Health service utilization Other
Conditions
Interventions
Intervention arm treatment: Distribution of MCH Handbook to women seeking MNCH services at public healthcare facilities in intervention municipalities, healthcare provider training on MCH Handbook ope
Sponsors
Japan International Cooperation Agency (JICA)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Became pregnant at the beginning of the trial period. 2. Probable date of delivery (PDD) date from 01/12/2019 to 31/01/2020 or last menstrual period (LMP) between 01/03/2019 to 30/04/2019.
Exclusion criteria
Exclusion criteria: 1. Planning to move out of the study area while the impact evaluation study is ongoing. 2. Extreme disability or those judged by a healthcare provider as unable to participate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 03/08/2020: Maternal behavior-based continuum of care (CoC) completion is a measure of MNCH service utilization assessed via the proportion of women who achieve time-dependent CoC completion as at 3 months postpartum. CoC completion is a composite outcome consisting of a minimum number of ANC visits, facility-based delivery, postnatal check-ups of mother and newborn and child vaccination received at two timepoints – at birth and at 2~3 months infant age. Data will be collected through structured interviews and abstracted from home-based records. Participants will be considered to have achieved this outcome if they sought the MNCH service and regardless of service availability. The proportion of women who achieve CoC completion will be compared between the arms. Previous primary outcome measures: Continuum of care (CoC) completion rate. CoC completion is a time-dependent composite outcome to be measured during follow- up at 2~3 months postpartum among all pregnant women recruited into the study. CoC completion will consist of a minimum number of ANC visits, facility-based delivery, postnatal check-ups of mother and newborn and full child immunization up to 2~3 months’ infant age. As a sub-group analysis, the stratified analysis by the timing of the first ANC visit will be performed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 03/08/2020: 1. Rate of MNCH service utilization is measured at follow-up. It is the number of actual MNCH service used compared with an expected minimum number of service utilization attainable up to 6 months infant age (i.e. at least 4 ANC, facility-based delivery, PNC for mother and newborn and four occasions of vaccination clinic visit). Data will be collected through structured interviews and abstracted from home-based records. This outcome is maternal behavior-based and service utilization will be achieved if participants sought the MNCH service and regardless of service availability. 2. Complete CoC overall is a composite outcome. Complete CoC overall is minimum number of ANC visits + facility-based delivery + PNC for mother and newborn + child vaccinations complete up to 2-3mo (regardless of when vaccination was taken). Data will be collected through structured interviews and abstracted from home-based records. 3. Complete CoC (service-based) is a time dependent composite outcome. including =4 ANC visits + facility-based delivery + PNC of mother and newborn + complete child vaccination up to 2-3 months infant age. This outcome depends on supply side factors and participants will be considered to have achieved this outcome only if they sought the MNCH service and service was available. Data will be abstracted from home-based records only. 4. Neonatal mortality, measured at follow-up is the number of deaths within the first 28 days of life compared to total number of deliveries in each study arm. Data will be collected through structured interviews and abstracted from home-based records. 5. ANC service utilization is measured at follow-up and describes the frequency of ANC service use in each arm regardless of timing of first ANC. Data will be collected through structured interviews and abstracted from home-based records. 6. Facility-based delivery is measured at follow-up. It is the number of facility-based deliveries i | — |
Countries
Angola, Japan
Outcome results
None listed