Incentives for Postnatal Care Demand
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 207
- 主要终点
- Maternal Postnatal Care Referral
研究概览
简要总结
The purpose of this study is to identify the causal impact of performance-based monetary incentives in increasing postnatal care (PNC) referrals by traditional birth attendants (TBAs), via a randomized controlled trial (RCT).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •community-based providers of antenatal and/or delivery care, and who are non-formally trained
- •must be resident within the community
- •must not plan to relocate over the intervention duration
- •identified in partnership with community leadership
- •be willing to participate fully in the study, including having their clients contacted for verification
排除标准
- •plan to relocate over the intervention duration
- •refusal to provide informed consent for the entire study protocol including agreeing to have their delivery clients contacted for verification
研究组 & 干预措施
Control arm
Traditional birth attendants will receive an offer of two-weekly payouts per reported delivery they take that is verified by client.
Referral incentive arm
Traditional birth attendants will receive an offer of two-weekly payouts per reported delivery they take that is verified by client.
Traditional birth attendants randomized to this arm will also receive an offer of two-weekly payouts per successful referral of delivery clients to postnatal care within 48 hours of delivery in a facility if verified.
干预措施: Performance-based monetary incentives (Behavioral)
结局指标
主要结局
Maternal Postnatal Care Referral
时间窗: Within 48 hours of delivery
The proportion of delivery clients that are successfully referred by the traditional birth attendant for postnatal care within 48 hours of delivery. For each delivery client that the traditional birth attendant reported, we visited at least three days after delivery to ascertain if they had been asked to visit the postnatal clinic, clarify if they had visited the clinic within 48 hours of delivery, and what care they had received (if yes). The team visited traditional birth attendants every two weeks to identify new clients. Where a new client was not up to three days post-delivery, the interview was postponed until the next visit by the team to the community. This occurred repeatedly, over a five-month frame.
次要结局
- Neonatal Postnatal Care Referral(Within 48 hours of delivery)
研究者
Adanna Chukwuma
Doctoral Candidate
Harvard School of Public Health (HSPH)
