Evaluation of the Maternal and Child Survival Program (MCSP) in Mozambique Using Mixed Methods
- Conditions
- Gender IssuesKnowledge, Attitudes, Practice
- Interventions
- Behavioral: Health promotion and provision of RMNCH services
- Registration Number
- NCT03774602
- Lead Sponsor
- Jhpiego
- Brief Summary
This study evaluates changes in knowledge, attitudes, practices and coverage of key reproductive, maternal, newborn, and child health (RMNCH) areas, including malaria, family planning (FP), nutrition, water, sanitation and hygiene (WASH), and gender equity among the population in Nampula and Sofala provinces targeted by the Maternal and Child Survival Program (MCSP) in Mozambique.
- Detailed Description
The specific objectives of the study are to:
1. Assess changes in knowledge, attitudes, practices and coverage (KAPC) of high-impact interventions related to MNCH (antenatal care, delivery, post-partum/natal care, and sick child care), immunization, family planning and reproductive health, nutrition, WASH and malaria among mothers and fathers of children age 0-23 months in MCSP supported areas;
2. Evaluate the effectiveness of male engagement interventions that encourage couples communication at increasing antenatal care (ANC) attendance, joint birth preparedness and complication readiness (BPCR) plans, institutional birth, and use of modern FP;
3. Determine the feasibility and acceptability of male engagement interventions on RMNCH services for clients and providers;
4. Explore how decisions between couples are made and what may influence their decisions about seeking RMNCH services; and
5. Explore the experiences of women who were referred to a health facility for themselves or their child for obstetric, newborn or child health complications, and examine the factors contributing to whether and how those referrals were completed in Nampula Province.
This study is a final program evaluation that will use a mixed methods approach, including both quantitative and qualitative data collection.
Quantitative data will be collected through a cross-sectional KAPC household survey of mothers and fathers of children age 0-23 months, replicating the same KAPC questionnaire that was conducted at baseline in 2016 in the same geographic areas. Questions were harmonized with the DHS and MICS where appropriate. Findings from the endline KAPC survey will be compared to findings from the baseline survey to assess changes over time in the primary outcomes of interest.
Qualitative data will be collected through focus group discussions (FGDs) and in-depth interviews (IDIs) with clients (mothers and fathers of children age 0-23 months) and health providers in MCSP-supported areas. The qualitative component will be conducted to help us gain a more in-depth understanding of the influence of male engagement interventions on couples' decision-making and care-seeking related to RMNCH as well as the barriers and facilitators that affected the experience of identified women who were referred to health facilities for obstetric or newborn complications. We will explore both client and provider experiences with gender-equitable male engagement practices, as well as individual client referral narratives related to obstetric or newborn complications.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 2767
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description MCSP package of interventions Health promotion and provision of RMNCH services MCSP package of interventions for health promotion and provision of RMNCH services
- Primary Outcome Measures
Name Time Method Institutional delivery rate 2 years Percentage of last-born children age 0-23 months who were born in a health facility
Percentage of children under 2 years of age who received Penta 1 vaccination but did not receive Penta 3 (Drop out rate) 2 years Percentage of children age 12-23 months who received a Penta 1 vaccination but did not receive a Penta 3 vaccination according to or card verified at the time of the survey
Percentage of mothers who made birth preparations before giving birth 2 years Percentage of mothers of children age 0-23 months who made birth preparations before the birth of their youngest child
Percentage of pregnant women who had four or more ANC visits 2 years Percentage of mothers of children age 0-23 months who had four or more antenatal care visits while pregnant with their youngest child
- Secondary Outcome Measures
Name Time Method Percent of infants under 6 months of age who are exclusively breastfed 2 years Percentage of infants 0-5 months of age who are fed exclusively with breast milk
Percentage of women who have discussed FP use with her partner 2 years Percentage of women of reproductive age who have discussed with her partner whether to use a FP method
Trial Locations
- Locations (21)
Centro de Saude Ampara
🇲🇿Buzi, Sofala, Mozambique
Mossuril District, Community Setting
🇲🇿Mossuril, Nampula, Mozambique
Meconta District, Community Setting
🇲🇿Meconta, Nampula, Mozambique
Monapo District, Community Setting
🇲🇿Monapo, Nampula, Mozambique
Centro de Saude Quissinmanjulo
🇲🇿Nacala, Nampula, Mozambique
Erati District, Community Setting
🇲🇿Namapa-erati, Nampula, Mozambique
Angoche District, Community Setting
🇲🇿Angoche, Nampula, Mozambique
Mecuburi District, Community Setting
🇲🇿Mecuburi, Nampula, Mozambique
Centro de Saude Metuchira
🇲🇿Nhamatanda, Sofala, Mozambique
Nacala Porto District, Community Setting
🇲🇿Nacala, Nampula, Mozambique
Centro de Saude Bandua
🇲🇿Buzi, Sofala, Mozambique
Moma District, Community Setting
🇲🇿Moma, Nampula, Mozambique
Centro de Saude Ontupaia
🇲🇿Nacala, Nampula, Mozambique
Centro de Saude Iapala Sede
🇲🇿Ribaue, Nampula, Mozambique
Hospital Rural de Ribaue
🇲🇿Ribaue, Nampula, Mozambique
Ribaue District, Community Setting
🇲🇿Ribaue, Nampula, Mozambique
Beira City, Community Setting
🇲🇿Beira, Sofala, Mozambique
Buzi District, Community Setting
🇲🇿Buzi, Sofala, Mozambique
Dondo District, Community Setting
🇲🇿Dondo, Sofala, Mozambique
Hospital Rural de Nhamatanda
🇲🇿Nhamatanda, Sofala, Mozambique
Nhamatanda District, Community Setting
🇲🇿Nhamatanda, Sofala, Mozambique