Improving Maternal and Neonatal Care-seeking Through a Video-informed Training Session During the Third Trimester of Pregnancy

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age15+
SponsorSwiss Tropical & Public Health Institute

About this trial

This study is a randomized controlled trial evaluating the impact of a video-informed training session on maternal and newborn health care seeking in rural Côte d'Ivoire.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Currently pregnant

Aged 15 years or older

Live in the area served by the Taabo Health & Demographic Surveillance System

Estimated gestational age between 6 completed months of pregnancy and 8 completed months of pregnancy

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Information video and planning session

    Other intervention

    The study intervention is a video-informed information and planning session for health care during the third trimester, childbirth, and the first six weeks postpartum. In this intervention, a member of the study team will show information videos to pregnant women and her partner, summarizing key recommendations for health and health care seeking during the third trimester of pregnancy and the first six weeks following childbirth. After showing the videos, the study team member will guide the pregnant woman and her partner in a short discussion about planning for care-seeking during the third trimester and early postpartum period. This discussion will include quizzing on the content of the information videos and discussions of care-seeking plans together with the couple.

Treatment groups

800 Participants
are divided into 2 treatment groups
Group A: Control groupNo intervention 0 interventions
Group B: Information Video and Planning Session groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of health care contacts as reported by women during endline survey

Number of health care contacts that women have between enrollment in the study and 6 weeks postpartum, including antenatal care visits, childbirth, and postpartum care visits

Time frame
From enrollment to 6 weeks postpartum (measured 6-8 weeks after the end of pregnancy)

Secondary outcomes

1

Number of antenatal care visits as reported by women during endline survey

Number of antenatal care visits

Time frame
Between enrollment and the end of pregnancy (measured 6-8 weeks after the end of pregnancy)
2

Facility-based childbirth as reported by women during endline survey

Proportion of women who gave birth in a health facility

Time frame
Measured 6-8 weeks after the end of pregnancy
3

Number of postpartum visits as reported by women during endline survey

Number of postpartum care visits between the end of pregnancy and 6 weeks postpartum

Time frame
From the end of pregnancy to 6 weeks postpartum (measured 6-8 weeks after the end of pregnancy)
4

Average care-seeking knowledge scores among pregnant women and their partners

Average scores (among pregnant women and their partners) on assessments of knowledge of care-seeking recommendations during the third trimester and the early postpartum period, as measured using five questions during endline surveys with pregnant women and their partners. We create a Care-Seeking Knowledge Scale as follows: Participants receive 1 point if they respond with 3 or more when asked how many postpartum visits women should have during the first 6 weeks after childbirth; 1 point if they correctly name at least 3 danger signs for women during pregnancy; 1 point if they correctly name at least 3 danger signs for women during the first six weeks after childbirth; and 1 point if they correctly name at least 3 danger signs for newborns. Scores range from 0 to 4 with higher scores representing greater knowledge.

Time frame
Measured 6-8 weeks after the end of pregnancy

Other outcomes

Sponsors and contacts

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Swiss Tropical & Public Health Institute

Lead sponsor

Centre Suisse de Recherches Scientifiques en Cote d'Ivoire

Collaborator

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