Place of Delivery
Conditions
Keywords
Non-randomized controlled cluster trial; institutional delivery; e-Registration; mHealth
Brief summary
The study aims to determine the effect of the eRegistration tracking system and mHealth counseling on institutional deliveries to pregnant mothers in the hazard-prone areas of Southern Bangladesh.
Detailed description
The study will be an open-label two-arm non-randomized controlled cluster trial for six months period. Chandpur Sadar, Kachua, and Faridganj sub-districts will be the intervention arm and Bhola Sadar, Charfesson, and Lalmohan sub-districts of the Bhola district will be the control arm. ased system. 28 - 36 weeks of pregnant women will be enrolled, given the intervention, and followed-up until their delivery.
Interventions
Registration to the electronic database Counseling through voice calls for facility delivery Text messages to promote facility delivery
Sponsors
Study design
Intervention model description
The pregnant mothers will be registered in the electronic database, they will be called by the midwives to motivate them for facility delivery and they will receive a text message regarding this.
Eligibility
Inclusion criteria
Pregnant mothers registered in the FWA register, 19 - 45 years, 28 - 36 weeks pregnant, have access to a mobile phone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Institutional delivery | 22 weeks | Normal vaginal deliveries, cesarean sections and assisted vaginal deliveries (forceps and vacuum deliveries) conducted at any healthcare facility by medically trained provider/ skilled birth attendant situated at the study sites will be considered as institutional delivery. Numerator: Number of institutional deliveries Denominator: Total deliveries in the study sites (A sum of normal vaginal deliveries, cesarean sections and assisted vaginal deliveries) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of different mode of deliveries | 22 weeks | Numerator: Proportion of normal vaginal deliveries, Proportion of cesarean sections, Proportion of forceps and vacuum deliveries Denominator: Total deliveries in the study sites. |
| Proportion of different birth outcomes | 22 weeks | Numerator: Proportion of alive babies, Proportion of stillbirths Denominator: Total live births in the study sites. |