An interventional study of MamaToto Package in Maternal Death and Newborn Death, sponsored by University of Calgary. Completed at 1 site in Tanzania. Open to participants aged 15 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-07-09.
Sponsored by University of Calgary · Not applicable, Interventional, and Health services research
This study aimed to adapt and implement a district-led, policy-based, low cost Maternal and Newborn Health (MNH) intervention package using the MamaToto process, proven successful in Uganda, in rural Tanzania. The investigators hypothesized that the 'MamaToto Package' will be successfully implemented in the Misungwi District and will be effective in improving key maternal and newborn health indicators of study participants.
This study collected baseline data on indicators related to pre-natal care, delivery, post-natal care, treatment of childhood illnesses and family planning. Data collection tools/strategies included 1) a mapping exercise, 2) health facility audit 3) household surveys and 4) exit interviews. Data was collected at baseline and endline. Operational data was collected throughout the life of the study. Results were used to inform implementation of interventions that aim to improve health facility capacity to deliver good quality care to women and children and to strengthen families and communities to better advocate for and engage in activities that promote healthier women and children.
Mapping data was collected in two districts 1) Misungwi and 2) Kwimba. Baseline and endline data was collected in Misungwi only. The intervention began in Misungwi in Years 1 and 2 and then rolled out to Kwimba in Year 3.
77 studies on the registry are indexed under Maternal Death; 19 are open to participants now.
This study's enrollment of 8,323 is above the median of 1,126 across 57 interventional studies indexed under Maternal Death.
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Of its 10 completed or terminated interventional studies of FDA-regulated products, 2 (20%) have results posted.
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Exclusion Criteria:
The division assigned to this arm received a comprehensive Maternal and Newborn Health (MNH) intervention package using the 'MamaToto Process'. Key intervention activities included: 1. engaging district leaders in district health system strengthening; 2. strengthening health facility-based MNH services; and 3. establishing a Maternal, Newborn, and Child Health focused lay Community Health Worker program.
Other: MamaToto Package
The MamaToto Package (later called "Mama na Mtoto" for the Tanzanian context) was an MNCH intervention built upon prior successes in Uganda and adapted to meet the needs in Misungwi District in Tanzania. The intervention included low-cost programming that built upon the existing district health system structure and resources in order to strengthen the MNH capacity and training of the district, health facilities, and community health workers.
Also known as: Mama na Mtoto
Proportion of live births attended by a skilled health provider
Percentage of women (15-49 year old) with at least one recent live birth (past two years) reporting their last delivery being attended to by a skilled health personnel (doctor, nurse, midwife, clinical officer or auxiliary midwife)
Time frame: Change between pre (baseline) and post (endline-up to 36 months) intervention
Proportion of women receiving postnatal care <48H
Percentage of women (15-49 years old) with a recent birth (\<2 years) reporting postnatal care by any provider for within 2 days (0-48 hours) after her most recent delivery.
Time frame: Change between pre (baseline) and post (endline-up to 36 months) intervention
Proportion of women receiving antenatal care 4 or more times during pregnancy
Percentage of women (15-49 years old) reporting four or more antenatal care visits at a health facility during their most pregnancy, where their last pregnancy was completed within two years of survey
Time frame: Change between pre (baseline) and post (endline-up to 36 months) intervention
Plan to share: Yes — De-Identified data will be shared with district officials, government offices and other stakeholders
This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.
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