Study protocol for Ghana's Ensure Mothers and Babies Regular Access to Care (EMBRACE) program

Not Applicable

Completed

• Conditions: CoC in MNCH/pregnant woman, mother, newborn baby/maternal and neonatal morbidity, neonatal mortality; Neonatal Diseases

• Registration Number: ISRCTN90618993
• Lead Sponsor: Japan International Cooperation Agency (JICA) (Japan)

Brief Summary

2015 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/25778557 2019 results in https://pubmed.ncbi.nlm.nih.gov/31511278/ (added 17/12/2020) 2021 evaluation in https://pubmed.ncbi.nlm.nih.gov/33828845/ (added 09/04/2021) 2021 evaluation in https://pubmed.ncbi.nlm.nih.gov/34170904/ (added 28/06/2021)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-09-03
• Study Completion: 2016-03-31
• Last Update Posted: 12 July 2021

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 1490

Inclusion Criteria

Women at reproductive age between 15 and 49 years old and match to the following criteria:
1. Participants of the baseline survey: Those who gave birth between 1st September 2012 and 30th June 2014
2. Participants of the follow-up survey: Those who passed all the period from their 1st ANC to six weeks postpartum during the intervention period (1st October 2014 and 30th September 2015)
3. Participants of the intervention: Those who are in the period between pregnancy and six weeks postpartum during the intervention period (1st October 2014 and 30th September 2015)
4. Targets of the Health and Demographic Surveillance System (HDSS) data:
4.1. Those who have given birth between 1st September 2012 and 30th June 2014 for baseline HDSS data
4.2. Those who are in the period between pregnancy and six weeks postpartum during the intervention period (1st October 2014 and 30th September 2015) for follow-up HDSS data

Exclusion Criteria

Women:
1. Who refused participating with the intervention
2. Who decline to be interviewed
3. Who have migrated out of the HDSS sites

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
CoC completion rate among mothers and newborn babies. The CoC completion is defined as taking following all health services: antenatal care four times, delivery assisted by skilled birth attendants, PNC three times (within 48 hours, at 7 days, at 6 weeks after delivery).

Secondary Outcome Measures

Name	Time	Method
<br> Intervention outcomes:<br> 1. PNC rate within 48 hours after delivery<br> 2. Complication rate which requires mothers or newborn babies? hospitalization of more than 24 hours<br> 3. Perinatal mortality rate (PMR), neonatal mortality rate (NMR)<br><br> Implementation outcomes:<br> 1. Intervention coverage of target population<br> 2. Adoption in CoC card utilization or PNC within 48 hours by mothers? retention at health facility or by home visit<br> 3. Fidelity in CoC card utilization or PNC within 48 hours by mothers? retention at health facility or by home visit<br> 4. Implementation cost<br> 5. Sustainability<br>