Community Based Strategies to Reduce Maternal Mortality in Northern Nigeria

Strengthening the Midwife Service Scheme With Community Focused Interventions: Evidence From a Randomized Controlled Field Trial in Nigeria

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01487707

Enrollment

7200

Registered

2011-12-07

Start date

2011-12-31

Completion date

2016-10-31

Last updated

2019-01-15

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

Conditions

Maternal Mortality

Keywords

pregnancy, maternal mortality, neonatal mortality, community intervention, voluntary health worker, safe birth kit, maternal child health

Brief summary

The objective of this cluster randomized controlled trial is to assess the impact of several community-based interventions that address the key factors underlying the high maternal mortality, as well as neonatal mortality and morbidity in northern Nigeria. The interventions, include: 1. a Voluntary Health Worker Program (VHW) 2. the VHW program with provision of a safe birth kit 3. the VHW program with community folk media activities.

Interventions

BEHAVIORALVoluntary Health Worker (VHW) Program

Voluntary Health Workers will conduct door-to-door campaigns on maternal and child health, and will visit pregnant women regularly to to educate and to encourage use of antenatal care and facility-based deliveries.

BEHAVIORALSafe Birth Kit

A safe birth kit, containing sterile materials to diminish infection risk will be given to pregnant women.

BEHAVIORALCommunity Folk Media Campaigns

Community-wide media activities, including dramas, intended to address community norms regarding maternal and child health.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

FEMALE

Age

15 Years to 49 Years

Healthy volunteers

Yes

Inclusion criteria

* Women of reproductive age who live in the study clusters who provide consent.

Exclusion criteria

* Eligible women who do not consent.

Design outcomes

Primary

Measure	Time frame
Maternal Mortality Ratio	42 days post delivery

Secondary

Measure	Time frame
Proportion of women delivering in a health facility	2 years
Neonatal Mortality Rate	28 days after birth
Proportion of women receiving antenatal care during pregnancy	2 years
Maternal Morbidity Rates	42 days post delivery
Proportion of women/newborns receiving postnatal care	2 years
Birthweight	2 years
Stunting, underweight and wasting in children under 5 years	2 years
Knowledge of warning signs during pregnancy	2 years

Countries

Nigeria

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026