Replicating MamaToto in Rural Tanzania
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 8,323
- 试验地点
- 1
- 主要终点
- Proportion of live births attended by a skilled health provider
研究概览
简要总结
This study aimed to adapt and implement a district-led, policy-based, low cost Maternal and Newborn Health (MNH) intervention package using the MamaToto process, proven successful in Uganda, in rural Tanzania. The investigators hypothesized that the 'MamaToto Package' will be successfully implemented in the Misungwi District and will be effective in improving key maternal and newborn health indicators of study participants.
详细描述
This study collected baseline data on indicators related to pre-natal care, delivery, post-natal care, treatment of childhood illnesses and family planning. Data collection tools/strategies included 1) a mapping exercise, 2) health facility audit 3) household surveys and 4) exit interviews. Data was collected at baseline and endline. Operational data was collected throughout the life of the study. Results were used to inform implementation of interventions that aim to improve health facility capacity to deliver good quality care to women and children and to strengthen families and communities to better advocate for and engage in activities that promote healthier women and children.
Mapping data was collected in two districts 1) Misungwi and 2) Kwimba. Baseline and endline data was collected in Misungwi only. The intervention began in Misungwi in Years 1 and 2 and then rolled out to Kwimba in Year 3.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Randomly selected households (30) living in selected hamlets with a competent participant of greater than 15 years of age
- •All women of reproductive age (age 15-49 years old) living in selected households in selected hamlets
排除标准
- •Households with participants that are away for an extended time or have no one home at the time of survey completion
结局指标
主要结局
Proportion of live births attended by a skilled health provider
时间窗: Change between pre (baseline) and post (endline-up to 36 months) intervention
Percentage of women (15-49 year old) with at least one recent live birth (past two years) reporting their last delivery being attended to by a skilled health personnel (doctor, nurse, midwife, clinical officer or auxiliary midwife)
次要结局
- Proportion of women receiving antenatal care 4 or more times during pregnancy(Change between pre (baseline) and post (endline-up to 36 months) intervention)
- Proportion of women receiving postnatal care <48H(Change between pre (baseline) and post (endline-up to 36 months) intervention)
研究者
Jennifer L. Brenner
Dr. Jennifer L. Brenner
University of Calgary