The Impact of Non-monetary Incentives on Facility Delivery in Rural Zambia

Not Applicable

Completed

• Conditions: Maternal Health
• Interventions: Other: Mama kit

• Registration Number: NCT02517008
• Lead Sponsor: IDinsight

Brief Summary

This study measured the impact and cost-effectiveness of a low-cost, non-monetary incentive ("mama kit") on rural facility delivery rates in Zambia.

Detailed Description

This clustered randomized controlled trial assessed the impact of providing a package of childcare items (a cloth, baby diaper, and blanket) to women conditional upon delivering at a facility on facility delivery rates in rural Serenje and Chadiza Districts in Zambia. Facilities were randomized to either provide the intervention or not. Facility-level antenatal care (ANC) and delivery registers were used to measure the percentage of women attending antenatal care who delivered at a study facility during the intervention period. Results from the trial were then used to model the cost-effectiveness of mama kits at-scale in terms of cost per death averted.

Study Timeline

• Study Start: 2013-06
• Primary Completion: 2013-09
• Study Completion: 2013-09
• Study First Submitted: 2015-07-27
• Status Verified: 2015-08
• Study First Submitted QC: 2015-08-04
• Last Update Submitted: 2015-08-04
• Study First Posted: 2015-08-06
• Last Update Posted: 2015-08-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 2159

Inclusion Criteria

• Had an antenatal care record at one of the study facilities
• Had an estimated date of delivery (as measured by estimated date of last menstrual period, estimated date of delivery, or estimated gestational age in weeks as recorded in the antenatal care register) between June 1, 2013 - Aug 31, 2013.

Exclusion Criteria

• Did not have an antenatal care record at one of the study facilities
• Had an estimated date of delivery outside of the intervention window (June 1, 2013 - Aug 31, 2013)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Mama kits intervention	Mama kit	Health facilities randomized to this arm provided mama kits - packages of childcare materials including a cloth ("chitenge"), baby blanket, and diaper - to all mothers who delivered at these facilities between June 1, 2013 - Aug 31, 2013.

Primary Outcome Measures

Name	Time	Method
Facility delivery ratios	At delivery, up to 10 months after the first antenatal care visit date	Administrative data were used to measure the outcome. Antenatal care and delivery records were linked across registers. Women who had attended ANC and were linked to a record in the registry was counted as having delivered at a facility.