Intervention on Maternal Health Care in Rural China (CHIMACA)

This study has been completed.
Sponsor:
Collaborators:
Liverpool School of Tropical Medicine
Karolinska Institutet
University Ghent
Fudan University
Center for Health Statistics and Information
Anhui Medical University
Chongqing Medical University
Xi’an Jiaotong University College of Medicine
Peking University
Information provided by:
National Institute for Health and Welfare, Finland
ClinicalTrials.gov Identifier:
NCT01006317
First received: October 30, 2009
Last updated: January 20, 2010
Last verified: January 2010
  Purpose

This project aims to strengthen and improve the performance of health care system in rural China in order to improve maternal and child health. It also provides policy-makers and health service managers with evidence for the development of informed policy on maternal and child health (MCH). The research focuses on women of reproductive age in rural areas of China as well as on their antenatal and obstetric care service providers, both clinicians and policy makers. For the Member States and China, as well as other countries it will provide a comprehensive analysis and synthesis of current state of affairs, provider and user perspectives, of antenatal and obstetric care in rural China at national and local level. This study seeks to assess whether improving financial accessibility to and quality of maternal health care increase use of and impact of maternity services. This project is implemented in 3 provinces: Anhui, Shaan'xi and Chongqing. This project will provide a practical example and information on impact of abolishing user fees on MCH service utilisation and develop and disseminate evidence-based policy recommendations on how to improve access to and quality of antenatal and obstetrical care for local and central government and international organisations, and thus serve as a step toward reaching such important goals.

CHIMACA includes 3 types of interventions, two behavioural interventions and financial intervention. Behavioural interventions are training for clinical skills and training health education.


Condition Intervention
Maternal Health
Behavioral: clinical skills training
Behavioral: health education
Other: financial

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Structural Hinders to and Promoters of Good Maternal Care in Rural China

Further study details as provided by National Institute for Health and Welfare, Finland:

Primary Outcome Measures:
  • Access to maternal health care [ Time Frame: September 2006-June 2009 ] [ Designated as safety issue: No ]

Enrollment: 108
Study Start Date: March 2008
Study Completion Date: June 2009
Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Control
Financial coverage of MCH care within the local reimbursement system (CMS).
Experimental: Clinical skills training
In addition to financial coverage (CMS) extensive in-service training of clinical skills (CS) to all doctors and MCH workers at the village and township level.
Behavioral: clinical skills training
In addition to financial coverage (CMS) extensive in-service training of clinical skills (CS) to all doctors and MCH workers at the village and township level.
Other Name: training intervention
Experimental: health education
In addition to financial coverage extensive in-service training of health education (HE) to all doctors and MCH workers at the village and township level(Anhui, Chongqing and Shaan'xi provinces); In addition to financial coverage extensive in-service training of health education (HE) for Family planning (FP) staff at village level (Anhui).
Behavioral: health education
In addition to financial coverage extensive in-service training of health education (HE) to all doctors and MCH workers at the village and township level(Anhui, Chongqing and Shaan'xi provinces); In addition to financial coverage extensive in-service training of health education (HE) for Family planning (FP) staff at village level (Anhui).
Other Name: training intervention
Experimental: Financial
In addition to financial coverage of MCH care within the local reimbursement system (CMS) the coverage of ante- and postnatal care.
Other: financial
In addition to financial coverage of MCH care within the local reimbursement system (CMS) the coverage of ante- and postnatal care.
Other Name: funding

  Show Detailed Description

  Eligibility

Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • townships with certain population size and distance to health care facilities

Exclusion Criteria:

  • townships having another intervention in health care facilities
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01006317

Locations
China, Chongqing
Chongqing Medical University, No.1
Yurzhong, Chongqing, China, 400016
China, Meishan Road 81
Anhui Medical University
Hefei, Meishan Road 81, China, 230032
China, Shaanxi
Xian Jiaotong University, No.28
Xi'an, Shaanxi, China, 710049
Sponsors and Collaborators
National Institute for Health and Welfare, Finland
Liverpool School of Tropical Medicine
Karolinska Institutet
University Ghent
Fudan University
Center for Health Statistics and Information
Anhui Medical University
Chongqing Medical University
Xi’an Jiaotong University College of Medicine
Peking University
Investigators
Principal Investigator: Elina Hemminki, MD, DrPH National Institute for Health and Welfare, Finland
  More Information

No publications provided

Responsible Party: Elina Hemminki, National Institute for Health and Welfare, Finland
ClinicalTrials.gov Identifier: NCT01006317     History of Changes
Other Study ID Numbers: 015396
Study First Received: October 30, 2009
Last Updated: January 20, 2010
Health Authority: Finland: Ethics Committee
United Kingdom: Research Ethics Committee
Belgium: Institutional Review Board
Sweden: Institutional Review Board
China: Ethics Committee

Keywords provided by National Institute for Health and Welfare, Finland:
Maternal health services
utilization
education
randomized controlled trial
cost
clinical skills
rural China

ClinicalTrials.gov processed this record on September 16, 2014