Evaluation of an intervention to increase utilisation of primary maternal, newborn, and child health services in Ethiopia

Not Applicable

Completed

• Conditions: The focus of the study is primary care utilization for the main causes of under-five mortality in Ethiopia, i.e., neonatal conditions, pneumonia, and diarrheal diseases; Infections and Infestations; Under-five mortality in Ethiopia, i.e., neonatal conditions, pneumonia, and diarrheal diseases

• Registration Number: ISRCTN12040912
• Lead Sponsor: Bill and Melina Gates Foundation

Brief Summary

2020 Protocol article in https://doi.org/10.1186/s12913-020-05151-3 protocol (added 28/04/2020) 2020 Results article in https://pubmed.ncbi.nlm.nih.gov/32933966/ results (added 17/09/2020) 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/33711024/ results (added 15/03/2021) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/36797722/ (added 17/02/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-12-19
• Study Completion: 2020-10-31
• Last Update Posted: 27 February 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 6000

Inclusion Criteria

1. All community members, invited to the different engagement activities
2. Health extension workers and women's development army members participating in capacity building activities
3. Stakeholders within the district health services who are invited to ownership and accountability creation activities

Exclusion Criteria

Participants outside the intervention areas.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> Care seeking and provision of appropriate treatment for probable pneumonia and diarrheal diseases in children below the age of five years, and neonatal sepsis. This is measured through baseline (before) and endline (after) surveys in interventions and comparison areas in four regions in Ethiopia by<br> household interviews and interviews and observations in health posts in these areas. The estimation of effectiveness will be performed by the difference-in-differences methodology, with adjustments for the cluster design and confounding factors.<br>

Secondary Outcome Measures

Name	Time	Method
Coverage of antenatal visits, institutional delivery, postnatal first week home visit, quality of care provided by health extension worker (observation, re-examination), use of prevention (bed-nets, immunization). This will be assessed through baseline and endline surveys in intervention and comparison areas in four regions in Ethiopia.