Maternal Health Clinical Trial
— Support-MomsOfficial title:
Integration of a Patient-centered Mobile Health Intervention (Support-moms) Into Routine Antenatal Care to Improve Maternal Health in Uganda.
High maternal mortality is a major public health problem in many settings. Because of low antenatal care (ANC) and skilled birth usage, Ugandan women and their children suffer from high maternal and perinatal mortality. The investigators developed a promising intervention (Support-Moms app) that shares targeted health information, and engages social support networks through scheduled reminders to help support pregnant women to utilize maternity services in rural Uganda. The investigators now propose to test and implement the Support-Moms intervention and hypothesize that Support-Moms will be feasible and cost-effective in improving utilization of available maternity care services, and ultimately reduce maternal and perinatal mortality.
Status | Recruiting |
Enrollment | 1680 |
Est. completion date | July 2028 |
Est. primary completion date | February 2028 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 10 Years to 65 Years |
Eligibility | Inclusion Criteria: Individuals who: - are in the first trimester of pregnancy who have not yet presented for ANC - reside in the catchment area of a study HC - are emancipated minors and adults aged = 18 years - report access to a cell phone with reception in their home - are able to identify at least two social supporters living within the study districts - are able to provide consent. - are from participants' existing social support network, with whom they have had stable, long-term relationships Exclusion Criteria: Participants will be excluded from the study if they: - do not own a cell phone for personal use with reported reliable reception - are unable to use SMS or unwilling to receive SMS notifications Potential social supporters will be excluded from the study if they: - are under 18 years of age - do not own a cell phone for personal use with reported reliable reception - are unable to use SMS or unwilling to receive SMS notifications - have not had stable, long-term relationships with the participants - are not aware that the study participant is pregnant |
Country | Name | City | State |
---|---|---|---|
Uganda | Mbarara city | Mbarara | |
Uganda | Mbarara district | Mbarara |
Lead Sponsor | Collaborator |
---|---|
Mbarara University of Science and Technology | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Harvard Medical School (HMS and HSDM), Massachusetts General Hospital, University of Alabama at Birmingham |
Uganda,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Healthcare provider (HCP)-led skilled births | Proportion of individuals delivering with the help of a healthcare provider (HCP) | 15 months | |
Secondary | Maternal, implementation, service and client outcomes | Proportion of individuals who report the following outcomes: a) number of ANC visits, b) institution-based delivery, c) social support d) mode of infant delivery, e) all deaths (maternal, fetal, newborn), f) preterm birth, g) birth weight, h) breastfeeding, i) completion of post-natal care, j) complications of pregnancy and childbirth (e.g obstructed labor, ruptured uterus, need for neonatal or maternal resuscitation/ assisted ventilation, severe preeclampsia/ eclampsia, postpartum hemorrhage (PPH), maternal/newborn sepsis, and other infections); and implementation, service and client outcomes | 15 months |
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