Improving Maternal and Child Health in India: Evaluating Demand and Supply Side Strategies
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 14,990
- 试验地点
- 1
- 主要终点
- Increase institutional deliveries and improve maternal and infant health outcomes in the population.
研究概览
简要总结
The study evaluates the impact of a new conditional cash transfer (CCT) program (Thayi Bhagya Yojana) to promote child birth in obstetric facilities in the state of Karnataka, India in order to determine its policy value and to guide efforts to improve maternal and infant health outcomes nationally. In addition, the study includes a large randomized evaluation of performance-based incentive payments to providers to improve quality of medical care provided during delivery and actual health improvement in the providers' patient populations and their catchment areas.
详细描述
The evaluation study will first provide new evidence on the effectiveness of demand-side strategies to increase institutional deliveries and improve childbirth outcomes. Second, the study will analyze one of the first implementations of direct rewards to providers for health improvement in a developing country. Third, the study will provide critical new insight into dynamics between demand and supply-side incentives in improving population health outcomes as either complements or substitutes.
The study uses household survey to collect data from mothers on socio-economic, human capital, quality of life variables (including below poverty line [BPL] index components) and as well as information about deliveries, fertility histories, morbidity and mortality (for mothers, infants, and children), birth related complications, health service use and spending. Additionally, provider surveys will collect data on infrastructure, staffing, provider qualifications, provider knowledge and process measures of provider performance.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Households with new mothers (one to three weeks after childbirth)
- •Rural private sector maternity care providers who are listed on the Karnataka government's legitimate provider list.
排除标准
- •Households without children
- •Households where mothers gave birth > 3 weeks ago
- •Public sector maternity care providers
- •Private sector maternity care providers serving in towns with large public providers such as Community Health Centers (CHCs)
结局指标
主要结局
Increase institutional deliveries and improve maternal and infant health outcomes in the population.
时间窗: 1 Year
Rates of deliveries in hospitals and maternal health complications such as obstetric fistulas, post-partum hemorrhage, sepsis, as well as neonatal outcomes.
次要结局
- Effectiveness of financial incentives to maternity care private providers for improvements in the clinical quality of services in the providers' patient populations and the catchment areas they serve.(1 Year)
- Effectiveness of financial incentives to maternity care private providers for improvements in maternal and infant health outcomes in the providers' patient populations and the catchment areas they serve.(1 Year)