Replicating MamaToto in Rural Tanzania

Maternal Death Clinical Trial

Official title:

Replicating MamaToto in Rural Tanzania

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02506413
• Other study ID #: IRT #39
• Status: Completed
• Phase: N/A
• Start date: April 2016
• Est. completion date: March 2020

Study information

• Verified date: July 2020
• Source: University of Calgary
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aimed 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 hypothesized 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.

Description:

This study collected baseline data on indicators related to pre-natal care, delivery, post-natal care, treatment of childhood illnesses and family planning. Data collection tools/strategies included 1) a mapping exercise, 2) health facility audit 3) household surveys and 4) exit interviews. Data was collected at baseline and endline. Operational data was collected throughout the life of the study. Results were 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 was collected in two districts 1) Misungwi and 2) Kwimba. Baseline and endline data was collected in Misungwi only. The intervention began in Misungwi in Years 1 and 2 and then rolled out to Kwimba in Year 3.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 8323
• Est. completion date: March 2020
• Est. primary completion date: September 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 15 Years and older

Eligibility

Inclusion Criteria:

• Randomly selected households (30) living in selected hamlets with a competent participant of greater than 15 years of age

• All women of reproductive age (age 15-49 years old) living in selected households in selected hamlets

Exclusion Criteria:

• Households with participants that are away for an extended time or have no one home at the time of survey completion

Related Conditions & MeSH terms

• Death
• Maternal Death
• Newborn Death

Intervention

Other:
• MamaToto Package
The MamaToto Package (later called "Mama na Mtoto" for the Tanzanian context) was an MNCH intervention built upon prior successes in Uganda and adapted to meet the needs in Misungwi District in Tanzania. The intervention included low-cost programming that built upon the existing district health system structure and resources in order to strengthen the MNH capacity and training of the district, health facilities, and community health workers.

Locations

Country	Name	City	State
Tanzania	Catholic University of Health and Allied Sciences	Mwanza

Sponsors (2)

Lead Sponsor	Collaborator
University of Calgary	Catholic University of Health and Allied Sciences

Country where clinical trial is conducted

Tanzania, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of live births attended by a skilled health provider	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)	Change between pre (baseline) and post (endline-up to 36 months) intervention
Secondary	Proportion of women receiving postnatal care <48H	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.	Change between pre (baseline) and post (endline-up to 36 months) intervention
Secondary	Proportion of women receiving antenatal care 4 or more times during pregnancy	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	Change between pre (baseline) and post (endline-up to 36 months) intervention

External Links

•   Mama na Mtoto website