Replicating MamaToto in Rural Tanzania

NCT02506413 | Completed

• 1 other identifier: IRT #39
• Study Type: interventional
• Target: 8,323
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to adapt and implement a district-led, policy-based, low cost Maternal and Newborn Health (MNH) intervention package using the MamaToto process, proven successful in Uganda, in rural Tanzania. The investigators hypothesized that the 'MamaToto Package' will be successfully implemented in the Misungwi District and will be effective in improving key maternal and newborn health indicators of study participants.

Conditions

Maternal Death; Newborn Death

Keywords

Maternal and Newborn Health

Outcome Measures

Primary Outcomes (1)

• Proportion of live births attended by a skilled health provider

  Percentage of women (15-49 year old) with at least one recent live birth (past two years) reporting their last delivery being attended to by a skilled health personnel (doctor, nurse, midwife, clinical officer or auxiliary midwife)

  Change between pre (baseline) and post (endline-up to 36 months) intervention

Secondary Outcomes (2)

• Proportion of women receiving postnatal care <48H

  Change between pre (baseline) and post (endline-up to 36 months) intervention

• Proportion of women receiving antenatal care 4 or more times during pregnancy

  Change between pre (baseline) and post (endline-up to 36 months) intervention

Study Arms (1)

MNCH Intervention Package

OTHER

The division assigned to this arm received a comprehensive Maternal and Newborn Health (MNH) intervention package using the 'MamaToto Process'. Key intervention activities included: 1. engaging district leaders in district health system strengthening; 2. strengthening health facility-based MNH services; and 3. establishing a Maternal, Newborn, and Child Health focused lay Community Health Worker program.

Other: MamaToto Package

Interventions

MamaToto Package OTHER

The MamaToto Package (later called "Mama na Mtoto" for the Tanzanian context) was an MNCH intervention built upon prior successes in Uganda and adapted to meet the needs in Misungwi District in Tanzania. The intervention included low-cost programming that built upon the existing district health system structure and resources in order to strengthen the MNH capacity and training of the district, health facilities, and community health workers.

Also known as: Mama na Mtoto

MNCH Intervention Package

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Randomly selected households (30) living in selected hamlets with a competent participant of greater than 15 years of age
• All women of reproductive age (age 15-49 years old) living in selected households in selected hamlets

You may not qualify if:

• Households with participants that are away for an extended time or have no one home at the time of survey completion

Sponsors & Collaborators

• University of Calgary: lead
• Catholic University of Health and Allied Sciences: collaborator

Study Sites (1)

Catholic University of Health and Allied Sciences

Mwanza, Tanzania

Location

Related Publications (1)

• Matovelo D, Boniphace M, Singhal N, Nettel-Aguirre A, Kabakyenga J, Turyakira E, Mercader HFG, Khan S, Shaban G, Kyomuhangi T, Hobbs AJ, Manalili K, Subi L, Hatfield J, Ngallaba S, Brenner JL. Evaluation of a comprehensive maternal newborn health intervention in rural Tanzania: single-arm pre-post coverage survey results. Glob Health Action. 2022 Dec 31;15(1):2137281. doi: 10.1080/16549716.2022.2137281.

  PMID: 36369729 DERIVED

Related Links

• Mama na Mtoto website

MeSH Terms

Conditions

Maternal Death; Perinatal Death

Condition Hierarchy (Ancestors)

Parental Death; Death; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Study Officials

• Dismas K Matovelo, MD, MMed

  Catholic University of Health and Allied Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Jennifer L. Brenner

Model Details: This study was part of a longitudinal implementation evaluation using an effectiveness-intervention hybrid (Type 2) design and a RE-AIM evaluation model.

Study Record Dates

• First Submitted: July 1, 2015
• First Posted: July 23, 2015
• Study Start: April 1, 2016
• Primary Completion: September 1, 2019
• Study Completion: March 1, 2020
• Last Updated: July 9, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will share

Locations

TA (1)