The Impact of Non-monetary Incentives on Facility Delivery in Rural Zambia

This study measured the impact and cost-effectiveness of a low-cost, non-monetary incentive ("mama kit") on rural facility delivery rates in Zambia.

Completed

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Key information

Conditions

Maternal Health

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

About this study

This clustered randomized controlled trial assessed the impact of providing a package of childcare items (a cloth, baby diaper, and blanket) to women conditional upon delivering at a facility on facility delivery rates in rural Serenje and Chadiza Districts in Zambia. Facilities were randomized to either provide the intervention or not. Facility-level antenatal care (ANC) and delivery registers were used to measure the percentage of women attending antenatal care who delivered at a study facility during the intervention period. Results from the trial were then used to model the cost-effectiveness of mama kits at-scale in terms of cost per death averted.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Had an antenatal care record at one of the study facilities
Had an estimated date of delivery (as measured by estimated date of last menstrual period, estimated date of delivery, or estimated gestational age in weeks as recorded in the antenatal care register) between June 1, 2013 - Aug 31, 2013.

Exclusion criteria

Did not have an antenatal care record at one of the study facilities
Had an estimated date of delivery outside of the intervention window (June 1, 2013 - Aug 31, 2013)

Treatment and study plan

Mama kit

Other

A low-cost non-monetary incentive (mama kit) was provided to all women who delivered at the facility between June 1, 2013 - Aug 31, 2013. Women were told about the intervention during ANC, and safe motherhood groups in the community promoted the intervention in the catchment areas of the treatment facilities.

Primary outcomes

Facility delivery ratios

Time frame: At delivery, up to 10 months after the first antenatal care visit date

Administrative data were used to measure the outcome. Antenatal care and delivery records were linked across registers. Women who had attended ANC and were linked to a record in the registry was counted as having delivered at a facility.

Sponsors and collaborators

Lead sponsor

IDinsight

Other

Collaborators

Clinton Health Access Initiative Inc.
Minister of Community Development, Mother and Child Health, Zambia
Ministry of Health, Zambia
UNICEF

Registry information

Official study title

Measuring the Impact of Non-monetary Incentives on Facility Delivery in Rural Zambia: A Clustered Randomized Controlled Trial

Important dates

Study start: 2013
Primary completion: 2013
Study completion: 2013
First posted: Aug 6, 2015
Registry last updated: Aug 6, 2015

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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Completed