The Effectiveness of Multi-pronged Interventions to Improve Institutional Delivery in South Ethiopia
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 1,680
- 试验地点
- 1
- 主要终点
- institutional delivery
研究概览
简要总结
This study aims to improve the health and safety of mothers during pregnancy and childbirth by working closely with their husbands. In many communities in Ethiopia, husbands play an important role in decisions about where women give birth.
The study involves educating husbands in group sessions to help them understand how to support their wives during pregnancy, prepare for childbirth, recognize danger signs, and encourage giving birth in health centers where skilled care is available.
At the same time, some health workers receive training to improve their ability to handle childbirth emergencies and provide respectful, culturally sensitive care.
Communities are divided into groups that receive either husband education, health worker training, both, or no additional support. The study will see which approach helps more women deliver safely in health centers and receive care after birth.
By involving husbands and improving health worker skills, this study hopes to support mothers better and improve outcomes for families.
详细描述
This study is conducted in Southern Ethiopia to improve the utilization of maternal health services, helping more women access safe childbirth and postnatal care. Many women face challenges in using health facilities for delivery, which can increase risks for mothers and babies. The study tests two key interventions that support mothers by involving both their families and health workers.
- Husband Group Education:
Since husbands often influence decisions about childbirth, this intervention provides group education sessions for husbands. These sessions focus on:
Supporting their wives during pregnancy and childbirth.
Preparing for birth and recognizing danger signs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •A husband whose wife is under 27 weeks of gestation
- •A husband whose wife had a previous baby within 5 years
- •A husband who lives with his wife together
- •A husband who has lived with his wife in the selected cluster for at least six months
排除标准
- 未提供
研究组 & 干预措施
helping mother survive + RMC Training Only
training for health professionals to enhance skills in managing childbirth emergencies, making referrals, and providing culturally sensitive, woman-centered care.
干预措施: Helping Mothers Survive + RMC (Behavioral)
Combined Intervention
both husband education and helping mother survive + RMC Training implemented concurrently.
干预措施: Husband Group Health education. (Behavioral)
Combined Intervention
both husband education and helping mother survive + RMC Training implemented concurrently.
干预措施: Helping Mothers Survive + RMC (Behavioral)
Husband Group Education Only
group sessions for husbands focused on birth preparedness, shared decision-making, and shared responsibility to support maternal health service utilization.
干预措施: Husband Group Health education. (Behavioral)
Control Group
no additional interventions beyond standard care.
结局指标
主要结局
institutional delivery
时间窗: 8 months/ 37 weeks
Proportion of women who delivered in a health facility, institutional delivery refers to childbirth in a health facility, such as a hospital or health center, where skilled birth attendants are available to manage normal deliveries and handle complications that may occur
Maternal postnatal care
时间窗: 8 months/37 weeks
Proportion of mothers receiving at least one postnatal care visit within 6 weeks postpartum. The care given to the mother right after delivery and during the six weeks following childbirth (having at least one maternal postpartum care within six weeks of delivery)
次要结局
- Gender-equitable attitude(8 months/ 37 weeks)
- Husband's involvement in maternal health(8 months/37 weeks)
- knowledge of obstetric danger signs and birth preparedness(8 months/ 37 weeks)
研究者
Prof Yves Jacquemyn
Dr. Professor
Universiteit Antwerpen