Design and evaluation of a targeted behavior change communication program for a healthy pregnancy and delivery

Targeted social and behavior change communication (SBCC) for improved maternal health service utilization in a high adolescent pregnancy setting of Bangladesh: a cluster-randomized study engaging key family members

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN12515877

Enrollment

750

Registered

2025-11-19

Start date

2025-05-06

Completion date

Unknown

Last updated

2026-04-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Improvement of maternal and neonatal health service utilization in pregnant adolescents and adults Pregnancy and Childbirth

Interventions

This is a hybrid effectiveness-implementation type II cluster-randomized study to assess the effectiveness and implementation outcomes in Rangpur and Lalmonirhat districts of Rangpur Division in Bangl

Eligibility

Sex/Gender

All

Age

15 Years to 65 Years

Inclusion criteria

Inclusion criteria: Pregnant women: 1. A gestational age of 16 weeks or less 2. For the intervention arm only: willingness and availability to participate in the courtyard sessions held at randomly selected unions for the intervention arm 3. Agreed to provide their own names, husbands’ names, and contact information for follow-up *For the intervention arm only: Their husbands and mothers-in-law are invited to participate in the respective sessions, but they will not be participating in the baseline and endline surveys.

Exclusion criteria

Exclusion criteria: Those who are unable to understand or communicate in Bengali

Design outcomes

Primary

Measure	Time frame
The following primary outcomes (%) will be measured using a questionnaire at 6-7 months after the baseline: 1. Mothers who received 4 or more ANC services 2. Births attended by skilled health professionals 3. Facility delivery 4. Mothers who received postnatal care (PNC) within 48 hours after delivery 5. Neonates who received neonatal care within 48 hours after birth	—

Secondary

Measure	Time frame
1. Changes in perceived appropriate age for marriage measured using questionnaires at baseline and endline (6-7 months after baseline) 2. Changes in perceptions on maternal health-seeking behavior and its motivation measured using questionnaires at baseline and endline (6-7 months after baseline), supported by endline Focus Group Discussion (7-10 months after baseline). 3. Changes in perceived support from family members measured using questionnaires at baseline and endline (6-7 months after baseline), supported by endline Focus Group Discussion (7-10 months after baseline). 4. Changes in perceptions on women’s empowerment represented by the involvement in decision making measured using questionnaires at baseline and endline (6-7 months after baseline), supported by endline Focus Group Discussion (7-10 months after baseline). 5. Level of satisfaction with the information gained from the targeted SBCC intervention measured using questionnaires at baseline and endline (6-7 months after baseline), supported by endline Focus Group Discussion (7-10 months after baseline).	—

Measure

Time frame

1. Changes in perceived appropriate age for marriage measured using questionnaires at baseline and endline (6-7 months after baseline) 2. Changes in perceptions on maternal health-seeking behavior and its motivation measured using questionnaires at baseline and endline (6-7 months after baseline), supported by endline Focus Group Discussion (7-10 months after baseline). 3. Changes in perceived support from family members measured using questionnaires at baseline and endline (6-7 months after baseline), supported by endline Focus Group Discussion (7-10 months after baseline). 4. Changes in perceptions on women’s empowerment represented by the involvement in decision making measured using questionnaires at baseline and endline (6-7 months after baseline), supported by endline Focus Group Discussion (7-10 months after baseline). 5. Level of satisfaction with the information gained from the targeted SBCC intervention measured using questionnaires at baseline and endline (6-7 months after baseline), supported by endline Focus Group Discussion (7-10 months after baseline).

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Countries

Bangladesh

Contacts

Public ContactSeYeon Kim

seyeon.kim@sc.or.kr+8809666555333

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: May 1, 2026