Baseline Survey on Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA (HCUM)
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Purpose
The investigators will assess whether in Bushenyi District in southwestern Uganda, a two year intervention providing comprehensive MNCH programming will:
- Reduce morbidity and mortality for children under five years old and;
- Improve access to maternal health services Compared to a control community without MNCH intervention?
Hypothesis:
Comprehensive maternal, newborn and child health programming in Bushenyi Distrcit can have a positive impact on morbidity and mortality for children under five years and will improve access for women to maternal health services which may lead, in the longer term, to decreased maternal mortality.
| Condition | Intervention |
|---|---|
|
Child Mortality Maternal Mortality (All Cause) |
Other: MNCH programming in health district |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Baseline Survey on Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA |
- Reduced morbidity for children under five years old [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- improved maternal access to health services [ Time Frame: 24 months ] [ Designated as safety issue: No ]proportion of pregnant women who have attended antenatal care four or more times; proportion of women whose most recent delivery was attended by a skilled birth attendant; met need for contraception (CIDA indicator)
| Estimated Enrollment: | 3000 |
| Study Start Date: | April 2012 |
| Estimated Study Completion Date: | December 2015 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: MNCH programming
protocols and training for data collection, referrals, and management for health district. Training in obstetrics, newborn care and managment of sick children for health workers, Increased community health promotion such as training of CHWs, health centre management teams and bednet distribution
|
Other: MNCH programming in health district
training at health district level in managmeent, data collection. Training at health centres in obstetrics and pediatrics and training in community of CHWs and bednet distribution
|
| No Intervention: no added MNCH activities |
Detailed Description:
A detailed impact assessment will be carried out for the duration of the MNCH training and support initiative in Bushenyi District, using mixed methods. The study will assess 8 of the 11 key core MNCH indicators as identified by CIDA as a priority. Other information to be collected such as demographics and patterns of health care use, and prevalence of disease will help health planners in the districts, and will be helpful in sub analysis and interpretation of findings.
The main study group will be representative communities and health centres within Bushenyi District who will receive intervention between 2012 and 2014; Rubirizi District will serve as a control area for this study but will received selected MNCH services starting in 2014 after endline data are collected.
Eligibility| Ages Eligible for Study: | 15 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- all households living in selected communities; all women 15-49 living in selected communities Exclusion Criteria: none
Contacts and Locations| Contact: jennifer Brenner, MD, FRCPC | 4039552462 | jennbrenner@me.com |
| Contact: jerome kabakyenga, MBBS, PhD | jkabakyenga@gmail.com |
| Uganda | |
| Mbarara University of Science and Technology | Not yet recruiting |
| Mbarara, Uganda | |
| Contact: Eleanor Turyakira, MSc eleanor.tk@gmail.com | |
| Principal Investigator: | jennifer Brenner, MD | University of Calgary |
| Principal Investigator: | jerome kabakyenga, MBBS, PHD | Mbarara University of Science and Technology |
More Information
No publications provided
| Responsible Party: | Jennifer L. Brenner, Clinical Associate Professor, University of Calgary |
| ClinicalTrials.gov Identifier: | NCT01571765 History of Changes |
| Other Study ID Numbers: | CIDA S-065346 |
| Study First Received: | March 30, 2012 |
| Last Updated: | April 4, 2012 |
| Health Authority: | Canada: Ethics Review Committee |
Keywords provided by University of Calgary:
|
maternal newborn child |
ClinicalTrials.gov processed this record on May 21, 2013