Breastfeeding Clinical Trial
— MQROfficial title:
Testing the Effectiveness of Quality-Based WhatsApp Messaging on Vaccine Hesitancy and Childhood Immunization in a National Maternal Messaging Program
NCT number | NCT05505760 |
Other study ID # | 008 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | May 30, 2023 |
Est. completion date | February 29, 2024 |
The case for mobile health (mHealth) has been gaining traction as a source to improve health outcomes of individuals. mHealth refers to the use of Information and Communication Technologies (ICT) to support health care. The ubiquity and penetration of mobile phones presents the opportunity to deliver health care services directly to citizens, with the greatest potential gains in under-resourced health ecosystems. Operating for 8 years and currently supporting 1.28 million mothers through their pregnancies and early childhood care, MomConnect represents one of the largest maternal health messaging platforms in the world. Implemented at the national level, MomConnect has been credited with being the first national-scale mHealth program of its kind and has won numerous international awards. As a WhatsApp-delivered service, MomConnect has been limited by WhatsApp's historical terms of service. In its current form, MomConnect can only start a conversation with mothers once a week by alerting them of their upcoming antenatal care (ANC) appointment. Recent changes to WhatsApp's terms of service have removed the restriction around push messages for certain programs, including MomConnect. Messages have historically been restricted to weekly conversation starters and carry only generic administrative reminder-style information. As a result, it is possible that many mothers are failing to engage with the content as much as they could. If mothers were more engaged, it could greatly increase exposure and knowledge of reducing the total number of mothers exposed to critical maternal and infant health content. With the updated terms of service, there is an opportunity to test different ways of engaging mothers. This study proposes to evaluate, through a randomized controlled trial (RCT), the relative effect of three new behaviorally-informed program models on key knowledge of and adoption of healthy behaviors.
Status | Recruiting |
Enrollment | 8867 |
Est. completion date | February 29, 2024 |
Est. primary completion date | February 29, 2024 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Pregnant women above the age of 18 signing up for MomConnect when being between 16-30 weeks pregnant Exclusion Criteria: - All others |
Country | Name | City | State |
---|---|---|---|
South Africa | Reach Digital Health (formerly Praekelt.org) | Cape Town |
Lead Sponsor | Collaborator |
---|---|
IDinsight | Reach Digital Health (formerly Praekelt.org) |
South Africa,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | ANC visits | Binary indicator measuring whether women attended at least 8 ANC visits during pregnancy as recommended by the WHO | Based on phone survey conducted 7 weeks after expected delivery | |
Primary | Immunisation coverage | Binary indicator measuring whether the newborn child received all 6 vaccinations recommended at birth and 6 weeks after birth | Based on phone survey conducted 7 weeks after expected delivery | |
Secondary | Knowledge/Attitude Index | Includes knowledge of/attitudes towards diet, breastfeeding, and anemia | Based on phone survey conducted 7 weeks after expected delivery | |
Secondary | Behaviour Index | Includes behaviour related to ante-natal care visits, diet, pregnancy preparedness, breastfeeding, anemia, and child vaccinations | Based on phone survey conducted 7 weeks after expected delivery | |
Secondary | User Experience | Includes WhatsApp back-end data and survey data on how users interacted with MomConnect platform | Backend data is collected throughout users' usage of the platform; survey data based on phone survey conducted 7 weeks after expected delivery |
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