Gai 2019.
Methods | Cluster‐RCT; unit of randomisation: community clinic level Objectives: To evaluate the effects of a community‐based intervention on the utilisation of maternal and neonatal care provided by qualified facilities and skilled providers, in the context of the Safe Mothering Promotion Project (Phase II). 'The objective of SMPP Phase II was to improve maternal and neonatal health outcomes by: improving maternal and neonatal health (MNH) service delivery at health facilities; strengthening CSGs to implement community led actions for saving mother and newborn lives; involving the local government bodies to support MNH services; and empowering women, through awareness building, to obtain participation and accountability for overcoming barriers to access healthcare services' (p. 4). |
Participants | Eligible: women having given birth in the year preceding data collection; residing in study areas (intervention or control areas) and able to give written informed consent. Location: Kalaroa Upazila of Satkhira District, Bangladesh Total n = 4675 women (intervention group: n = 2407 (1102 baseline, 1305 at follow up); control group: n = 2268 (1237 baseline, 1031 at follow up). |
Interventions | Multicomponent intervention at healthcare facilities and community levels, involving Community Support Groups embedded within Community Clinics and serving to create demand and mobilise the community, working in collaboration with a Community Group (governing and management body, ensuring quality of care). Purpose is to promote better maternal and neonatal health outcomes; comparison with usual practice. |
Outcomes | Primarily clinical and related outcomes, reflecting use of services for antenatal care, delivery,
postpartum care and neonatal care by pregnant and post‐partum women. 'The major indicators of the expected outcomes were: • Proportion of women received any and 4+ ANC from skilled health care providers; • Met need (proportion of women with complications received services from EmOC facilities) during pregnancy, childbirth and post‐partum period; • Delivery attended by skilled birth attendants; • Delivery conducted at health facilities; • Proportion of postpartum women received PNC from skilled providers within 42 days of delivery; • Proportion of sick newborns received services from skilled provider Information related to maternal and neonatal complications and care seeking were obtained from the respondents through face‐to‐face interview using a structured questionnaire' (p.9). |
Notes | UMIN Clinical Trial Registry UMIN000031789. |