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AfyaJamii (Parenting Well): Evaluating the Feasibility of a Group Antenatal/Well-child Care Model in Pregnancy in Kenya

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03188237
Recruitment Status : Completed
First Posted : June 15, 2017
Last Update Posted : June 15, 2017
Grand Challenges Canada
Information provided by (Responsible Party):
Astrid Christoffersen-Deb, Moi University

Brief Summary:
This proposal is a program evaluation of a group care delivery model designed for pregnant women that was implemented as a pilot project in Teso District, Kenya in 2012.

Condition or disease Intervention/treatment Phase
Pregnancy Related Group, Peer Behavioral: AfyaJamii Not Applicable

Detailed Description:
The investigators will carry out a pre/post evaluation of this program comparing maternal and child health indicators collected at the facility and at 10 comparison facilities in the year prior to implementation (2012) and throughout the duration of the program (2013-2014). They will also analyze program attendance records, anonymous exit surveys, and training records.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 15 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: AfyaJamii is a group care model in pregnancy facilitated by Government of Kenya (GOK) Community Health Volunteers (CHVs) and Ministry of Health (MOH) nurses. Pregnant women are assigned to specific care groups according to their Expected Date of Delivery (EDD) and meet 3 times antenatally and 4 times postnatally. These groups are meant to provide women with antenatal and postnatal care, peer support, and knowledge to improve their health outcomes and the health outcomes of their infants. This model of group prenatal and postnatal care is being evaluated as an alternative to the existing policy of focused antenatal care that individualizes care to a single woman at a time.
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: AfyaJamii (Parenting Well): Evaluating the Feasibility of a Group Antenatal and Well-child Care Model in Pregnancy in Kenya
Actual Study Start Date : January 2012
Actual Primary Completion Date : October 2014
Actual Study Completion Date : October 2014

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: AfyaJamii facility
Facilities using AfyaJamii
Behavioral: AfyaJamii
AfyaJamii is a group antenatal and well-child care program developed in Kenya for use in Kenyan health centers

No Intervention: Referent facility
Facilities using Focused Antenatal Care Individual Model

Primary Outcome Measures :
  1. Facility 4 Antenatal Care (ANC) visits [ Time Frame: 18 months ]
    Average monthly number 4 or more ANC facility visits

Secondary Outcome Measures :
  1. Facility New Family Planning (FP) [ Time Frame: 18 months ]
    Average monthly number new FP visits

  2. Facility Total FP [ Time Frame: 18 months ]
    Average monthly number total FP visits

  3. Facility Delivery Rate [ Time Frame: 18 months ]
    Average monthly number of Facility deliveries

  4. Facility Oral Polio Vaccine 0 (OPV0) [ Time Frame: 18 months ]
    Average monthly number of OPV0 Immunization

Information from the National Library of Medicine

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Ages Eligible for Study:   up to 50 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • All facilities that participated in AfyaJamii

Exclusion Criteria:

  • Any facility that did not offer AfyaJamii and was not been selected as a comparison facility

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03188237

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Teso North Ministry of Health Centers
Kocholya, Kenya
Sponsors and Collaborators
Moi University
Grand Challenges Canada
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Principal Investigator: Julia Songok, MBChB Moi University

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Responsible Party: Astrid Christoffersen-Deb, Visiting Lecturer, Moi University Identifier: NCT03188237     History of Changes
Other Study ID Numbers: UMoi2
First Posted: June 15, 2017    Key Record Dates
Last Update Posted: June 15, 2017
Last Verified: June 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No