Traditional Ethiopian Coffee Ceremony in a Rural Ethiopian Hospital to Increase Hospital-based Delivery Rates

Vanderbilt University Medical Center

Status: Completed

Conditions: Birth Setting; Maternal Health

Treatments: Behavioral: Postpartum coffee ceremony

Study type: Interventional

Funder types: Other

Identifiers

NCT04232137

GH/LUC/909

Details and patient eligibility

About

This study evaluates if organizing a postpartum traditional Ethiopian coffee ceremony will provide an incentive for our antenatal care patients to eventually deliver in our hospital. Patients are randomized to either receiving, or not receiving, a postpartum coffee ceremony for them and their relatives.

Full description

Ethiopia has one of the highest maternal mortality rates in the world, with an estimated maternal mortality ratio of 497 per 100,000 live births. Cultural factors contribute to the underutilization of maternal health services. In 2014, only 20% of our antenatal care patients delivered in our hospital. In order to increase health facility-based delivery rates, government-funded hospitals and health centers facilitate traditional Ethiopian coffee ceremonies after delivery. We hypothesized that organizing postpartum coffee ceremonies would motivate our antenatal care patients to deliver in our hospital and would thus increase the hospital-based delivery rate.

Enrollment: 439 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pregnant patient
• First visit to antenatal care clinic

Exclusion criteria

• Non-viable pregnancy

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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439 participants in 2 patient groups

Coffee ceremony

Experimental group

Description:

Antenatal care patients will be told on their first antenatal care visit that a postpartum coffee ceremony will be organized for them and up to 4 relatives

Treatment:

Behavioral: Postpartum coffee ceremony

NO Coffee ceremony

No Intervention group

Description:

Antenatal care patients will be told that they will NOT receive a postpartum coffee ceremony, as is the current status quo