NCT03024905

Project to Use Community Health Workers to Reduce Maternal Deaths

Enhancing All Community Health Workers on Maternal and Newborn Health: Rorya Tanzania

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 17,000 (estimated)
• Sponsor: Bruyère Health Research Institute. · Academic / Other
• Sex: Female
• Age: —
• Healthy volunteers: Accepted

Summary

The purpose of this trial is to establish if several interventions will help women in rural Tanzania access health care services during pregnancy and at the time of delivery. The interventions include education about the importance of attending antenatal care visits with nurses and facility deliveries, a voucher for transport to access the health facility at the time of delivery, and supplies to be used either at the health facility, or on route if the women does not make it to the health facility.

Detailed description

In order to reduce the number of women dying in childbirth and to improve women's health in pregnancy, this trial is designed to assess if several interventions combined can increase the number of women delivering in health care facilities. The design of the study is "Multiple Baseline Design". Community health workers are trained to collect baseline data on women using mobile phones in one rural district in Tanzania. The district has four distinct divisions. After 6 months of baseline data in the district, one division will experience the interventions. The interventions are education about the importance of attending antenatal care visits with nurses and facility deliveries, a voucher for transport to access the health facility at the time of delivery, and birthing supplies to be used either at the health facility, or on route if the women does not make it to the health facility. The intervention will be begun in each of the other divisions in 3 month intervals (i.e. the second division starts to experience the interventions 3 months after the first, the third, 3 months after the second and the fourth 3 months after the third). The trial will continue for a total of 27 months including the baseline period.

Conditions

• Maternal Mortality
• Access to Health Care

Interventions

Type	Name	Description
BEHAVIORAL	Village meeting and travel vouchers	The interventions are: 1. Village meetings by community health workers to educate women and their families about safe birthing. 2. Vouchers for free transport by motorcycle taxi drivers to access health facility at delivery.
DEVICE	Birth kit with misoprostol	Provision of birth kit with clean delivery supplies (soap, 2 pairs of gloves, 2 cord clamps, surgical blade, and 600 mcg misoprostol for the woman to take immediately after the delivery to prevent postpartum hemorrhage).

Timeline

• Start date: 2017-01-16
• Primary completion: 2019-05-01
• Completion: 2019-05-01
• First posted: 2017-01-19
• Last updated: 2019-08-09

Locations

1 site across 1 country: Tanzania