Clinical Trial: Replicating MamaToto in Rural Tanzania

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: Replicating MamaToto in Rural Tanzania

Brief Summary: This study aims to adapt and implement a district-led, policy-based, low cost Maternal and Newborn Health (MNH) intervention package using the MamaToto process, proven successful in Uganda, in rural Tanzania. The investigators hypothesize that the 'MamaToto Package' will be successfully implemented in the Misungwi District and will be effective in improving key maternal and newborn health indicators of study participants.

Detailed Summary:

This study will collect baseline data on indicators related to pre-natal care, delivery, post-natal care, treatment of childhood illnesses and family planning. Data collection tools/strategies include 1) a mapping exercise, 2) health facility audit 3) household surveys and 4) exit interviews. Data will be collected at baseline and endline. Operational data will be collected throughout the life of the study. Results will be used to inform implementation of interventions that aim to improve health facility capacity to deliver good quality care to women and children and to strengthen families and communities to better advocate for and engage in activities that promote healthier women and children.

Mapping data will be collected in two districts 1) Misungwi and 2) Kwimba. Baseline and endline data will be collected in Misungwi The intervention will begin in Misungwi in Yrs 1 and 2 and then roll out to Kwimba in YR 3.


Sponsor: University of Calgary

Current Primary Outcome: Proportion of live births attended by a skilled health provider [ Time Frame: Change between pre (baseline) and post (endline-up to 36 months) intervention ]

Percentage of women (15-49 year old) with at least one recent live birth (past two years) reporting their last delivery being attended to by a skilled health personnel (doctor, nurse, midwife, clinical officer or auxiliary midwife)


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Proportion of women receiving postnatal care <48H [ Time Frame: Change between pre (baseline) and post (endline-up to 36 months) intervention ]
    Percentage of women (15-49 years old) with a recent birth (<2 years) reporting postnatal care by any provider for within 2 days (0-48 hours) after her most recent delivery.
  • Proportion of women receiving antenatal care 4 or more times during pregnancy [ Time Frame: Change between pre (baseline) and post (endline-up to 36 months) intervention ]
    Percentage of women (15-49 years old) reporting four or more antenatal care visits at a health facility during their most pregnancy, where their last pregnancy was completed within two years of survey


Original Secondary Outcome: Same as current

Information By: University of Calgary

Dates:
Date Received: July 1, 2015
Date Started: April 2016
Date Completion: December 2020
Last Updated: July 6, 2016
Last Verified: July 2016