Kilkari Impact Evaluation

NCT03576157 | Completed DMC

• 1 other identifier: 90075552
• Study Type: interventional
• Target: 5,095
• Locations: 1 country
• Sites: 2

Brief Summary

British Broadcasting Corporation (BBC) Media Action is presently implementing two large scale mobile health (mHealth) initiatives in India: Kilkari and Mobile Academy. Kilkari is an outbound service that delivers weekly, time-appropriate audio messages about pregnancy, childbirth, and childcare directly to families on their mobile phones, starting from the second trimester of pregnancy until the child is one-year-old. Mobile Academy (MA) is an Interactive Voice Response (IVR) in-service audio training course for Accredited social health activists (ASHAs) in India designed to refresh their knowledge of life-saving preventative health behaviors and improve their interpersonal communications skills. Both programs were initiated in Bihar in 2012, and have been scaled widely in a number of states with support from Ministry of Health and Family Welfare (MOHFW) at the national level, National Health Missions (NHM) at the state level, and an alliance of donors (Gates Foundation, USAID, Barr Foundation, and UK Department for International Development (UKAid)). The Johns Hopkins School of Public Health, Oxford Policy Management, and University of Cape Town are supporting BBC Media Action and the Ministry of Health and Family Welfare (MOHFW) are conducting an external evaluation of both Kilkari and Mobile Academy (MA). The evaluation spans through April 2020.

Conditions

Breast Feeding; Family Planning; Essential Newborn Care; Training of Frontline Health Workers

Keywords

mobile health, Pregnant and postpartum women, Frontline health workers, India

Outcome Measures

Primary Outcomes (2)

• Exclusive breastfeeding

  The study aims to detect a 5% change in the proportion of women who report practicing exclusive breastfeeding

  0-6 months following delivery

• Immediate breastfeeding

  The study aims to detect a 5% change in the proportion of women who report practicing immediate breastfeeding

  1 hour following delivery

Study Arms (2)

Kilkari

EXPERIMENTAL

Pregnant and postpartum women randomized to the Kilkari arm will receive health information messages over their mobile phone during pregnancy and up to 1 year postpartum.

Other: Kilkari

Comparison

NO INTERVENTION

Existing standard of care; no new health messages

Interventions

Kilkari OTHER

Kilkari is an outbound service that delivers weekly, time-appropriate audio messages about pregnancy, childbirth, and childcare directly to families on their mobile phones, starting from the second trimester of pregnancy until the child is one-year-old.

Kilkari

Eligibility Criteria

• Age: 15 Years - 45 Years
• Gender Eligibility Details: Women 5-7 months pregnant
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• years 5-7 months pregnant Resident of study area Consents to participation Access to a mobile phone during morning and afternoon

You may not qualify if:

• \<15 years of age Not female Not a resident of study area \<5 months and \>8 months pregnant Not a Hindi speaker Access to a mobile phone only during the night

Sponsors & Collaborators

• Johns Hopkins Bloomberg School of Public Health: lead
• Oxford Policy Management: collaborator
• University of Cape Town: collaborator

Study Sites (2)

N/A-- recruitment occurring at household / community level in 4 districts: Rewa, Rajgarh, Mandsaur, Hoshangabad

Rewa, Madhya Pradesh, India

Location

BBC Media Action

Delhi, India

Location

Related Publications (7)

• LeFevre AE, Mendiratta J, Jo Y, Chamberlain S, Ummer O, Miller M, Scott K, Shah N, Chakraborty A, Godfrey A, Dutt P, Mohan D. Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India. BMJ Glob Health. 2023 Mar;6(Suppl 5):e009553. doi: 10.1136/bmjgh-2022-009553.

  PMID: 36958740 DERIVED

• Bashingwa JJH, Mohan D, Chamberlain S, Scott K, Ummer O, Godfrey A, Mulder N, Moodley D, LeFevre AE. Can we design the next generation of digital health communication programs by leveraging the power of artificial intelligence to segment target audiences, bolster impact and deliver differentiated services? A machine learning analysis of survey data from rural India. BMJ Open. 2023 Mar 17;13(3):e063354. doi: 10.1136/bmjopen-2022-063354.

  PMID: 36931682 DERIVED

• LeFevre AE, Shah N, Scott K, Chamberlain S, Ummer O, Bashingwa JJH, Chakraborty A, Godfrey A, Dutt P, Ved R, Mohan D; Kilkari Impact Evaluation Team. The impact of a direct to beneficiary mobile communication program on reproductive and child health outcomes: a randomised controlled trial in India. BMJ Glob Health. 2022 Jul;6(Suppl 5):e008838. doi: 10.1136/bmjgh-2022-008838.

  PMID: 35835477 DERIVED

• Ng A, Mohan D, Shah N, Scott K, Ummer O, Chamberlain S, Bhatnagar A, Dhar D, Agarwal S, Ved R, LeFevre AE; Kilkari Impact Evaluation Team. Assessing the reliability of phone surveys to measure reproductive, maternal and child health knowledge among pregnant women in rural India: a feasibility study. BMJ Open. 2022 Mar 10;12(3):e056076. doi: 10.1136/bmjopen-2021-056076.

  PMID: 35273055 DERIVED

• Chakraborty A, Mohan D, Scott K, Sahore A, Shah N, Kumar N, Ummer O, Bashingwa JJH, Chamberlain S, Dutt P, Godfrey A, LeFevre AE; Kilkari Impact Evaluation Team. Does exposure to health information through mobile phones increase immunisation knowledge, completeness and timeliness in rural India? BMJ Glob Health. 2021 Jul;6(Suppl 5):e005489. doi: 10.1136/bmjgh-2021-005489.

  PMID: 34312153 DERIVED

• Palmer MJ, Henschke N, Bergman H, Villanueva G, Maayan N, Tamrat T, Mehl GL, Glenton C, Lewin S, Fonhus MS, Free C. Targeted client communication via mobile devices for improving maternal, neonatal, and child health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013679. doi: 10.1002/14651858.CD013679.

  PMID: 32813276 DERIVED

• LeFevre A, Agarwal S, Chamberlain S, Scott K, Godfrey A, Chandra R, Singh A, Shah N, Dhar D, Labrique A, Bhatnagar A, Mohan D. Are stage-based health information messages effective and good value for money in improving maternal newborn and child health outcomes in India? Protocol for an individually randomized controlled trial. Trials. 2019 May 15;20(1):272. doi: 10.1186/s13063-019-3369-5.

  PMID: 31092278 DERIVED

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Amnesty E LeFevre, PhD

  Johns Hopkins School of Public Health, University of Cape Town

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 22, 2018
• First Posted: July 3, 2018
• Study Start: July 7, 2018
• Primary Completion: March 20, 2020
• Study Completion: December 31, 2021
• Last Updated: September 30, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

IN (2)