Health Impact Evaluation of Triggerise's Tiko Platform
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,708
- 试验地点
- 2
- 主要终点
- Proportion of women currently using modern short-term contraceptives
研究概览
简要总结
Triggerise designed web and phone based Tiko platform to connect young girls and women to the health products, services and information. The platform uses principles of behaviour economics to motivate positive choices-including rewards, promotions, discounts, coupons, reminders, alerts etc. The platform was implemented in several cities from seven states of India to provide Sexual Reproductive Health (SRH) and maternal and child health (MCH) products and services. The consumers (called Rafikis) use Tiko card to get discounts and to earn 'Tiko miles' rewards at Tiko franchised healthcare providers and pharmacies. Tiko miles are redeemable towards lifestyle products or services (e.g., beauty salons). The local Tiko health promoter (celled Pro agent) can also buy health and hygiene products at bulk discounts and sell them at profit.
Triggerise appointed Network for Engineering, Economics Research and Management (NEERMAN) to conduct an independent impact assessment of the Tiko platform with multiple research objectives include health impact evaluation at the Rafiki level.
NEERMAN used an ex-post observational design to compare usage of SRH and MCH services and family planning (FP), antenatal care (ANC) and postnatal care (PNC) practices by comparing Users and Non-Users of Tiko platform, and accounting for the selection bias statistically. The structured questionnaire collected data on knowledge, practices, barriers, enablers for SRH and MCH services, exposure o Tiko platform, and how it helped or did not help. The survey participants were approx. 1200 users and 600 non-users being served by approx. 350 pro-agents in their respective operations area.
The association between use of Tiko platform and various outcomes were identified using a generalized linear model with fixed effects at pro-agent level and including a set of covariates. To evaluate the effect modification by type of pro agent - government community health worker (CHW) versus others - an interaction model was used. The standard errors were automatically clustered at pro-agent level due to fixed effects. Primary outcomes are proportion of married Rafikis currently using any contraceptives, currently using modern short-term contraceptives, proportion of Rafikis who delivered a child post Jan 2019 and received at least 4 ANC check-ups, consumed at least 100 iron folic acid (IFA( during pregnancy, and received a PNC check-up within 6 weeks of birth.
详细描述
See subsequent sections
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
盲法说明
By nature of the intervention, the implementers or pro agents knew who the users and non-users are, and this was critical even in sampling. The data collectors did not know who were the users and non-users but a smart data collector / outcome assessor could figure out who were the users based on type of questions that were asked and answered. Investigators also knew who were users and non users as it was essential for analysis and setting up the data.
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women who are registered on Tiko Platform with Pro-agents active in 2020-21
- •Age 18-50
- •Address and contacts details are found with help of Pro-agent
排除标准
- •Does not consent to participation
- •Does not agree or confirm registering on Tiko Platform
- •If a woman is never married, she is excluded from survey on family planning but surveyed for use of Tiko platform
- •If a married woman does not have a child born on/after 1 January 2019, then she is excluded from the survey on antenatal care, delivery and postnatal care but surveyed for use of Tiko platform
结局指标
主要结局
Proportion of women currently using modern short-term contraceptives
时间窗: Through survey completion, an average of 1 month
Whether a woman used modern and temporary contraception methods
Proportion of women currently using any contraceptives
时间窗: Through survey completion, an average of 1 month
Whether a woman used any contraceptive - traditional or modern methods, and permanent or temporary methods
Proportion of women who consumed 100 or more Iron Folic Acid (IFA) tablets during last pregnancy
时间窗: 9 months during pregnancy with the youngest child
Whether the study participant recalled consuming 100 or more IFA tablets when pregnant with youngest child born after 1 January 2019
Proportion of women who received 4 or more antenatal check-ups during last pregnancy
时间窗: 9 months during pregnancy with the youngest child
Whether the study participant recalled receiving 4 or more ANC check-ups from any health care provider when pregnant with youngest child born after 1 January 2019
Proportion of women who received a postnatal check-up within 6 week of the delivery from a healthcare provider
时间窗: Within 6 weeks after delivery of the youngest child
Whether the study participant recalled receiving at least one postnatal health check up within 6 weeks of the youngest child's birth
次要结局
- Proportion of women receiving Antenatal check-ups at (a) Tiko franchisee doctors, (b) other private doctors, or (c) government healthcare provider(9 months during pregnancy with the youngest child)
- Proportion of women receiving postnatal check-ups at (a) Tiko franchisee doctors, (b) other private doctors, or (c) government healthcare provider(Within 6 weeks after delivery of the youngest child)
- Out of pocket expenditure on antenatal care, iron folic acid tablets, delivery, and postnatal check-ups(9 months during pregnancy with the youngest child)
- Out of pocket expenditure on Family planning services and products(Past 24 months (from survey date))