Overcoming barriers to scaling skilled birth attendants? utilization in improving maternal, newborn and child health in Nepal

Implementation research to overcome barriers to scaling skilled birth attendants? utilization in improving maternal, newborn and child health in Nepal: a cluster randomized controlled trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN78892490

Enrollment

5000

Registered

2013-10-24

Start date

2011-04-01

Completion date

Unknown

Last updated

2017-06-05

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

Conditions

Maternal and Newborn Health Pregnancy and Childbirth

Interventions

Village Development Committees (VDCs) from three districts (Bajhang, Dailekh and Kanchanpur) were allocated to intervention and control clusters by randomization. The intervention package to be impl

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: 1. Bajhang, Dailekh and Kanchanpur has 120 Village Development Committees (VDCs). Baseline survey involved only women having children under 1 year of age in 50 VDCs. 20 VDCs were excluded because of their proximity to district hospital. Only 50% of the remaining 100 VDCs were selected for the baseline survey. 2. The intervention phase of the project involved only VDCs which have SBA utilization less than 60%. All mothers groups, youth groups, SBA, Female Community Health Volunteer (FCHV) of 36 VDCs were involved. One VDC with 57% utilization rate has been excluded to distribute clusters equally and evenly. 3. Evaluation phase will be similar to baseline phase. It will involve mothers having children under 1 year of age.

Exclusion criteria

Exclusion criteria: Does not meet inclusion criteria

Design outcomes

Primary

Measure	Time frame
1. Utilization of SBA services by pregnant women for childbirth (% of women who give birth with a SBA [facility and home])	—

Secondary

Measure	Time frame
1. Ante-natal check-up four times by pregnant women (% of pregnant women who had one and who had four ante-natal checkups during pregnancy) 2. Post-natal check-up of mothers and babies (% of mothers who received at least one post-natal check of mother and newborn baby) 3. Availability of transport to the women to visit a health institution for childbirth (% of women who used services and % of women who informed they did not receive SBA services because of transport problems) 4. Functional operation of emergency fund (% of women who perceived lack of finances as a problem in utilizing SBA services; % of women who received a loan from emergency fund and % of women who paid back the loan) 5. Security of SBA (% of SBAs who perceived security as a problem in work) 6. Support from family to the women for childbirth at health institution (% of women who perceived they had support from their family to use SBA services; % of women who informed lack of support from their family as a reason for not using SBA services) 7. Women-friendly health facility environment (% of women who inform that health workers were supportive at the facility; % of women who informed that they did not use SBA services because of unsupportive behaviour of health workers)	—

Measure

Time frame

1. Ante-natal check-up four times by pregnant women (% of pregnant women who had one and who had four ante-natal checkups during pregnancy) 2. Post-natal check-up of mothers and babies (% of mothers who received at least one post-natal check of mother and newborn baby) 3. Availability of transport to the women to visit a health institution for childbirth (% of women who used services and % of women who informed they did not receive SBA services because of transport problems) 4. Functional operation of emergency fund (% of women who perceived lack of finances as a problem in utilizing SBA services; % of women who received a loan from emergency fund and % of women who paid back the loan) 5. Security of SBA (% of SBAs who perceived security as a problem in work) 6. Support from family to the women for childbirth at health institution (% of women who perceived they had support from their family to use SBA services; % of women who informed lack of support from their family as a reason for not using SBA services) 7. Women-friendly health facility environment (% of women who inform that health workers were supportive at the facility; % of women who informed that they did not use SBA services because of unsupportive behaviour of health workers)

—

Countries

Nepal

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 21, 2026