Trial no.:
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PACTR202212611709509 |
Date of Approval:
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21/12/2022 |
Trial Status:
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Retrospective registration - This trial was registered after enrolment of the first participant |
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TRIAL DESCRIPTION |
Public title
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Addressing hidden barriers to institutional deliveries – a key intervention for reducing maternal mortality in poor rural Zambia |
Official scientific title |
A Community intervention trial for improved health facility deliveries in rural Zambia: A step towards reducing maternal mortality |
Brief summary describing the background
and objectives of the trial
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Zambia is one of the countries with a high maternal mortality ratio currently at 252 deaths per 100 000 live births. WHO has shown that institutional delivery by a skilled birth attendant is the most effective way to reduce maternal mortality in developing countries. We conducted a one-year prospective community intervention trial in Monze, Zambia comprising pregnant women at any gestation allocated to the intervention and control arms. Women in the intervention arm received antenatal care (ANC) health education followed by a non-monetary incentive in the form of a mother-baby delivery pack containing two napkins, a bottle of Vaseline®, baby soap, a pair of delivery gloves, a baby vest, a wrappper and an insecticide treated mosquito net (ITN)) given to pregnant women when they arrived at the health facility for delivery. Participants in the control arm continued with routine ANC services.
Primary objective: To determine the effect of provision of a non-financial incentive on institutional deliveries in Monze, Zambia.
Secondary objectives were to: 1) assess women's delivery preparedness; 2) determine postnatal care service utilisation by mother and baby; 3) determine under-five clinic service utilisation, 4) assess pregnant women's knowledge about pregnancy danger signs |
Type of trial |
CCT |
Acronym (If the trial has an acronym then please provide) |
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Disease(s) or condition(s) being studied |
Pregnancy and Childbirth |
Sub-Disease(s) or condition(s) being studied |
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Purpose of the trial |
To test the effect of provision of a non-financial incentive on institutional deliveries in Monze, Zambia. |
Anticipated trial start date |
01/01/2014 |
Actual trial start date |
01/01/2014 |
Anticipated date of last follow up |
31/12/2014 |
Actual Last follow-up date |
31/12/2014 |
Anticipated target sample size (number of participants) |
5000 |
Actual target sample size (number of participants) |
3882 |
Recruitment status |
Completed |
Publication URL |
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