Clinical trial NCT04090762: Improving Perinatal Outcomes Using Conditional and Targeted Transfers
Official title: Improving Perinatal Outcomes Using Conditional and Targeted Transfers
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Utilization, Health Care
Birth Outcomes
Lead sponsor: RAND
Sponsor class: OTHER
First posted: 2019-09-16
Enrollment: 36607
Sex: FEMALE
Minimum age (years): 15
Maximum age (years): 49
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: It has been estimated that increasing the use of skilled care during childbirth could prevent up to 1.5 million maternal and newborn deaths and stillbirths by 2025. Conditional cash transfer programs, in which women receive cash payments conditioned on the use of maternal health services, are increasingly being used as a mechanism to increase uptake. In this study, the investigators randomly assign households to receive varying cash amounts conditioned on uptake of recommended pregnancy and delivery care. The investigators crosscut this with an intervention in which pregnant women receive information about their risk type. This randomized trial will provide new evidence about the potential efficacy of targeting cash transfers by pregnancy risk. This study will take place in 288 primary health service areas (HSAs) in Nigeria.


Eligibility criteria: Inclusion Criteria:

* Pregnant women ages 15-49 who reside in the participating health service areas

Exclusion Criteria:

* none

Primary outcomes:
measure: Probability of prenatal care
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Uptake of prenatal care
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Uptake of health facility birth
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Child mortality - fetal loss
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Child mortality - stillbirths
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Child mortality - early infant death
timeFrame: 3-4 months after anticipated childbirth/delivery date
Secondary outcomes:
measure: Maternal health
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Maternal mortality
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Child weight
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Child length
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Uptake of postnatal care
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Child vaccination
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Maternal beliefs
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Pregnancy behavior - tetanus vaccination
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Pregnancy behavior - malaria prophylaxis
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Pregnancy behavior - blood building products
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Pregnancy behavior - dietary consumption
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Quality of perinatal care
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Timely initiation of prenatal care
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Maternal work
timeFrame: 3-4 months after enrollment
Other outcomes:
measure: Maternal depression
timeFrame: 3-4 months after anticipated childbirth/delivery date
measure: Health facility choice
timeFrame: 3-4 months after anticipated childbirth/delivery date
Locations:
city: Kano
country: Nigeria
facility: Aminu Kano Teaching Hospital
Study officials:
References:
citation: Okeke EN, Abubakar IS, De Guttry R. In Nigeria, Stillbirths And Newborn Deaths Increased During The COVID-19 Pandemic. Health Aff (Millwood). 2021 Nov;40(11):1797-1805. doi: 10.1377/hlthaff.2021.00659. Epub 2021 Oct 20.
citation: Okeke EN. Playing defense? Health care in the era of Covid. J Health Econ. 2022 Sep;85:102665. doi: 10.1016/j.jhealeco.2022.102665. Epub 2022 Jul 25.