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Completed

NCT Number: NCT04090762

Improving Perinatal Outcomes Using Conditional and Targeted Transfers

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.

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Key information

Conditions

Utilization, Health Care Behavior Birth Outcomes Health Behavior Patient Acceptance of Health Care Treatment Adherence and Compliance

Age range

15 year–49 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Aminu Kano Teaching Hospital

Kano, Kano State, Nigeria

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • none

Treatment and study plan

Conditional cash transfer

Behavioral

Pregnant women receive cash payments conditioned on their use of prenatal services and use of a health facility for child birth.

Risk information provision

Behavioral

Pregnant women who exhibit characteristics associated with a greater risk of a poor birth outcome - these will be identified from the medical and epidemiological literature - will be informed that they possess these characteristics.

Primary outcomes

  1. Probability of prenatal care

    Time frame: 3-4 months after anticipated childbirth/delivery date

    the probability of receiving prenatal care

  2. Uptake of prenatal care

    Time frame: 3-4 months after anticipated childbirth/delivery date

    the number of prenatal visits completed

  3. Uptake of health facility birth

    Time frame: 3-4 months after anticipated childbirth/delivery date

    probability of giving birth at a health facility

  4. Child mortality - fetal loss

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Child mortality - fetal loss

  5. Child mortality - stillbirths

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Child mortality - stillbirths

  6. Child mortality - early infant death

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Child mortality - early infant death

Secondary outcomes

  1. Maternal health

    Time frame: 3-4 months after anticipated childbirth/delivery date

    delivery complications

  2. Maternal mortality

    Time frame: 3-4 months after anticipated childbirth/delivery date

    maternal death

  3. Child weight

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Child weight

  4. Child length

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Child length

  5. Uptake of postnatal care

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Probability of using postnatal care

  6. Child vaccination

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Probability of receiving recommended child immunizations

  7. Maternal beliefs

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Risk perceptions and beliefs assessed using a questionnaire

  8. Pregnancy behavior - tetanus vaccination

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Probability of receiving tetanus vaccination

  9. Pregnancy behavior - malaria prophylaxis

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Probability of receiving malaria prophylaxis

  10. Pregnancy behavior - blood building products

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Probability of receiving blood building products

  11. Pregnancy behavior - dietary consumption

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Probability of consuming nutrient-rich foods assessed using questionnaire

  12. Quality of perinatal care

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Quality score assessed using a questionnaire

  13. Timely initiation of prenatal care

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Probability of initiating prenatal care in the first trimester of pregnancy

  14. Maternal work

    Time frame: 3-4 months after enrollment

    Hours worked in the last seven days

Other outcomes

  1. Maternal depression

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Depression assessed using the Edinburgh Postnatal Depression Scale

  2. Health facility choice

    Time frame: 3-4 months after anticipated childbirth/delivery date

    Probability of receiving care at a government or private hospital

Sponsors and collaborators

Lead sponsor

RAND

Other

Registry information

Acronym: IMPACTT

Important dates

Study start
2019
Primary completion
2021
Study completion
2025
First posted
Sep 16, 2019
Registry last updated
Jan 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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