a legal representative who has given written consent after the nature of the study has been explained according to local regulatory requirements
Pregnant women of gestational age between 28 weeks and 34 weeks 6/7 days

Exclusion Criteria

None

Primary Outcome Measures

Name	Time	Method
Percentage of Subjects Delivering at a Non-study Site.	Baseline until average of 24 weeks	The percentage of subjects who delivered at a non-study site relative to the number of enrolled subjects was calculated.
Percentage of Subjects Delivering at a Study Site.	Baseline until average of 24 weeks	The percentage of subjects who delivered at the study site relative to the number of enrolled subjects was calculated

Secondary Outcome Measures

Name	Time	Method
Number of Infants Brought to Study Site During Infant Follow up (90 Days Post-delivery)	Delivery to Day 90 post-delivery (Infant follow-up)	The number of infants who were brought by the maternal subjects to a study site for 90-day infant follow-up visit relative to the number of live birth deliveries.
Number of Infants Born Live, Reported Sick and Brought to a Study or Non-study Health Care Facility Site.	Delivery to Day 90 post-delivery (Infant follow-up)	The number of infants born live, reported sick and brought to a study or non-study health care facility site by the maternal subjects over the period of 90 days after delivery was calculated.

Locations (10): Centro Sanitario de Santo Domingo
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Santo Domingo, Dominican Republic
CISM Manhica Health Research Centre
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Manhiça, Mozambique
Synexus Research Centre
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Gauteng, South Africa
Children's Infectious Diseases Clinical Research Unit
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Cape Town, South Africa
Policentro Juan Diaz
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Panama City, Panama
Maternidad Nuestra Senora de La Altagracia
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Santo Domingo, Dominican Republic
Policlínica JJ Vallarino
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Panama City, Panama
Setshaba Research Centre
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Gauteng, South Africa
Policentro Parque Lefevre
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Panama City, Panama
Respiratory and Meningeal Pathogens Research Unit
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Soweto, Johannesburg, South Africa