Maternal and Child Health Pregnancy and Childbirth
Conditions
Interventions
The study will be implemented in two phases. In Phase I, two interventions will be studied using a 4x2 factorial: one trial will be on incentives aimed at improving midwife retention
the other trial will be an information and community mobilization campaign designed to reduce drug stockouts at the primary health centre level. The trial dedicated to improve midwife retention will
Sponsors
The World Bank (USA)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. SURE-P midwives deployed in a Primary Health Centre 2. Women who have given birth in the three months prior to the beginning of the study
Exclusion criteria
Exclusion criteria: 1. Individuals who do not agree to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All primary outcomes will be measured using structured questionnaires. For the trial on incentives to improve midwife retention: 1. Percentage of SURE-P midwives that were working in a SURE-P Primary Health Centre at follow-up amongst those midwives that were working in a SURE-P Primary Health Facility at baseline. For the trial on Conditional Cash Transfer: 1. Percentage of women that had an institutional delivery. Information will be collected using structured questionnaires administered to women who gave birth 3 months prior to the follow-up interview. 2. Percentage of women that attended 4 or more antenatal visits. Information will be collected using structured questionnaires administered to women who gave birth 3 months prior to the follow-up interview. For the trial on reducing drug stock outs 1. Average number of days that that essential drugs for antenatal and obstetric care were not available in SURE-P Primary Health Centres. For the overall evaluation of SURE-P: 1. Percentage of women who had an institutional delivery. Information will be collected using structured questionnaires administered to women who gave birth 3 months prior to the follow-up interview. 2. Percentage of women who attended 4 or more antenatal visits. Information will be collected using structured questionnaires administered to women who gave birth 3 months prior to the follow-up interview. | — |
Secondary
| Measure | Time frame |
|---|---|
| For the trial on incentives to improve midwife retention: 1. Maslach Burnout Inventory of Midwives 2. Midwives absenteeism 3. Infant mortality collected through an extension of the sisterhood method 4. Average consultation time in the last antenatal visit 5. Readmissions and other measures of midwives? performance 6. Pregnancy and obstetric related health care practices For the trial on Conditional Cash Transfer: 1. Post partum depression assessed using the Edinburgh Post Partum Depression Scale 2. Infant mortality collected through an extension of the sisterhood method 3. Pregnancy and obstetric related health care practices For the trial on reducing drug stock outs 1. Out of pocket payments for antenatal care drugs 2. Proportion of women who could not obtain from the Primary Health Centre antenatal care drugs recommended to her by the primary health centre clinical staff. For the overall evaluation of SURE-P: 1. Post partum depression assessed using the Edinburgh Post Partum Depression Scale 2. Infant mortality collected through an extension of the sisterhood method 3. Pregnancy and obstetric related health care practices | — |
Countries
Nigeria
Outcome results
None listed