Incentives for Postnatal Care Demand

Harvard School of Public Health (HSPH)207 enrolled

Overview

The purpose of this study is to identify the causal impact of performance-based monetary incentives in increasing postnatal care (PNC) referrals by traditional birth attendants (TBAs), via a randomized controlled trial (RCT).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

207

Conditions

Maternal Death Neonatal Death

Interventions

Performance-based monetary incentivesBEHAVIORAL

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * community-based providers of antenatal and/or delivery care, and who are non-formally trained * must be resident within the community * must not plan to relocate over the intervention duration * identified in partnership with community leadership * be willing to participate fully in the study, including having their clients contacted for verification Exclusion Criteria: * plan to relocate over the intervention duration * refusal to provide informed consent for the entire study protocol including agreeing to have their delivery clients contacted for verification

Outcomes

Primary Outcomes

Maternal Postnatal Care Referral

The proportion of delivery clients that are successfully referred by the traditional birth attendant for postnatal care within 48 hours of delivery. For each delivery client that the traditional birth attendant reported, we visited at least three days after delivery to ascertain if they had been asked to visit the postnatal clinic, clarify if they had visited the clinic within 48 hours of delivery, and what care they had received (if yes). The team visited traditional birth attendants every two weeks to identify new clients. Where a new client was not up to three days post-delivery, the interview was postponed until the next visit by the team to the community. This occurred repeatedly, over a five-month frame.

Time frame: Within 48 hours of delivery

Secondary Outcomes

Neonatal Postnatal Care Referral

Proportion of neonates delivered by the traditional birth attendant that are successfully referred for postnatal care within 48 hours of delivery

Time frame: Within 48 hours of delivery

Data from ClinicalTrials.gov

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