Wakobo-ti-Kodro: Improving Identification of Pregnancy at Risk of Obstetric Complications at Community Level

NCT06613867 | Completed

• 1 other identifier: Wakobo ti Kodro
• Study Type: observational
• Target: 1,857
• Locations: 1 country
• Sites: 1

Brief Summary

This project aims to improve maternal health indicators in a national context where the maternal mortality rate is one of the highest in the world. Our hypothesis is that an intervention combining (i) the training of traditional birth attendant in the identification and monitoring of high-risk pregnancies, (ii) their integration into the health system and (iii) the use of a digital decision-support application installed on a smartphone and adapted to their profile, could strengthen the identification and monitoring of high-risk pregnancies, increase attendance at facilities and thus the rate of assisted deliveries in health facilities, in Bimbo district around the capital Bangui in the Central African republic.

Conditions

Maternal Health; Pregnancy Complications

Keywords

Traditional birth attendant; Digital health; Pregnancy at risk of complications identification; Collaboration with traditional birth attendant; Africa; Central African Republic

Outcome Measures

Primary Outcomes (1)

• Deliveries in health facilities of women with complicated pregnancies

  Proportion of deliveries by pregnant women at risk of obstetric complications among all women who give birth in the health facilities included in the study, after 10 months of intervention

  Comparison between baseline and endline data after 10 months of intervention

Secondary Outcomes (7)

• Antenatal consultancies (ANCs)

  after 10 months of intervention

• Delivery

  after 10 months of intervention

• Post-partum consultancies

  after 10 months of intervention

• Pregnant women at risk of obstetrical complication, screened by traditional birth attendants in the community

  after 10 months of intervention

• Pregnant women at risk of obstetrical complication, monitored at health facilities

  after 10 months of intervention

Interventions

Wakobotikodro OTHER

Wakobotikodro : an intervention combining (i) training matrons to identify and monitor high-risk pregnancies, (ii) integrating them into the healthcare system and (iii) using a digital decision-support application installed on a smartphone and adapted to their profile, could improve the identification and monitoring of high-risk pregnancies.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The main study population is pregnant women attending the health facilities included in the study. Secondary population are beneficiaries of the intervention tested: traditional birth attendants, health workers, community health workers, community representatives, women who have already given birth or pregnant women or their husbands living in the study area.

You may qualify if:

• Aggregated data of pregnant women, regardless of the age of their pregnancy, and
• attending the health facilities included in the study
• Being a pregnant woman residing in the study area and
• attending the health facilities included in the study and
• with a given individual consent.
• traditional birth attendants (TBAs) or
• health workers working in health facilities or
• community health workers or
• community representatives or
• women who have already given birth or pregnant women or their husbands AND
• All with a given individual consent AND
• All being part of the study area.

Sponsors & Collaborators

• Alliance for International Medical Action: lead
• Institut National de la Santé Et de la Recherche Médicale, France: collaborator
• Elrha: collaborator
• PACCI Program: collaborator

Study Sites (1)

Bimbo health center,

Bimbo, Bangui Prefecture, Central African Republic

Location

Related Links

• web page of Inserm website
• page web of ELRHA website

MeSH Terms

Conditions

Pregnancy Complications

Condition Hierarchy (Ancestors)

Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Study Officials

• Richard Ngbale, Pr

  Faculté des sciences de la santé, Bangui

  PRINCIPAL INVESTIGATOR

• Renaud Becquet

  Institut National de la Santé Et de la Recherche Médicale, France

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 19, 2024
• First Posted: September 26, 2024
• Study Start: July 17, 2023
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: February 12, 2025

Record last verified: 2025-02

Locations

CE (1)