Enhancing the uptake of maternal and child health services in pastoralist pregnant women Pregnancy and Childbirth
Conditions
Interventions
Participants were randomly chosen through computer-generated numbers and allocated into two groups (with beaded GPS bracelets and without). Participants were not masked because the wearable GPS was vi
Sponsors
African Academy of Sciences
University of Pecs
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Pastoralist pregnant women 2. >18 years old 3. <16 weeks pregnant 4. Able to understand study procedures and to comply with them for the entire length of the study 5. Consented to wear beaded GPS bracelets 6. Consented to have laboratory procedures conducted to complete the profile 7. Consents to screening and enrollment interviews 8. If successful delivery, consent to have the baby evaluated and vaccinated
Exclusion criteria
Exclusion criteria: 1. Pregnancy >12 weeks gestation 2. No consent 3. Women with a previous history of complicated pregnancy 4. Age <18 years 5. Physical disability 6. Women who do not deliver or if they abort 7. If the child dies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Attendance of more than four ANC visits, received skilled/health facility delivery, and received postnatal care among the intervention and control participants, collected using a questionnaire at the end of pregnancy for ANC uptake, skilled delivery for those who will deliver at hospital and uptake of first postnatal care after delivery. 2. Maternal death and infant death: 2.1. Maternal death: death whether it's during pregnancy, childbirth, or within 42 days of termination of pregnancy within the pastoralist community throughout the intervention 2.2. Infant death: the number of newborns in a pastoralist community understudy dying under 1 year of age divided by the number of resident live births for the same geographic area. This will be done at the end of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Demographic factors: age, level of education, literacy level, socioeconomic status, marital status, polygamous or monogamous marital status. This was collected using a standard questionnaire at the beginning of the study 2. Geographic context: nomadic lifestyle, distance from health facility, remoteness, and cultural practices. This was collected using a standard questionnaire throughout the study 3. Media exposure and awareness: radio with local FM, TV, and community health campaigns. This was collected using a standard questionnaire at the beginning of the study 4. Quality of care of ANC and delivery services given at health facilities. Some of the factors contributing to quality service to clients e.g. respectful care, waiting times, and provider competence will be considered. This was collected using a standard questionnaire throughout the study. | — |
Countries
Kenya
Contacts
Public ContactÁkos Várnagy
Outcome results
None listed