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Trial record 4 of 3546 for:    Facility

The Impact of Non-monetary Incentives on Facility Delivery in Rural Zambia

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.
 
ClinicalTrials.gov Identifier: NCT02517008
Recruitment Status : Completed
First Posted : August 6, 2015
Last Update Posted : August 6, 2015
Sponsor:
Collaborators:
Ministry of Health, Zambia
Minister of Community Development, Mother and Child Health, Zambia
UNICEF
Clinton Health Access Initiative Inc.
Information provided by (Responsible Party):
IDinsight

Brief Summary:
This study measured the impact and cost-effectiveness of a low-cost, non-monetary incentive ("mama kit") on rural facility delivery rates in Zambia.

Condition or disease Intervention/treatment Phase
Maternal Health Other: Mama kit Not Applicable

Detailed Description:
This clustered randomized controlled trial assessed the impact of providing a package of childcare items (a cloth, baby diaper, and blanket) to women conditional upon delivering at a facility on facility delivery rates in rural Serenje and Chadiza Districts in Zambia. Facilities were randomized to either provide the intervention or not. Facility-level antenatal care (ANC) and delivery registers were used to measure the percentage of women attending antenatal care who delivered at a study facility during the intervention period. Results from the trial were then used to model the cost-effectiveness of mama kits at-scale in terms of cost per death averted.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 2159 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Official Title: Measuring the Impact of Non-monetary Incentives on Facility Delivery in Rural Zambia: A Clustered Randomized Controlled Trial
Study Start Date : June 2013
Actual Primary Completion Date : September 2013
Actual Study Completion Date : September 2013

Arm Intervention/treatment
Experimental: Mama kits intervention
Health facilities randomized to this arm provided mama kits - packages of childcare materials including a cloth ("chitenge"), baby blanket, and diaper - to all mothers who delivered at these facilities between June 1, 2013 - Aug 31, 2013.
Other: Mama kit
A low-cost non-monetary incentive (mama kit) was provided to all women who delivered at the facility between June 1, 2013 - Aug 31, 2013. Women were told about the intervention during ANC, and safe motherhood groups in the community promoted the intervention in the catchment areas of the treatment facilities.

No Intervention: No intervention
Health facilities randomized to this arm provided obstetric services as normal.



Primary Outcome Measures :
  1. Facility delivery ratios [ Time Frame: At delivery, up to 10 months after the first antenatal care visit date ]
    Administrative data were used to measure the outcome. Antenatal care and delivery records were linked across registers. Women who had attended ANC and were linked to a record in the registry was counted as having delivered at a facility.



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Had an antenatal care record at one of the study facilities
  • Had an estimated date of delivery (as measured by estimated date of last menstrual period, estimated date of delivery, or estimated gestational age in weeks as recorded in the antenatal care register) between June 1, 2013 - Aug 31, 2013.

Exclusion Criteria:

  • Did not have an antenatal care record at one of the study facilities
  • Had an estimated date of delivery outside of the intervention window (June 1, 2013 - Aug 31, 2013)

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 ClinicalTrials.gov identifier (NCT number): NCT02517008


Sponsors and Collaborators
IDinsight
Ministry of Health, Zambia
Minister of Community Development, Mother and Child Health, Zambia
UNICEF
Clinton Health Access Initiative Inc.
Investigators
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Principal Investigator: Paul Wang, MPAID/MBA IDinsight

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Responsible Party: IDinsight
ClinicalTrials.gov Identifier: NCT02517008    
Other Study ID Numbers: 002
First Posted: August 6, 2015    Key Record Dates
Last Update Posted: August 6, 2015
Last Verified: August 2015
Keywords provided by IDinsight:
non-monetary incentive
institutional delivery