The Impact of Non-monetary Incentives on Facility Delivery in Rural Zambia

Maternal Health Clinical Trial

Official title:

Measuring the Impact of Non-monetary Incentives on Facility Delivery in Rural Zambia: A Clustered Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02517008
• Other study ID #: 002
• Status: Completed
• Phase: N/A
• First received: July 27, 2015
• Last updated: August 4, 2015
• Start date: June 2013
• Est. completion date: September 2013

Study information

• Verified date: August 2015
• Source: IDinsight
• Contact: n/a
• Is FDA regulated: No
• Health authority: Zambia: Ministry of Health
• Study type: Interventional

Clinical Trial Summary

This study measured the impact and cost-effectiveness of a low-cost, non-monetary incentive ("mama kit") on rural facility delivery rates in Zambia.

Description:

This clustered randomized controlled trial assessed the impact of providing a package of childcare items (a cloth, baby diaper, and blanket) to women conditional upon delivering at a facility on facility delivery rates in rural Serenje and Chadiza Districts in Zambia. Facilities were randomized to either provide the intervention or not. Facility-level antenatal care (ANC) and delivery registers were used to measure the percentage of women attending antenatal care who delivered at a study facility during the intervention period. Results from the trial were then used to model the cost-effectiveness of mama kits at-scale in terms of cost per death averted.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2159
• Est. completion date: September 2013
• Est. primary completion date: September 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Had an antenatal care record at one of the study facilities

• Had an estimated date of delivery (as measured by estimated date of last menstrual period, estimated date of delivery, or estimated gestational age in weeks as recorded in the antenatal care register) between June 1, 2013 - Aug 31, 2013.

Exclusion Criteria:

• Did not have an antenatal care record at one of the study facilities

• Had an estimated date of delivery outside of the intervention window (June 1, 2013 - Aug 31, 2013)

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label

Related Conditions & MeSH terms

• Maternal Health

Intervention

Other:
• Mama kit
A low-cost non-monetary incentive (mama kit) was provided to all women who delivered at the facility between June 1, 2013 - Aug 31, 2013. Women were told about the intervention during ANC, and safe motherhood groups in the community promoted the intervention in the catchment areas of the treatment facilities.

Locations

Country	Name	City	State
n/a

Sponsors (5)

Lead Sponsor	Collaborator
IDinsight	Clinton Health Access Initiative Inc., Minister of Community Development, Mother and Child Health, Zambia, Ministry of Health, Zambia, UNICEF

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Facility delivery ratios	Administrative data were used to measure the outcome. Antenatal care and delivery records were linked across registers. Women who had attended ANC and were linked to a record in the registry was counted as having delivered at a facility.	At delivery, up to 10 months after the first antenatal care visit date	No