Community Based Strategies to Reduce Maternal Mortality in Northern Nigeria

Maternal Mortality Clinical Trial

Official title:

Strengthening the Midwife Service Scheme With Community Focused Interventions: Evidence From a Randomized Controlled Field Trial in Nigeria

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01487707
• Other study ID #: 019368-001
• Status: Completed
• Phase: N/A
• Start date: December 2011
• Est. completion date: October 2016

Study information

• Verified date: January 2019
• Source: Abdul Latif Jameel Poverty Action Lab
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The objective of this cluster randomized controlled trial is to assess the impact of several community-based interventions that address the key factors underlying the high maternal mortality, as well as neonatal mortality and morbidity in northern Nigeria. The interventions, include:

1. a Voluntary Health Worker Program (VHW)

2. the VHW program with provision of a safe birth kit

3. the VHW program with community folk media activities.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 7200
• Est. completion date: October 2016
• Est. primary completion date: October 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 15 Years to 49 Years

Eligibility

Inclusion Criteria:

• Women of reproductive age who live in the study clusters who provide consent.

Exclusion Criteria:

• Eligible women who do not consent.

Related Conditions & MeSH terms

• Maternal Death
• Maternal Mortality

Intervention

Behavioral:
• Voluntary Health Worker (VHW) Program
Voluntary Health Workers will conduct door-to-door campaigns on maternal and child health, and will visit pregnant women regularly to to educate and to encourage use of antenatal care and facility-based deliveries.
• Safe Birth Kit
A safe birth kit, containing sterile materials to diminish infection risk will be given to pregnant women.
• Community Folk Media Campaigns
Community-wide media activities, including dramas, intended to address community norms regarding maternal and child health.

Locations

Country	Name	City	State
Nigeria	Planned Parenthood Federation	Abuja

Sponsors (3)

Lead Sponsor	Collaborator
Abdul Latif Jameel Poverty Action Lab	MacArthur Foundation, Planned Parenthood Federation Nigeria

Country where clinical trial is conducted

Nigeria, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Maternal Mortality Ratio		42 days post delivery
Secondary	Maternal Morbidity Rates		42 days post delivery
Secondary	Proportion of women delivering in a health facility		2 years
Secondary	Neonatal Mortality Rate		28 days after birth
Secondary	Proportion of women receiving antenatal care during pregnancy		2 years
Secondary	Knowledge of warning signs during pregnancy		2 years
Secondary	Proportion of women/newborns receiving postnatal care		2 years
Secondary	Birthweight		2 years
Secondary	Stunting, underweight and wasting in children under 5 years		2 years