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

NCT02517008 | Completed

• 1 other identifier: 002
• Study Type: interventional
• Target: 2,159
• Locations: 0 countries
• Sites: N/A

Brief Summary

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

Conditions

Maternal Health

Keywords

non-monetary incentive; institutional delivery

Outcome Measures

Primary Outcomes (1)

• Facility delivery ratios

  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.

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

Study Arms (2)

Mama kits intervention

EXPERIMENTAL

Health facilities randomized to this arm provided mama kits - packages of childcare materials including a cloth ("chitenge"), baby blanket, and diaper - to all mothers who delivered at these facilities between June 1, 2013 - Aug 31, 2013.

Other: Mama kit

No intervention

NO INTERVENTION

Health facilities randomized to this arm provided obstetric services as normal.

Interventions

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.

Mama kits intervention

Eligibility Criteria

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

You may qualify if:

• 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.

You may not qualify if:

• 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)

Sponsors & Collaborators

• IDinsight: lead
• Ministry of Health, Zambia: collaborator
• Minister of Community Development, Mother and Child Health, Zambia: collaborator
• UNICEF: collaborator
• Clinton Health Access Initiative Inc.: collaborator

Study Officials

• Paul Wang, MPAID/MBA

  IDinsight

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 27, 2015
• First Posted: August 6, 2015
• Study Start: June 1, 2013
• Primary Completion: September 1, 2013
• Study Completion: September 1, 2013
• Last Updated: August 6, 2015

Record last verified: 2015-08