Increasing Pregnancy Health Services Uptake Through Integrated Peer Support Groups in Kenya: A Prospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 515
- 主要终点
- Facility delivery
研究概览
简要总结
Preventing maternal and newborn deaths remain high on the global agenda. To address this, the Academic Model Providing Access to Healthcare (AMPATH), in partnership with the Government of Kenya, launched Chama cha MamaToto, a community-led peer-support model that groups women together in pregnancy and infancy. Central to the chama approach is the integration of health, social and financial literacy education with a savings/loans program.
详细描述
To evaluate the feasibility of chamas, we analysed group attendance rates, GISE participation, membership retention, and continuation of the groups beyond the one year. To evaluate the effect of chamas, the investigators compared data from a prospective cohort of women in chamas with a group of controls who did not belong to a chama, matched for age, parity, and location of prenatal care. To evaluate the acceptability of chamas, FGDs were carried out with chama and non-chama participants, health providers and community health workers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 70 Years（Child, Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Pregnant women in communities where chamas were taking place
- •Any woman attending chama
排除标准
- 未提供
研究组 & 干预措施
Referent
Pregnant women attending at least one prenatal visit in communities where chama cha mamatoto was implemented three months later served as the comparison
Chama cha MamaToto
Pregnant women in communities where chama cha mamatoto is taking place will be invited to join and participate in bi-weekly group meetings for a year
干预措施: Chama cha Mamtoto (Behavioral)
结局指标
主要结局
Facility delivery
时间窗: 22 months
Proportion of women giving birth in a health facility based on questionnaire
次要结局
- CHV homevisit(22 months)
- 4 ANC visits(22 months)
- Exclusive breastfeeding(22 months)
研究者
Astrid Christoffersen-Deb
Visiting Lecturer
Moi University