Increasing Access to Multiple Micronutrient Supplementation - A Pilot Intervention at up to 15 Clinics in Botswana
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pregnancy Related
- Sponsor
- University of Pennsylvania
- Enrollment
- 1200
- Locations
- 13
- Primary Endpoint
- Proportion with first supplement filled by MMS
- Status
- Enrolling By Invitation
- Last Updated
- 9 months ago
Overview
Brief Summary
The purpose of this study is to pilot a clinic-level supplementation intervention at up to 15 antenatal clinics throughout Botswana. The overall objective of this study is to improve access to and uptake of MMS among pregnant women in Botswana. The investigators will evaluate both implementation outcomes (adoption, penetration, fidelity, and feasibility) and clinical outcomes (adverse birth outcomes, weight gain in pregnancy, and anemia) through linkage with the Tsepamo birth outcomes surveillance study.
Investigators
Ellen Caniglia
Assistant Professor of Epidemiology in Biostatistics and Epidemiology
University of Pennsylvania
Eligibility Criteria
Inclusion Criteria
- •Pregnant women attending interventional antenatal clinics during the 6-month study
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Proportion with first supplement filled by MMS
Time Frame: 6-month intervention period
Among pregnant women presenting for their first antenatal visit during the 6-month intervention period at one of the intervention clinics who then deliver at one of the Tsepamo sites, the proportion for whom the first supplement filled during pregnancy is MMS. As comparators, we will use the 6-month pre-intervention period at the intervention clinics and the 6-month intervention period at non-intervention clinics (all non-intervention clinics as well as specific preselected control clinics).
Secondary Outcomes
- Implementation: Proportion for which first and second supplement filled by MMS(6-month intervention period)
- Implementation: Proportion for which MMS is filled(6-month intervention period)
- Clinical: Number of Pregnant Women with an Adverse Birth Outcome(6-months)
- Clinical: Weight Gain in Pregnancy(6-months)
- Clinical: Number of mothers diagnosed with Maternal Anemia(6-months)
- Implementation: Feasibility(8 months)