Intervention on Maternal Health Care in Rural China
CHIMACA
Structural Hinders to and Promoters of Good Maternal Care in Rural China
1 other identifier
interventional
108
1 country
3
Brief Summary
This project aims to strengthen and improve the performance of health care system in rural China in order to improve maternal and child health. It also provides policy-makers and health service managers with evidence for the development of informed policy on maternal and child health (MCH). The research focuses on women of reproductive age in rural areas of China as well as on their antenatal and obstetric care service providers, both clinicians and policy makers. For the Member States and China, as well as other countries it will provide a comprehensive analysis and synthesis of current state of affairs, provider and user perspectives, of antenatal and obstetric care in rural China at national and local level. This study seeks to assess whether improving financial accessibility to and quality of maternal health care increase use of and impact of maternity services. This project is implemented in 3 provinces: Anhui, Shaan'xi and Chongqing. This project will provide a practical example and information on impact of abolishing user fees on MCH service utilisation and develop and disseminate evidence-based policy recommendations on how to improve access to and quality of antenatal and obstetrical care for local and central government and international organisations, and thus serve as a step toward reaching such important goals. CHIMACA includes 3 types of interventions, two behavioural interventions and financial intervention. Behavioural interventions are training for clinical skills and training health education.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2008
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2009
CompletedFirst Submitted
Initial submission to the registry
October 30, 2009
CompletedFirst Posted
Study publicly available on registry
November 2, 2009
CompletedAugust 21, 2015
August 1, 2015
1.3 years
October 30, 2009
August 20, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Access to maternal health care
Up to 33 months
Study Arms (4)
Control
NO INTERVENTIONFinancial coverage of MCH care within the local reimbursement system (CMS).
Clinical skills training
EXPERIMENTALIn addition to financial coverage (CMS) extensive in-service training of clinical skills (CS) to all doctors and MCH workers at the village and township level.
health education
EXPERIMENTALIn addition to financial coverage extensive in-service training of health education (HE) to all doctors and MCH workers at the village and township level(Anhui, Chongqing and Shaan'xi provinces); In addition to financial coverage extensive in-service training of health education (HE) for Family planning (FP) staff at village level (Anhui).
Financial
EXPERIMENTALIn addition to financial coverage of MCH care within the local reimbursement system (CMS) the coverage of ante- and postnatal care.
Interventions
In addition to financial coverage (CMS) extensive in-service training of clinical skills (CS) to all doctors and MCH workers at the village and township level.
In addition to financial coverage extensive in-service training of health education (HE) to all doctors and MCH workers at the village and township level(Anhui, Chongqing and Shaan'xi provinces); In addition to financial coverage extensive in-service training of health education (HE) for Family planning (FP) staff at village level (Anhui).
In addition to financial coverage of MCH care within the local reimbursement system (CMS) the coverage of ante- and postnatal care.
Eligibility Criteria
You may qualify if:
- townships with certain population size and distance to health care facilities
You may not qualify if:
- townships having another intervention in health care facilities
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Finnish Institute for Health and Welfarelead
- Liverpool School of Tropical Medicinecollaborator
- Karolinska Institutetcollaborator
- University Ghentcollaborator
- Fudan Universitycollaborator
- Center for Health Statistics and Informationcollaborator
- Anhui Medical Universitycollaborator
- Chongqing Medical Universitycollaborator
- Xi'an Jiaotong Universitycollaborator
- Peking Universitycollaborator
Study Sites (3)
Anhui Medical University
Hefei, Anhui, 230032, China
Chongqing Medical University, No.1
Yurzhong, Chongqing Municipality, 400016, China
Xian Jiaotong University, No.28
Xi'an, Shaanxi, 710049, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elina Hemminki, MD, DrPH
Finnish Institute for Health and Welfare
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 30, 2009
First Posted
November 2, 2009
Study Start
March 1, 2008
Primary Completion
June 1, 2009
Study Completion
June 1, 2009
Last Updated
August 21, 2015
Record last verified: 2015-08