MNCH Programming in Southwest Uganda Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA (HCUM)

This study is currently recruiting participants. (see Contacts and Locations)
Verified July 2014 by University of Calgary
Sponsor:
Collaborator:
Canadian International Development Agency
Information provided by (Responsible Party):
Jennifer L. Brenner, University of Calgary
ClinicalTrials.gov Identifier:
NCT01571765
First received: March 30, 2012
Last updated: July 14, 2014
Last verified: July 2014

March 30, 2012
July 14, 2014
April 2012
September 2014   (final data collection date for primary outcome measure)
Reduced morbidity for children under five years old [ Time Frame: 2 years ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01571765 on ClinicalTrials.gov Archive Site
improved maternal access to health services [ Time Frame: 24 months ] [ Designated as safety issue: No ]
proportion of pregnant women who have attended antenatal care four or more times; proportion of women whose most recent delivery was attended by a skilled birth attendant; met need for contraception (CIDA indicator)
Same as current
Not Provided
Not Provided
 
MNCH Programming in Southwest Uganda Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA
Scaling Up Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA

The investigators will assess whether in Bushenyi District in southwestern Uganda, a two year intervention providing comprehensive MNCH programming will:

  • Reduce morbidity and mortality for children under five years old and;
  • Improve access to maternal health services Compared to a control community without MNCH intervention?

Hypothesis:

Comprehensive maternal, newborn and child health programming in Bushenyi Distrcit can have a positive impact on morbidity and mortality for children under five years and will improve access for women to maternal health services which may lead, in the longer term, to decreased maternal mortality.

A detailed impact assessment will be carried out for the duration of the MNCH training and support initiative in Bushenyi District, using mixed methods. The study will assess 8 of the 11 key core MNCH indicators as identified by CIDA as a priority. Other information to be collected such as demographics and patterns of health care use, and prevalence of disease will help health planners in the districts, and will be helpful in sub analysis and interpretation of findings. The main study will use household surveys in both districts at baseline, midline and endline. Other tools will include pre and post qualitative surveys (FGDs, KII) and analysis of operational data.

The main study group will be representative communities and health centres within Bushenyi District who will receive intervention between 2012 and 2014; Rubirizi District will serve as a control area for this study but will received selected MNCH services starting in 2013 after midline data are collected.

Interventional
Not Provided
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
  • Child Mortality
  • Maternal Mortality (All Cause)
Other: MNCH programming in health district
training at health district level in management, data collection. Training at health centres in obstetrics and pediatrics and training in community of CHWs and bednet distribution
  • Experimental: MNCH programming
    protocols and training for data collection, referrals, and management for health district. Training in obstetrics, newborn care and management of sick children for health workers, Increased community health promotion such as training of CHWs, health centre management teams and bednet distribution
    Intervention: Other: MNCH programming in health district
  • No Intervention: no added MNCH activities
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
3000
December 2015
September 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • all households living in selected communities; all women 15-49 living in selected communities Exclusion Criteria: none
Both
15 Years and older
Yes
Contact: jennifer Brenner, MD, FRCPC 4039552462 jennbrenner@me.com
Contact: jerome kabakyenga, MBBS, PhD jkabakyenga@gmail.com
Uganda
 
NCT01571765
CIDA S-065346
Yes
Jennifer L. Brenner, University of Calgary
University of Calgary
Canadian International Development Agency
Principal Investigator: jennifer Brenner, MD University of Calgary
Principal Investigator: jerome kabakyenga, MBBS, PHD Mbarara University of Science and Technology
University of Calgary
July 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP