Incentives for Postnatal Care Demand

Not Applicable

Completed

• Conditions: Neonatal Death; Maternal Death
• Interventions: Behavioral: Performance-based monetary incentives

• Registration Number: NCT02936869
• Lead Sponsor: Harvard School of Public Health (HSPH)

Brief Summary

The purpose of this study is to identify the causal impact of performance-based monetary incentives in increasing postnatal care (PNC) referrals by traditional birth attendants (TBAs), via a randomized controlled trial (RCT).

Detailed Description

Not available

Study Timeline

• Study Start: 2016-08
• Study First Submitted: 2016-10-14
• Study First Submitted QC: 2016-10-14
• Study First Posted: 2016-10-18
• Primary Completion: 2016-12
• Study Completion: 2016-12
• Results First Submitted: 2017-11-21
• Status Verified: 2019-07
• Results First Submitted QC: 2019-07-22
• Last Update Submitted: 2019-07-22
• Results First Posted: 2019-07-24
• Last Update Posted: 2019-07-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 207

Inclusion Criteria

• community-based providers of antenatal and/or delivery care, and who are non-formally trained
• must be resident within the community
• must not plan to relocate over the intervention duration
• identified in partnership with community leadership
• be willing to participate fully in the study, including having their clients contacted for verification

Exclusion Criteria

• plan to relocate over the intervention duration
• refusal to provide informed consent for the entire study protocol including agreeing to have their delivery clients contacted for verification

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Referral incentive arm	Performance-based monetary incentives	Traditional birth attendants will receive an offer of two-weekly payouts per reported delivery they take that is verified by client. Traditional birth attendants randomized to this arm will also receive an offer of two-weekly payouts per successful referral of delivery clients to postnatal care within 48 hours of delivery in a facility if verified.

Primary Outcome Measures

Name	Time	Method
Maternal Postnatal Care Referral	Within 48 hours of delivery	The proportion of delivery clients that are successfully referred by the traditional birth attendant for postnatal care within 48 hours of delivery. For each delivery client that the traditional birth attendant reported, we visited at least three days after delivery to ascertain if they had been asked to visit the postnatal clinic, clarify if they had visited the clinic within 48 hours of delivery, and what care they had received (if yes). The team visited traditional birth attendants every two weeks to identify new clients. Where a new client was not up to three days post-delivery, the interview was postponed until the next visit by the team to the community. This occurred repeatedly, over a five-month frame.

Secondary Outcome Measures

Name	Time	Method
Neonatal Postnatal Care Referral	Within 48 hours of delivery	Proportion of neonates delivered by the traditional birth attendant that are successfully referred for postnatal care within 48 hours of delivery