Chama Cha MamaToto: a Pilot Study of Peer Support Groups in Kenya

Pregnancy Related Clinical Trial

Official title:

Increasing Pregnancy Health Services Uptake Through Integrated Peer Support Groups in Kenya: A Prospective Cohort Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03188250
• Other study ID #: UMoi3
• Status: Completed
• Phase: N/A
• First received: May 31, 2017
• Last updated: June 14, 2017
• Start date: September 2012
• Est. completion date: June 2016

Study information

• Verified date: June 2017
• Source: Moi University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Preventing maternal and newborn deaths remain high on the global agenda. To address this, the Academic Model Providing Access to Healthcare (AMPATH), in partnership with the Government of Kenya, launched Chama cha MamaToto, a community-led peer-support model that groups women together in pregnancy and infancy. Central to the chama approach is the integration of health, social and financial literacy education with a savings/loans program.

Description:

To evaluate the feasibility of chamas, we analysed group attendance rates, GISE participation, membership retention, and continuation of the groups beyond the one year. To evaluate the effect of chamas, the investigators compared data from a prospective cohort of women in chamas with a group of controls who did not belong to a chama, matched for age, parity, and location of prenatal care. To evaluate the acceptability of chamas, FGDs were carried out with chama and non-chama participants, health providers and community health workers.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 515
• Est. completion date: June 2016
• Est. primary completion date: June 2014
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 15 Years to 70 Years

Eligibility

Inclusion Criteria:

• Pregnant women in communities where chamas were taking place

• Any woman attending chama

Exclusion Criteria:

Related Conditions & MeSH terms

• Group, Peer
• Pregnancy Related

Intervention

Behavioral:
• Chama cha Mamtoto
Chama cha Mamatoto is a community-based model of peer support group in pregnancy and infancy that combines health education, relationship building and a savings and loans program, led by community health workers

Locations

Country	Name	City	State
n/a

Sponsors (3)

Lead Sponsor	Collaborator
Moi University	Grand Challenges Canada, University of Toronto

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Facility delivery	Proportion of women giving birth in a health facility based on questionnaire	22 months
Secondary	4 ANC visits	attendance at 4 or more ANC visits in pregnancy based on questionnaire	22 months
Secondary	CHV homevisit	CHW homevisit within 48 hours of birth based on questionnaire	22 months
Secondary	Exclusive breastfeeding	Initiation of solids to the infant after 6 months based on questionnaire	22 months