High maternal mortality is a major public health problem in many settings. Because of low antenatal care (ANC) and skilled birth usage, Ugandan women and their children suffer from high maternal and perinatal mortality. The investigators developed a promising intervention (Support-Moms app) that shares targeted health information, and engages social support networks through scheduled reminders to help support pregnant women to utilize maternity services in rural Uganda. The investigators now propose to test and implement the Support-Moms intervention and hypothesize that Support-Moms will be feasible and cost-effective in improving utilization of available maternity care services, and ultimately reduce maternal and perinatal mortality.
are in the first trimester of pregnancy who have not yet presented for ANC
reside in the catchment area of a study HC
are emancipated minors and adults aged ≥ 18 years
report access to a cell phone with reception in their home
do not own a cell phone for personal use with reported reliable reception
are unable to use SMS or unwilling to receive SMS notifications
are under 18 years of age
do not own a cell phone for personal use with reported reliable reception
Parallel
Support-Moms
BehavioralScheduled SMS-audio messages from the final messaging prototype (SM), plus social supporter engagement through SMS (SS).
Control
BehavioralRoutine care/ information giving
Healthcare provider (HCP)-led skilled births
Proportion of individuals delivering with the help of a healthcare provider (HCP)
Maternal, implementation, service and client outcomes
Proportion of individuals who report the following outcomes: a) number of ANC visits, b) institution-based delivery, c) social support d) mode of infant delivery, e) all deaths (maternal, fetal, newborn), f) preterm birth, g) birth weight, h) breastfeeding, i) completion of post-natal care, j) complications of pregnancy and childbirth (e.g obstructed labor, ruptured uterus, need for neonatal or maternal resuscitation/ assisted ventilation, severe preeclampsia/ eclampsia, postpartum hemorrhage (PPH), maternal/newborn sepsis, and other infections); and implementation, service and client outcomes
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Mbarara University of Science and Technology
Lead sponsor
University of Alabama at Birmingham
Collaborator
Harvard Medical School (HMS and HSDM)
Collaborator
Massachusetts General Hospital
Collaborator
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
