Incentives for Postnatal Care Demand

Neonatal Death Clinical Trial

Official title:

Incentives for Postnatal Care Demand

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02936869
• Other study ID #: HU-052
• Status: Completed
• Phase: N/A
• Start date: August 2016
• Est. completion date: December 2016

Study information

• Verified date: July 2019
• Source: Harvard School of Public Health
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 207
• Est. completion date: December 2016
• Est. primary completion date: December 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Death
• Maternal Death
• Neonatal Death
• Perinatal Death

Intervention

Behavioral:
• Performance-based monetary incentives

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Harvard School of Public Health

References & Publications (4)

Itina SM. Characteristics of traditional birth attendants and their beliefs and practices in the Offot Clan, Nigeria. Bull World Health Organ. 1997;75(6):563-7. — View Citation

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.

Sibley LM, Sipe TA, Barry D. Traditional birth attendant training for improving health behaviours and pregnancy outcomes. Cochrane Database Syst Rev. 2012 Aug 15;(8):CD005460. doi: 10.1002/14651858.CD005460.pub3. Review. — View Citation

WHO. (2004). Making Pregnancy Safer: The Critical Role of the Skilled Attendant - A Joint Statement by WHO, ICM, and FIGO. Geneva: World Health Organization.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Maternal Postnatal Care Referral	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.	Within 48 hours of delivery
Secondary	Neonatal Postnatal Care Referral	Proportion of neonates delivered by the traditional birth attendant that are successfully referred for postnatal care within 48 hours of delivery	Within 48 hours of delivery