Clinical Trial: Project to Use Community Health Workers to Reduce Maternal Deaths

Study Status: Not yet recruiting
Recruit Status: Not yet recruiting
Study Type: Interventional

Official Title: Enhancing All Community Health Workers on Maternal and Newborn Health: Rorya Tanzania

Brief Summary: The purpose of this trial is to establish if several interventions will help women in rural Tanzania access health care services during pregnancy and at the time of delivery. The interventions include education about the importance of attending antenatal care visits with nurses and facility deliveries, a voucher for transport to access the health facility at the time of delivery, and supplies to be used either at the health facility, or on route if the women does not make it to the health facility.

Detailed Summary: In order to reduce the number of women dying in childbirth and to improve women's health in pregnancy, this trial is designed to assess if several interventions combined can increase the number of women delivering in health care facilities. The design of the study is "Multiple Baseline Design". Community health workers are trained to collect baseline data on women using mobile phones in one rural district in Tanzania. The district has four distinct divisions. After 6 months of baseline data in the district, one division will experience the interventions. The interventions are education about the importance of attending antenatal care visits with nurses and facility deliveries, a voucher for transport to access the health facility at the time of delivery, and birthing supplies to be used either at the health facility, or on route if the women does not make it to the health facility. The intervention will be begun in each of the other divisions in 3 month intervals (i.e. the second division starts to experience the interventions 3 months after the first, the third, 3 months after the second and the fourth 3 months after the third). The trial will continue for a total of 27 months including the baseline period.
Sponsor: Bruyere Research Institute

Current Primary Outcome: Facility births [ Time Frame: During baseline vs during intervention periods until end of study (2 years) ]

Number of women attending health facilities for delivery


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Antenatal Care visits [ Time Frame: During baseline vs during intervention until end of study (2 years) ]
    Number of times women attend health facility for antenatal visits
  • Postpartum visits [ Time Frame: During baseline vs during intervention until end of study (2 years) ]
    Number of women attending health facility for postpartum visits
  • Use of transport intervention [ Time Frame: During Intervention until end of study (2 years) ]
    Number of women using the free transport intervention
  • Use of birth kit [ Time Frame: During Intervention until end of study (2 years) ]
    Number of women using the birth kit


Original Secondary Outcome: Same as current

Information By: Bruyere Research Institute

Dates:
Date Received: December 11, 2016
Date Started: January 2017
Date Completion: February 2019
Last Updated: January 18, 2017
Last Verified: January 2017