Incentives for Postnatal Care Demand

President and Fellows of Harvard College

Status: Completed

Conditions: Neonatal Death; Maternal Death

Treatments: Behavioral: Performance-based monetary incentives

Study type: Interventional

Funder types: Other

Identifiers

NCT02936869

HU-052

Details and patient eligibility

About

The purpose of this study is to identify the causal impact of performance-based monetary incentives in increasing postnatal care (PNC) referrals by traditional birth attendants (TBAs), via a randomized controlled trial (RCT).

Enrollment: 207 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• community-based providers of antenatal and/or delivery care, and who are non-formally trained
• must be resident within the community
• must not plan to relocate over the intervention duration
• identified in partnership with community leadership
• be willing to participate fully in the study, including having their clients contacted for verification

Exclusion criteria

• plan to relocate over the intervention duration
• refusal to provide informed consent for the entire study protocol including agreeing to have their delivery clients contacted for verification

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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207 participants in 2 patient groups

Control arm

No Intervention group

Description:

Traditional birth attendants will receive an offer of two-weekly payouts per reported delivery they take that is verified by client.

Referral incentive arm

Experimental group

Description:

Traditional birth attendants will receive an offer of two-weekly payouts per reported delivery they take that is verified by client. Traditional birth attendants randomized to this arm will also receive an offer of two-weekly payouts per successful referral of delivery clients to postnatal care within 48 hours of delivery in a facility if verified.

Treatment:

Behavioral: Performance-based monetary incentives