Healthcare financing in reproductive health in Madagascar for healthy pregnant volunteers
Conditions
Interventions
Group 1: The intervention group has access to the intervention package. The intervention package examined in this study consists of three elements: i) the MMHW for restricted health savings during pre
ii) no conditional cash transfers or electronic vouchers for ANC drugs, prenatal ultrasound examinations or emergency evacuations
and iii) no quality of care assessments and trainings for facility-based health workers other than routine activities performed by the Ministry of Health.
Sponsors
Universitätsklinikum Heidelberg
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Delivery in the study period (05/01/2020-10/31/2021)
Exclusion criteria
Exclusion criteria: male, pregnancy or delivery outside of the pre-defined time window, younger than 18 years of age.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All women delivering in the period of 05/01/2020-10/31/2021 will be included: 1. Facility-based delivery (Woman delivering at a health facility; binary variable; measured in a quantitative household survey) 2. Antenatal care visits (ANC visits at a health facility per woman; count variable; measured in a quantitative household survey) 3. Total healthcare expenditures (total health expenditures during pregnancy, delivery and neonatal period per woman; continuous variable; measured in a quantitative household survey and the Mobile Maternal Health Wallet-Dashboard) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Complications (Pregnancy or childbirth-related complications; count variable; measured in a quantitative household survey) 2. Maternal mortality (# maternal deaths; binary variable; measured in the maternity register and a quantitative household survey) 3. Newborn mortality (# newborn deaths; binary variable; measured in the maternity register and a quantitative household survey) 4. Postpartum depression (Women interviewed after delivery fulfilling the screening criteria for depression; Edinburgh self-reported Postnatal Depression Scale; measured in a quantitative household survey) 5. ANC diagnoses (# diagnoses detected during ANC per woman; count variable; measured in a quantitative household survey) 6. Relative healthcare expenditures (Ratio of total healthcare expenditures of household income; ratio; measured in a quantitative household survey) 7. Time to seek medical attention (Time from first symptoms until professional medical care was accessed; continuous time variable; measured in a quantitative household survey) 8. Mobile Maternal Health Wallet usage (Woman who used the MMHW to pay for ANC or delivery-related expenses either in part or entirely; binary variable; measured in a quantitative household survey and the Maternal Health Wallet-Dashboard) 9. Third parties’ financial contributions to the Mobile Maternal Health Wallet (Funds received from relatives and friends for maternal and neonatal healthcare; continuous variable; measured in a quantitative household survey and the Maternal Health Wallet-Dashboard) 10. Patient satisfaction (Patient satisfaction with health facility and MMHW; Likert scale; measured in a quantitative household survey) 11. Health system satisfaction (Satisfaction with the health system; Likert scale; measured in a quantitative household survey) 12. Public sector costs (Healthcare expenditures per woman during pregnancy, delivery and neonatal period; continuous variable; health facilities records) 13. Cost per additio | — |
Countries
Madagascar
Contacts
Public ContactSamuel Knauss
Charité Universitätsmedizin Berlin
Outcome results
None listed