Intervention on Maternal Health Care in Rural China (CHIMACA)
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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 |
- 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 |
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| 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 | |
| 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 May 19, 2013