ClinicalTrials.gg
CompletedNCT01838005Updated Apr 25, 2017

Conditional Cash Transfers to Increase Uptake of and Retention of PMTCT Services

An interventional study of Conditional cash transfer in HIV, sponsored by University of North Carolina, Chapel Hill. Completed at 1 site in Congo. Open to female participants, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-04-25.

Sponsored by University of North Carolina, Chapel Hill · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
433
Allocation
Randomized
Sex
Female
01

Study summary

The goals of the proposed study are to: 1) test whether small, increasing cash payments to HIV-infected pregnant women, on the condition that they attend scheduled clinic visits and receive proposed services, will increase the proportion of women who receive the most effective antiretroviral regimen they are eligible for by the time of delivery, and 2) elucidate factors that facilitate or inhibit the uptake and adherence to the PMTCT cascade, and to what extent the conditional cash payment program addresses these factors.

This intervention will be implemented and evaluated within our well-established PMTCT program in Kinshasa, Democratic Republic of Congo (DRC),

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Conditions studied

  • HIV

Keywords

  • Contingency management
  • conditional cash transfer
  • PMTCT
  • Retention
  • HIV
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In context

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,372 studies on the registry; 133 are open to participants now.

Of its 161 completed or terminated interventional studies of FDA-regulated products, 139 (86%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Newly diagnosed as -positive
  • Pregnant between 28 and 32 weeks of gestation (>27 and \<32 completed weeks of pregnancy)
  • Intend to stay in Kinshasa through delivery and six weeks postpartum
  • Able and willing to participate (provide )

Exclusion criteria

Exclusion Criteria:

  • Women will be excluded from the study if they are severely ill and require extended hospitalization or need to be cared for at a referral hospital out of the PMTCT network
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

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05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
433 participants (actual)

Study arms

  • No intervention
    Standard of Care

    Routine implementation of the national PMTCT guidelines which are an adaptation of the WHO's "Option A"

  • Experimental
    Conditional Cash Transfer

    Financial incentive to attend regular clinic visits and receive PMTCT care

    Behavioral: Conditional cash transfer

Interventions

  • BehavioralConditional cash transfer

    Eligible women randomized to the intervention group will receive the standard of care plus small and increasing cash payments, on the condition that they attend scheduled clinic visits on time (+/-5days), accept HIV services, deliver in a health facility, and at six weeks postpartum adhere to prescribed infant prophylactic drugs (cotrimoxazole, extended NVP) and provide blood sample for DNA PCR infant early HIV diagnosis.

    Also known as: Contingency management

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What researchers measure

Primary outcomes

  1. proportion of women who were adherent to all conditionalities and received the most effective ARV intervention they were eligible to receive and delivered at an affiliated maternity

    At each monthly visit starting at randomization (28 weeks), participants will be evaluated for the following conditionalities: 1. attended the scheduled visit on time (+/- 5 days) 2. accept HIV status and services proposed to them 3. return to deliver in the clinic At the end of the follow-up (6 weeks post-partum)the proportion of participants who adhered to all these conditions will be calculated for each study group

    Time frame: 6 weeks postpartum

Secondary outcomes

  1. Mother to child transmission rate at six weeks and HIV-free survival.

    Proportion of HIV-exposed infant who tested positive at 6 week postpartum

    Time frame: 6 weeks post partum

  2. HIV-free survival at 18 month.

    Proportion of children born to HIV+ enrolled mothers who are alive and non infected with HIV

    Time frame: 18 months porstpartum

  3. Proportion of HIV-exposed infants who at their six week visit received extended Nevirapine (NVP) had a DNA PCR test

    Proportion of infants born to HIV-infected participants who at 6 weeks postpartum are receiving the extended nevirapine prophylaxis and have been tested for HIV

    Time frame: 6 weeks Postpartum

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Study locations

1 site
  • Kinshasa School of Public Health
    Kinshasa, Congo
08

References and documents

Publications

  • Yotebieng M, Moracco KE, Thirumurthy H, Edmonds A, Tabala M, Kawende B, Wenzi LK, Okitolonda EW, Behets F. Conditional Cash Transfers Improve Retention in PMTCT Services by Mitigating the Negative Effect of Not Having Money to Come to the Clinic. J Acquir Immune Defic Syndr. 2017 Feb 1;74(2):150-157. doi: 10.1097/QAI.0000000000001219. PubMed 27787342 ↗
  • Yotebieng M, Thirumurthy H, Moracco KE, Kawende B, Chalachala JL, Wenzi LK, Ravelomanana NL, Edmonds A, Thompson D, Okitolonda EW, Behets F. Conditional cash transfers and uptake of and retention in prevention of mother-to-child HIV transmission care: a randomised controlled trial. Lancet HIV. 2016 Feb;3(2):e85-93. doi: 10.1016/S2352-3018(15)00247-7. PubMed 26847230 ↗
  • Yotebieng KA, Fokong K, Yotebieng M. Depression, retention in care, and uptake of PMTCT service in Kinshasa, the Democratic Republic of Congo: a prospective cohort. AIDS Care. 2017 Mar;29(3):285-289. doi: 10.1080/09540121.2016.1255708. Epub 2016 Nov 6. PubMed 27819151 ↗
  • Saleska JL, Turner AN, Gallo MF, Shoben A, Kawende B, Ravelomanana NLR, Thirumurthy H, Yotebieng M. Role of temporal discounting in a conditional cash transfer (CCT) intervention to improve engagement in the prevention of mother-to-child transmission (PMTCT) cascade. BMC Public Health. 2021 Mar 10;21(1):477. doi: 10.1186/s12889-021-10499-0. PubMed 33691667 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 25, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01838005
Responsible party
Sponsor
First posted
Apr 23, 2013
Start date
Apr 2013
Primary completion
Apr 2015
Completion
Apr 2015
Last update
Apr 25, 2017

Study contacts

Marcel Yotebieng, MD
principal investigator · Ohio State University
Emile W Okitolonda, MD
principal investigator · Kinshasa School of Public Health

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

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