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Incentives for Postnatal Care Demand

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ClinicalTrials.gov Identifier: NCT02936869
Recruitment Status : Completed
First Posted : October 18, 2016
Results First Posted : July 24, 2019
Last Update Posted : July 24, 2019
Sponsor:
Information provided by (Responsible Party):
Adanna Chukwuma, Harvard School of Public Health

Brief Summary:
The purpose of this study is to identify the causal impact of performance-based monetary incentives in increasing postnatal care (PNC) referrals by traditional birth attendants (TBAs), via a randomized controlled trial (RCT).

Condition or disease Intervention/treatment Phase
Maternal Death Neonatal Death Behavioral: Performance-based monetary incentives Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 207 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Incentives for Postnatal Care Demand
Actual Study Start Date : August 2016
Actual Primary Completion Date : December 2016
Actual Study Completion Date : December 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Postpartum Care

Arm Intervention/treatment
No Intervention: Control arm
Traditional birth attendants will receive an offer of two-weekly payouts per reported delivery they take that is verified by client.
Experimental: Referral incentive arm

Traditional birth attendants will receive an offer of two-weekly payouts per reported delivery they take that is verified by client.

Traditional birth attendants randomized to this arm will also receive an offer of two-weekly payouts per successful referral of delivery clients to postnatal care within 48 hours of delivery in a facility if verified.

Behavioral: Performance-based monetary incentives



Primary Outcome Measures :
  1. Maternal Postnatal Care Referral [ Time Frame: Within 48 hours of delivery ]
    The proportion of delivery clients that are successfully referred by the traditional birth attendant for postnatal care within 48 hours of delivery. For each delivery client that the traditional birth attendant reported, we visited at least three days after delivery to ascertain if they had been asked to visit the postnatal clinic, clarify if they had visited the clinic within 48 hours of delivery, and what care they had received (if yes). The team visited traditional birth attendants every two weeks to identify new clients. Where a new client was not up to three days post-delivery, the interview was postponed until the next visit by the team to the community. This occurred repeatedly, over a five-month frame.


Secondary Outcome Measures :
  1. Neonatal Postnatal Care Referral [ Time Frame: Within 48 hours of delivery ]
    Proportion of neonates delivered by the traditional birth attendant that are successfully referred for postnatal care within 48 hours of delivery



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • community-based providers of antenatal and/or delivery care, and who are non-formally trained
  • must be resident within the community
  • must not plan to relocate over the intervention duration
  • identified in partnership with community leadership
  • be willing to participate fully in the study, including having their clients contacted for verification

Exclusion Criteria:

  • plan to relocate over the intervention duration
  • refusal to provide informed consent for the entire study protocol including agreeing to have their delivery clients contacted for verification

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02936869


Sponsors and Collaborators
Harvard School of Public Health
Investigators
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Principal Investigator: Adanna Chukwuma, MBBS, MSc. Harvard School of Public Health
Principal Investigator: Margaret McConnell, PhD Harvard School of Public Health
Principal Investigator: Jessica Cohen, PhD Harvard School of Public Health
Principal Investigator: Chinyere Mbachu, MBBS, MPH Health Policy Research Group
  Study Documents (Full-Text)

Documents provided by Adanna Chukwuma, Harvard School of Public Health:
Study Protocol  [PDF] July 7, 2016
Statistical Analysis Plan  [PDF] July 7, 2016

Publications:
Oyebola, B. C., Muhammad, F., Otunomeruke, A., & Galadima, A. (2014). Effect of Performance-Based Incentives for Traditional Birth Attendants on Access to Maternal and Newborn Health-care Facilities in Gombe State, Nigeria: A Pilot Study. Meeting Abstract. Lancet.
WHO. (2004). Making Pregnancy Safer: The Critical Role of the Skilled Attendant - A Joint Statement by WHO, ICM, and FIGO. Geneva: World Health Organization.

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Adanna Chukwuma, Doctoral Candidate, Harvard School of Public Health
ClinicalTrials.gov Identifier: NCT02936869    
Other Study ID Numbers: HU-052
First Posted: October 18, 2016    Key Record Dates
Results First Posted: July 24, 2019
Last Update Posted: July 24, 2019
Last Verified: July 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: De-identified data for this study including all the variables used for the analysis are available for download on the Harvard Dataverse.
Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)
Analytic Code
Time Frame: The data on the Harvard Dataverse are available indefinitely as long as the website continues to host datasets.
Access Criteria: The data can be freely downloaded without permission.
Additional relevant MeSH terms:
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Perinatal Death
Maternal Death
Death
Pathologic Processes
Pregnancy Complications
Parental Death