Improving Perinatal Outcomes Using Conditional and Targeted Transfers (IMPACTT)

RanD

Status: Completed

Conditions: Birth Outcomes; Utilization, Health Care

Treatments: Behavioral: Risk information provision; Behavioral: Conditional cash transfer

Study type: Interventional

Funder types: Other

Identifiers

NCT04090762

R01HD090231

Details and patient eligibility

About

It has been estimated that increasing the use of skilled care during childbirth could prevent up to 1.5 million maternal and newborn deaths and stillbirths by 2025. Conditional cash transfer programs, in which women receive cash payments conditioned on the use of maternal health services, are increasingly being used as a mechanism to increase uptake. In this study, the investigators randomly assign households to receive varying cash amounts conditioned on uptake of recommended pregnancy and delivery care. The investigators crosscut this with an intervention in which pregnant women receive information about their risk type. This randomized trial will provide new evidence about the potential efficacy of targeting cash transfers by pregnancy risk. This study will take place in 288 primary health service areas (HSAs) in Nigeria.

Enrollment: 36,607 patients

Sex: Female

Ages: 15 to 49 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Pregnant women ages 15-49 who reside in the participating health service areas

Exclusion criteria

• none

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

36,607 participants in 4 patient groups

Control

No Intervention group

Description:

Women in the control arm will complete the baseline and follow up surveys but will not receive any intervention.

Risk information only

Active Comparator group

Description:

Women in the risk only arm who exhibit characteristics associated with a greater risk of a poor birth outcome will be informed that they possess these characteristics. Risk characteristics (identified from the medical and epidemiological literature) include age, prior pregnancy and birth history (e.g., previous stillbirth).

Treatment:

Behavioral: Risk information provision

Conditional Cash Transfer only

Active Comparator group

Description:

Women in this arm will be eligible to receive conditional cash transfers. To receive the transfer, pregnant women must attend prenatal care and give birth in a health facility.

Treatment:

Behavioral: Conditional cash transfer

Conditional Cash Transfer and risk information

Active Comparator group

Description:

Women in this arm will be provided with risk information at the time of baseline survey administration AND be eligible to receive conditional cash transfers, pending attendance at prenatal care and delivery at a health facility.

Treatment:

Behavioral: Conditional cash transfer

Behavioral: Risk information provision