Sepsis Clinical Trial
— IMATCHINEOfficial title:
Improving Maternal and Child Health in India: Evaluating Demand and Supply Side Strategies
The study evaluates the impact of a new conditional cash transfer (CCT) program (Thayi Bhagya Yojana) to promote child birth in obstetric facilities in the state of Karnataka, India in order to determine its policy value and to guide efforts to improve maternal and infant health outcomes nationally. In addition, the study includes a large randomized evaluation of performance-based incentive payments to providers to improve quality of medical care provided during delivery and actual health improvement in the providers' patient populations and their catchment areas.
Status | Completed |
Enrollment | 14990 |
Est. completion date | November 2015 |
Est. primary completion date | December 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Households with new mothers (one to three weeks after childbirth) - Rural private sector maternity care providers who are listed on the Karnataka government's legitimate provider list. Exclusion Criteria: - Households without children - Households where mothers gave birth > 3 weeks ago - Public sector maternity care providers - Private sector maternity care providers serving in towns with large public providers such as Community Health Centers (CHCs) |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Country | Name | City | State |
---|---|---|---|
India | Imatchine | Bangalore | Karnataka |
Lead Sponsor | Collaborator |
---|---|
Duke University | Department for International Development, United Kingdom, International Initiative for Impact Evaluation (3ie), Sambodhi Research and Communication Pvt., Ltd., Stanford University |
India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Increase institutional deliveries and improve maternal and infant health outcomes in the population. | Rates of deliveries in hospitals and maternal health complications such as obstetric fistulas, post-partum hemorrhage, sepsis, as well as neonatal outcomes. | 1 Year | No |
Secondary | Effectiveness of financial incentives to maternity care private providers for improvements in the clinical quality of services in the providers' patient populations and the catchment areas they serve. | Indicators of quality of services include monitoring of the fetal heartbeat, active management of labor, and monitoring of cervical dilation and effacement. | 1 Year | No |
Secondary | Effectiveness of financial incentives to maternity care private providers for improvements in maternal and infant health outcomes in the providers' patient populations and the catchment areas they serve. | Indicators of improvements in maternal and neonatal health outcomes include reduced incidence of maternal morbidity outcomes such as obstetric fistulas, excessive post partum bleeding, sepsis, hospital readmission, as well as neonatal outcomes. | 1 Year | No |
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