Project to Use Community Health Workers to Reduce Maternal Deaths

Not Applicable

Completed

• Conditions: Maternal Mortality; Access to Health Care

• Registration Number: NCT03024905
• Lead Sponsor: Bruyere Research Institute

Brief Summary

The purpose of this trial is to establish if several interventions will help women in rural Tanzania access health care services during pregnancy and at the time of delivery. The interventions include education about the importance of attending antenatal care visits with nurses and facility deliveries, a voucher for transport to access the health facility at the time of delivery, and supplies to be used either at the health facility, or on route if the women does not make it to the health facility.

Detailed Description

In order to reduce the number of women dying in childbirth and to improve women's health in pregnancy, this trial is designed to assess if several interventions combined can increase the number of women delivering in health care facilities. The design of the study is "Multiple Baseline Design". Community health workers are trained to collect baseline data on women using mobile phones in one rural district in Tanzania. The district has four distinct divisions. After 6 months of baseline data in the district, one division will experience the interventions. The interventions are education about the importance of attending antenatal care visits with nurses and facility deliveries, a voucher for transport to access the health facility at the time of delivery, and birthing supplies to be used either at the health facility, or on route if the women does not make it to the health facility. The intervention will be begun in each of the other divisions in 3 month intervals (i.e. the second division starts to experience the interventions 3 months after the first, the third, 3 months after the second and the fourth 3 months after the third). The trial will continue for a total of 27 months including the baseline period.

Study Timeline

• Study First Submitted: 2016-12-11
• Study Start: 2017-01-16
• Study First Submitted QC: 2017-01-18
• Study First Posted: 2017-01-19
• Primary Completion: 2019-05
• Study Completion: 2019-05
• Status Verified: 2019-08
• Last Update Submitted: 2019-08-08
• Last Update Posted: 2019-08-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 17000

Inclusion Criteria

1. Women must be pregnant.
2. Women must live in Rorya District, but not in Shirati Town.
3. Women must deliver in Rorya District .

Exclusion Criteria

1. Women who live outside or deliver outside of Rorya District.
2. Women who deliver preterm, before they have exposure to all the interventions.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Facility births	During baseline vs during intervention periods until end of study (2 years)	Number of women attending health facilities for delivery

Secondary Outcome Measures

Name	Time	Method
Antenatal Care visits	During baseline vs during intervention until end of study (2 years)	Number of times women attend health facility for antenatal visits
Use of transport intervention	During Intervention until end of study (2 years)	Number of women using the free transport intervention
Postpartum visits	During baseline vs during intervention until end of study (2 years)	Number of women attending health facility for postpartum visits
Use of birth kit	During Intervention until end of study (2 years)	Number of women using the birth kit

Trial Locations

Locations (1)

Shirati District Hospital Research Office; 🇹🇿 Shirati, Rorya District, Mara Region, Tanzania

Shirati District Hospital Research Office

🇹🇿Shirati, Rorya District, Mara Region, Tanzania