MNCH Programming in Southwest Uganda Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA (HCUM)
Primary Purpose
Child Mortality, Maternal Mortality (All Cause)
Status
Completed
Phase
Not Applicable
Locations
Uganda
Study Type
Interventional
Intervention
MNCH programming in health district
Sponsored by
About this trial
This is an interventional health services research trial for Child Mortality focused on measuring maternal, newborn, child
Eligibility Criteria
Inclusion Criteria:
- all households living in selected communities; all women 15-49 living in selected communities Exclusion Criteria: none
Sites / Locations
- Mbarara University of Science and Technology
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
MNCH programming
no added MNCH activities
Arm Description
protocols and training for data collection, referrals, and management for health district. Training in obstetrics, newborn care and management of sick children for health workers, Increased community health promotion such as training of CHWs, health centre management teams and bednet distribution
Outcomes
Primary Outcome Measures
Reduced morbidity for children under five years old
Secondary Outcome Measures
improved maternal access to health services
proportion of pregnant women who have attended antenatal care four or more times; proportion of women whose most recent delivery was attended by a skilled birth attendant; met need for contraception (CIDA indicator)
Full Information
NCT ID
NCT01571765
First Posted
March 30, 2012
Last Updated
May 4, 2015
Sponsor
University of Calgary
Collaborators
Canadian International Development Agency
1. Study Identification
Unique Protocol Identification Number
NCT01571765
Brief Title
MNCH Programming in Southwest Uganda Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA
Acronym
HCUM
Official Title
Scaling Up Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA
Study Type
Interventional
2. Study Status
Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
March 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Calgary
Collaborators
Canadian International Development Agency
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The investigators will assess whether in Bushenyi District in southwestern Uganda, a two year intervention providing comprehensive MNCH programming will:
Reduce morbidity and mortality for children under five years old and;
Improve access to maternal health services Compared to a control community without MNCH intervention?
Hypothesis:
Comprehensive maternal, newborn and child health programming in Bushenyi Distrcit can have a positive impact on morbidity and mortality for children under five years and will improve access for women to maternal health services which may lead, in the longer term, to decreased maternal mortality.
Detailed Description
A detailed impact assessment will be carried out for the duration of the MNCH training and support initiative in Bushenyi District, using mixed methods. The study will assess 8 of the 11 key core MNCH indicators as identified by CIDA as a priority. Other information to be collected such as demographics and patterns of health care use, and prevalence of disease will help health planners in the districts, and will be helpful in sub analysis and interpretation of findings. The main study will use household surveys in both districts at baseline, midline and endline. Other tools will include pre and post qualitative surveys (FGDs, KII) and analysis of operational data.
The main study group will be representative communities and health centres within Bushenyi District who will receive intervention between 2012 and 2014; Rubirizi District will serve as a control area for this study but will received selected MNCH services starting in 2013 after midline data are collected.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Child Mortality, Maternal Mortality (All Cause)
Keywords
maternal, newborn, child
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10985 (Actual)
8. Arms, Groups, and Interventions
Arm Title
MNCH programming
Arm Type
Experimental
Arm Description
protocols and training for data collection, referrals, and management for health district. Training in obstetrics, newborn care and management of sick children for health workers, Increased community health promotion such as training of CHWs, health centre management teams and bednet distribution
Arm Title
no added MNCH activities
Arm Type
No Intervention
Intervention Type
Other
Intervention Name(s)
MNCH programming in health district
Intervention Description
training at health district level in management, data collection. Training at health centres in obstetrics and pediatrics and training in community of CHWs and bednet distribution
Primary Outcome Measure Information:
Title
Reduced morbidity for children under five years old
Time Frame
2 years
Secondary Outcome Measure Information:
Title
improved maternal access to health services
Description
proportion of pregnant women who have attended antenatal care four or more times; proportion of women whose most recent delivery was attended by a skilled birth attendant; met need for contraception (CIDA indicator)
Time Frame
24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
all households living in selected communities; all women 15-49 living in selected communities Exclusion Criteria: none
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jennifer Brenner, MD
Organizational Affiliation
University of Calgary
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jerome Kabakyenga, MBBS, PHD
Organizational Affiliation
Mbarara University of Science and Technology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mbarara University of Science and Technology
City
Mbarara
Country
Uganda
12. IPD Sharing Statement
Learn more about this trial
MNCH Programming in Southwest Uganda Maternal and Child Health In Bushenyi and Rubirizi Districts, UGANDA
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