- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05907720
Evaluation of Prototype Solutions for Optimizing Maternal Health Behaviors
Evaluation of Prototype Solutions in Improving Uptake and Adherence to Institutional Delivery, ANC, and IFA Supplementation Services Among Pregnant Women in Selected Woredas of Ethiopia
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
With funding and support from the Bill and Melinda Gate Foundation (BMGF), a three-year implementation research project will be conducted to develop and test the effectiveness and acceptability of interventions to promote three outcomes: institutional delivery, antenatal care (ANC) and iron folic acid (IFA) supplementation among pregnant women. The project applies a Human-Centered-Design (HCD) to develop prototype solutions that optimize the uptake of and adherence to maternal and child health services by pregnant women. Initial and high-fidelity prototype solutions that come out from a sprint workshop (rapid HCD) and an extended HCD process will be implemented in two phases.
Phase 1: The investigators will conduct a design sprint workshop and develop prototype solutions focusing on ANC and institutional delivery and the high-fidelity prototypes will be implemented for six months. The prototype solutions may include but are not limited to social and behavior change communication campaigns, including print media, mass media, social media, and community-based educational events. Specific content and format of the prototypes will be determined based on participant needs and preferences identified from the workshop. Baseline and midline assessments will be conducted to evaluate the effectiveness of the prototypes.
Phase 2: The investigators will conduct extended HCD to develop prototype solutions for IFA supplementation and identify design challenges around ANC and institutional delivery that are not addressed by the design sprint. The prototype solutions may include but are not limited to social and behavior change communication campaigns, including print media, mass media, social media, and community-based educational events. Specific content and format of the prototypes will be determined based on participant needs and preferences identified from the workshops in Phases 1 and 2. High-fidelity prototypes designed in the two phases will be implemented in the two intervention Woredas (geographical areas in Ethiopia roughly equivalent to counties in the US) for another six months. Another round of baseline and end-line evaluations will be conducted to evaluate the effectiveness of the prototypes.
Hence, the following four research activities will occur throughout the study: (1) baseline in Year 1 and (2) midline in Year 1, possibly bleeding into Year 2. These two waves will involve the same pregnant women recruited at baseline. (3) Baseline and (4) end-line in Year 2 and Year 3; these two waves will recruit and retain the same women from the Year 2 baseline. Both rounds of evaluations (four data waves in total) have the objective of assessing the effectiveness of the intervention in improving (a) institutional delivery, (b) uptake of ANC services, and (c) consumption of IFA supplements. In addition, qualitative interviews will assess psychosocial and intermediate outcomes among pregnant women as well as implementation research outcomes of the intervention.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Rajiv Rimal, PhD
- Phone Number: 410-502-4076
- Email: rimal@jhu.edu
Study Contact Backup
- Name: Bee-Ah Kang, MSPH
- Phone Number: 646-991-6939
- Email: beeah.kang@jhu.edu
Study Locations
-
-
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Addis Ababa, Ethiopia
- Not yet recruiting
- Center for Communication Programs
-
Contact:
- Habtamu Tamene
-
Addis Ababa, Ethiopia
- Recruiting
- Center for Communication Programs
-
Contact:
- Habtamu Tamene
- Email: habtamut@jhu.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Pregnant 5+ months
- 15 to 49 years
- moderate to high vulnerability
Exclusion Criteria:
- Pregnant less than 5 months
- non-reproductive age
- low vulnerability
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention Arm
The intervention arm will receive a package of behavioral interventions in addition to usual care in health facilities.
|
The intervention package will include various social and behavior change programs derived from a human-centered design approach.
The intervention will be tailored to vulnerable pregnant women's needs and contexts.
It may include but is not limited to health communication campaigns, including radio and print media.
|
No Intervention: Control Arm
The control arm will not receive any intervention other than usual care.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in institutional delivery rates assessed by the survey instrument
Time Frame: Baseline and 6 months
|
Institutional delivery will be measured using a question that asks about a place of child birth in most recent pregnancy
|
Baseline and 6 months
|
Change in the number of antenatal care visits assessed by the survey instrument
Time Frame: Baseline and 6 months
|
The outcome will be measured using a question that asks about the number of antenatal care visits women had during current pregnancy.
|
Baseline and 6 months
|
Change in the number of iron folic acid tablets consumed assessed by the survey instrument
Time Frame: Baseline and 6 months
|
The outcome will be measured using a question that asks about pregnant women's IFA intake in the last one month, breaking down to 1, 2, and 4 weeks.
|
Baseline and 6 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Rajiv Rimal, PhD, Johns Hopkins Bloomberg School of Public Health
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- IRB00024473
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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