Incentives for Postnatal Care Demand

The purpose of this study is to identify the causal impact of performance-based monetary incentives in increasing postnatal care (PNC) referrals by traditional birth attendants (TBAs), via a randomized controlled trial (RCT).

Completed

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Key information

Conditions

Maternal Death Death Female Urogenital Diseases and Pregnancy Complications Neonatal Death Parental Death Pathologic Processes Pathological Conditions, Signs and Symptoms Perinatal Death Pregnancy Complications Urogenital Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

community-based providers of antenatal and/or delivery care, and who are non-formally trained
must be resident within the community
must not plan to relocate over the intervention duration
identified in partnership with community leadership
be willing to participate fully in the study, including having their clients contacted for verification

Exclusion criteria

plan to relocate over the intervention duration
refusal to provide informed consent for the entire study protocol including agreeing to have their delivery clients contacted for verification

Treatment and study plan

Performance-based monetary incentives

Behavioral

Primary outcomes

Maternal Postnatal Care Referral

Time frame: Within 48 hours of delivery

The proportion of delivery clients that are successfully referred by the traditional birth attendant for postnatal care within 48 hours of delivery. For each delivery client that the traditional birth attendant reported, we visited at least three days after delivery to ascertain if they had been asked to visit the postnatal clinic, clarify if they had visited the clinic within 48 hours of delivery, and what care they had received (if yes). The team visited traditional birth attendants every two weeks to identify new clients. Where a new client was not up to three days post-delivery, the interview was postponed until the next visit by the team to the community. This occurred repeatedly, over a five-month frame.

Secondary outcomes

Neonatal Postnatal Care Referral

Time frame: Within 48 hours of delivery

Proportion of neonates delivered by the traditional birth attendant that are successfully referred for postnatal care within 48 hours of delivery

Sponsors and collaborators

Lead sponsor

Harvard School of Public Health (HSPH)

Other

Registry information

Important dates

Study start: 2016
Primary completion: 2016
Study completion: 2016
First posted: Oct 18, 2016
Registry last updated: Jul 24, 2019

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.

Published trials that share one or more normalized conditions with this study.

Completed