Evaluation of the Maternal and Child Survival Program (MCSP) in Mozambique Using Mixed Methods
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Jhpiego
- 入组人数
- 2,767
- 试验地点
- 21
- 主要终点
- Institutional delivery rate
研究概览
简要总结
This study evaluates changes in knowledge, attitudes, practices and coverage of key reproductive, maternal, newborn, and child health (RMNCH) areas, including malaria, family planning (FP), nutrition, water, sanitation and hygiene (WASH), and gender equity among the population in Nampula and Sofala provinces targeted by the Maternal and Child Survival Program (MCSP) in Mozambique.
详细描述
The specific objectives of the study are to:
- Assess changes in knowledge, attitudes, practices and coverage (KAPC) of high-impact interventions related to MNCH (antenatal care, delivery, post-partum/natal care, and sick child care), immunization, family planning and reproductive health, nutrition, WASH and malaria among mothers and fathers of children age 0-23 months in MCSP supported areas;
- Evaluate the effectiveness of male engagement interventions that encourage couples communication at increasing antenatal care (ANC) attendance, joint birth preparedness and complication readiness (BPCR) plans, institutional birth, and use of modern FP;
- Determine the feasibility and acceptability of male engagement interventions on RMNCH services for clients and providers;
- Explore how decisions between couples are made and what may influence their decisions about seeking RMNCH services; and
- Explore the experiences of women who were referred to a health facility for themselves or their child for obstetric, newborn or child health complications, and examine the factors contributing to whether and how those referrals were completed in Nampula Province.
This study is a final program evaluation that will use a mixed methods approach, including both quantitative and qualitative data collection.
Quantitative data will be collected through a cross-sectional KAPC household survey of mothers and fathers of children age 0-23 months, replicating the same KAPC questionnaire that was conducted at baseline in 2016 in the same geographic areas. Questions were harmonized with the DHS and MICS where appropriate. Findings from the endline KAPC survey will be compared to findings from the baseline survey to assess changes over time in the primary outcomes of interest.
Qualitative data will be collected through focus group discussions (FGDs) and in-depth interviews (IDIs) with clients (mothers and fathers of children age 0-23 months) and health providers in MCSP-supported areas. The qualitative component will be conducted to help us gain a more in-depth understanding of the influence of male engagement interventions on couples' decision-making and care-seeking related to RMNCH as well as the barriers and facilitators that affected the experience of identified women who were referred to health facilities for obstetric or newborn complications. We will explore both client and provider experiences with gender-equitable male engagement practices, as well as individual client referral narratives related to obstetric or newborn complications.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 49 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •(KAPC survey):
- •Women 15 years and older who have had a live birth in the 2 years preceding the survey and the child is living at the time of the interview
- •Male partners (age 18 and older) of women 15 years and older who have had a live birth in the 2 years preceding the survey and the child is living at the time of the interview
排除标准
- •(KAPC survey): Women 15-17 years without parent permission to participate in study
- •Inclusion Criteria (Referral narrative interviews): Women who: a) delivered in the last 12 months who experienced obstetric complications; b) whose newborn experienced complications in the last year; c) whose child 0-59 months experienced an illness in the last year
- •Inclusion Criteria (Provider interviews):
- •Facility managers working in selected primary health care centers
- •Health care workers who provide RMNCH services in MCSP-supported facility in one of these six areas: ANC, maternity, postnatal care, FP, sick child, or well-child
- •Exclusion Criteria (Provider interviews): Has been working in the facility for < 6 months
- •Inclusion Criteria (Male engagement FGDs):
- •Women 18-49 years of age who delivered in the last 12 months
- •Male partner (age 18 and older) of a woman 18-49 years of age who delivered in the last 12 months
- •Participated in a community dialogue
研究组 & 干预措施
MCSP package of interventions
MCSP package of interventions for health promotion and provision of RMNCH services
干预措施: Health promotion and provision of RMNCH services (Behavioral)
结局指标
主要结局
Institutional delivery rate
时间窗: 2 years
Percentage of last-born children age 0-23 months who were born in a health facility
Percentage of children under 2 years of age who received Penta 1 vaccination but did not receive Penta 3 (Drop out rate)
时间窗: 2 years
Percentage of children age 12-23 months who received a Penta 1 vaccination but did not receive a Penta 3 vaccination according to or card verified at the time of the survey
Percentage of mothers who made birth preparations before giving birth
时间窗: 2 years
Percentage of mothers of children age 0-23 months who made birth preparations before the birth of their youngest child
Percentage of pregnant women who had four or more ANC visits
时间窗: 2 years
Percentage of mothers of children age 0-23 months who had four or more antenatal care visits while pregnant with their youngest child
次要结局
- Percent of infants under 6 months of age who are exclusively breastfed(2 years)
- Percentage of women who have discussed FP use with her partner(2 years)