Traditional Ethiopian Coffee Ceremony in a Rural Ethiopian Hospital to Increase Hospital-based Delivery Rates

Study Overview
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Brief Summary
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This study evaluates if organizing a postpartum traditional Ethiopian coffee ceremony will provide an incentive for our antenatal care patients to eventually deliver in our hospital. Patients are randomized to either receiving, or not receiving, a postpartum coffee ceremony for them and their relatives.

Detailed Description
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Ethiopia has one of the highest maternal mortality rates in the world, with an estimated maternal mortality ratio of 497 per 100,000 live births. Cultural factors contribute to the underutilization of maternal health services. In 2014, only 20% of our antenatal care patients delivered in our hospital. In order to increase health facility-based delivery rates, government-funded hospitals and health centers facilitate traditional Ethiopian coffee ceremonies after delivery. We hypothesized that organizing postpartum coffee ceremonies would motivate our antenatal care patients to deliver in our hospital and would thus increase the hospital-based delivery rate.

Official Title
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Traditional Ethiopian Coffee Ceremony in a Rural Ethiopian Hospital to Increase Hospital-based Delivery Rates

Conditions
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Birth Setting, Maternal Health

Intervention / Treatment
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* Behavioral: Postpartum coffee ceremony


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant patient First visit to antenatal care clinic Exclusion Criteria: Non-viable pregnancy
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Coffee ceremony<br>Antenatal care patients will be told on their first antenatal care visit that a postpartum coffee ceremony will be organized for them and up to 4 relatives | Behavioral: Postpartum coffee ceremony<br>* The promise of a postpartum coffee ceremony<br>|
| No Intervention: NO Coffee ceremony<br>Antenatal care patients will be told that they will NOT receive a postpartum coffee ceremony, as is the current status quo | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital-based Delivery Rate | Percentage of antenatal care patients that deliver in the hospital | Up to 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health Center or Health Post-delivery Rate | Percentage of antenatal care patients that deliver in an associated health center or health post | Up to 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hospital-based deliveries, Coffee ceremony, Maternal health, Ethiopia