Maternal and newborn health services Pregnancy and Childbirth
Conditions
Interventions
There are 178 study clusters that will be allocated evenly across the four study arms, subject to integer constraints. Each cluster includes on average 30 women who have given birth in the previous tw
Sponsors
London School of Hygiene and Tropical Medicine (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Participants for the intervention will differ depending on whether they are allocated to the public or private reporting variant of the intervention. Participants in study arms receiving private performance feedback will be providers of maternal, newborn and child health services operating within the cluster. Potential participants will be identified from a health provider census. Informed written consent will be obtained from providers, and project staff will schedule a meeting time for individual feedback at a time convenient for the provider. Participants in the clusters receiving public feedback will be community members from the cluster. There will be up to two feedback sessions per cluster. Participants will be community leaders and persons with influence in the area of maternal and newborn health. Targeted participants include: PRI (rural) and ward members (urban), teachers, ASHA, AWW, health providers and religious leaders. Written consent will be obtained from the Pradhan of the Gram Panchayat or, if unavailable, an alternative community representative. We intend to leverage the cluster’s Gram Panchayat members to help identify relevant community stakeholders, including women.
Exclusion criteria
Exclusion criteria: In the clusters with private feedback: 1. Health providers that do not currently provide maternal or newborn health services 2. Private rural health providers beyond the target of three per cluster In the clusters with public feedback: 1. People who do not have influence in the cluster over the uptake or provision of maternal and newborn health services
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of women that received at least four antenatal care visits. The feedback intervention will take place October 2015 and September 2016. Outcomes will be measured at baseline (February 2015), then May 2016 (month 15), and then June 2017 (month 28). We will pool data from the second and third round of data collection when we analyse the impact of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Proportion of women that gave birth at a health facility 2. Proportion of women that received counselling on all three danger signs (vaginal bleeding, convulsions, prolonged labour) 3. Proportion of newborns that were immediately breastfed within one hour of birth 4. Proportion of newborns that received clear cord care (clean instrument to cut, clean instrument to tie cord, nothing put on cord) 5. Proportion of women who received visit from ASHA during pregnancy 6. Proportion of women fully immunised with tetanus toxoid 7. Proportion of babies registered and received certificate The feedback intervention will take place October 2015 and September 2016. Outcomes will be measured at baseline (February 2015), then May 2016 (month 15), and then June 2017 (month 28). We will pool data from the second and third round of data collection when we analyse the impact of the intervention. | — |
Countries
India
Outcome results
None listed