Checklist Based Box System Interventions (CBBSI)
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|ClinicalTrials.gov Identifier: NCT03891030|
Recruitment Status : Recruiting
First Posted : March 26, 2019
Last Update Posted : March 26, 2019
Maternal mortality is still high in Ethiopia. Antenatal care (ANC), use of skilled delivery attendants and postnatal care (PNC) services are key maternal health care services that can significantly reduce maternal mortality. However, interventions applied to the continued utilization of these key maternal heath services in a continuum of care approach (i.e. early initiation of ANC and continued utilization up to four plus vists, health facility delivery attended by skilled health care providers and attending three PNC visits) were not well applied and studied.
Hence, the purpose of this study is to test the effectiveness of checklist based box system interventions on improving utilization of maternal health service (Antenatal care, skilled birth attendance and postnatal care) utilization.
|Condition or disease||Intervention/treatment||Phase|
|Maternal Health Service||Other: Checklist Based Box system intervention||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||1200 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Participant, Outcomes Assessor)|
|Official Title:||Effectiveness of Checklist Based Box System Interventions (CBBSI) on Improving Utilization of Maternal Health Service in North West, Ethiopia: a Cluster Randomized Controlled Trial|
|Actual Study Start Date :||November 22, 2018|
|Estimated Primary Completion Date :||October 2019|
|Estimated Study Completion Date :||November 2019|
Experimental: Checklist Based Box system
Pregnant mothers will receive scheduled person-centered health educations starting from: they are identified as suspected pregnant mother up to attending their third PNC visit. In between the first ANC and the third PNC drop out tracing mechanisms will be applied, for mothers who fail to utilize the recommended maternal health services.
Other: Checklist Based Box system intervention
The intervention has both behavioural change and service utilization drop out tracing mechanism. Special type of boxes designed to schedule health educations and continued service utilization monitoring boxes will be placed at health posts and health centers respectively. Community level survey will be conducted to identify suspected pregnant mothers using stanback et al, 1999 checklist, and mothers are linked to health centers. Then, they will be followed for their subsequent attendance of consecutive maternal health services (ANC 2nd-third PNC). Mothers who fail to utilize the service will be traced; will get person-centered health education to continue the service.
No Intervention: Routine maternal health care
Pregnant mothers in this arm will receive the usual routine maternal health care.
- Continued maternal health service utilization (ANC 1-4), Institutional Delivery, PNC (1-3) [ Time Frame: 42 days after delivery ]Proportion of mothers receiving continued maternal health service (four ANC, skilled birth attendance and PNC three) in the intervention and control clusters, assessed using standard questionnaire
- Early Initiation of Antenatal care (Before 16 Weeks of Gestation) [ Time Frame: 16 weeks of gestation ]Proportion of mothers attending ANC before 16 weeks of gestation in the intervention and control clusters, assessed using 4-visit WHO ANC Model
- Attending four antenatal care follow up, (36-40 weeks of gestation) [ Time Frame: 40 weeks of gestation ]Proportion of mothers attending the fourth ANC in the intervention and control clusters, assessed using 4-visit WHO ANC Model
- Institutional delivery attended by skilled Birth attendance [ Time Frame: after 40 weeks of gestation ]Proportion of mothers attending institutional delivery in the intervention and control clusters, assessed using standard questionnaire
- Postnatal care follow-up (First 6 hours, 6 days and 6 weeks of delivery) [ Time Frame: 42 days after delivery ]Proportion of mothers attending the third PNC in the intervention and control clusters: assessed using standard questionnaire
- Knowledge towards maternal health service [ Time Frame: 42 days after delivery ]Knowledge of mothers towards healthy pregnancy, delivery and the postnatal care period in the intervention and control clusters: assessed using Knowledge questionnaire
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 ClinicalTrials.gov identifier (NCT number): NCT03891030
|Contact: Netsanet Belete, Mscemail@example.com|
|Contact: Mulusew Gerbaba, PhDfirstname.lastname@example.org|
|East Gojjam zone||Recruiting|
|Debre Markos, Northwest, Ethiopia|
|Contact: Aklog Nigussie, Bsc Aklog.email@example.com|
|Contact: Feteh Sendek, Bsc|
|Principal Investigator:||Netsanet Belete, Msc||Jimma University|
|Study Director:||Mulusew Gerbaba, PhD||Jimma University|
|Study Director:||Gurmesa Tura, PhD||Jimma University|