Chamas for Change: Validating an Integrated Community-based Strategy of Peer Support in Pregnancy and Infancy in Kenya
试验速览
- 阶段
- 不适用
- 入组人数
- 3,040
- 试验地点
- 1
- 主要终点
- Skilled Delivery
研究概览
简要总结
This team has shown that chamas can be tailored to increase the uptake of health services in pregnancy and infancy, sustain themselves beyond the period of funding and become integrated within a county's health strategy. However, further investment is warranted to validate this intervention in a new region to ensure the positive effects on MNCH are a result of chamas and can be replicated. The purpose of this study is to demonstrate that chamas are an effective service-delivery platform for improving women's and children's health and well-being in western Kenya.
详细描述
The objectives are:
To test the effectiveness of chamas as an intervention on improving:
- Health services uptake (Facility delivery, attendance of 4 or more ANC visits, Visit by a CHV within 48 hours of birth, immunization uptake at 6 months-of-age, long-term FP uptake)
- Health behaviors and care practices (exclusive breastfeeding to 6 months)
- Women's Empowerment, peer support, parental stress, and harsh punishmennt within the home
- Maternal and infant morbidity (low birth weight, diarrhea in the last month, preterm deliveries)
- Maternal, perinatal, neonatal and infant mortality
To perform a qualitative evaluation to better understand women's and CHV's experience with chamas and understand how chamas affect peer support
To perform a process evaluation
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- — 至 50 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Pregnant women < 28 weeks, and their newborn infants following birth
排除标准
- 未提供
研究组 & 干预措施
Control
The CHVs in the control group will be given refresher training on health roles they are supposed to play according to the standard MOH activities
Chama cha MamaToto
Women attending chamas will meet twice per month, receive social and health education from CHVs and participate in a savings/loans program.
干预措施: Chama cha MamaToto (Behavioral)
结局指标
主要结局
Skilled Delivery
时间窗: 1 year
Proportion of women delivering in a health facility based on questionnaire
次要结局
- Health Insurance(1 year)
- Antenatal Care(1 year)
- Exclusive Breastfeeding(17 months)
- Contraception(17 months)
研究者
Astrid Christoffersen-Deb
Visiting Lecturer
Moi University