Improving Maternal and Child Health in India: Evaluating Demand and Supply Side Strategies (IMATCHINE)

NCT ID: NCT01480544

Last Updated: 2015-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

14990 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2015-11-30

Brief Summary

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The study evaluates the impact of a new conditional cash transfer (CCT) program (Thayi Bhagya Yojana) to promote child birth in obstetric facilities in the state of Karnataka, India in order to determine its policy value and to guide efforts to improve maternal and infant health outcomes nationally. In addition, the study includes a large randomized evaluation of performance-based incentive payments to providers to improve quality of medical care provided during delivery and actual health improvement in the providers' patient populations and their catchment areas.

Detailed Description

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The evaluation study will first provide new evidence on the effectiveness of demand-side strategies to increase institutional deliveries and improve childbirth outcomes. Second, the study will analyze one of the first implementations of direct rewards to providers for health improvement in a developing country. Third, the study will provide critical new insight into dynamics between demand and supply-side incentives in improving population health outcomes as either complements or substitutes.

The study uses household survey to collect data from mothers on socio-economic, human capital, quality of life variables (including below poverty line \[BPL\] index components) and as well as information about deliveries, fertility histories, morbidity and mortality (for mothers, infants, and children), birth related complications, health service use and spending. Additionally, provider surveys will collect data on infrastructure, staffing, provider qualifications, provider knowledge and process measures of provider performance.

Conditions

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Obstetric Labor Complications Post-partum Hemorrhage Sepsis Pre-eclampsia Neonatal Mortality

Keywords

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Institutional Deliveries Maternal Health Infant Health Private Medical Providers Provider Incentives Randomized Control Trial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Mothers at endline

Data collected on new mothers (up to three weeks after childbirth) in 180 clusters with 100 mothers in each cluster at endline.

Group Type NO_INTERVENTION

No interventions assigned to this group

Treatment 1

Data collected on new mothers (up to three weeks after childbirth) and on providers with incentives for clinical improvements in quality of maternity care in the providers' patient populations and the catchment areas served by the providers.

Group Type EXPERIMENTAL

Experimental: Treatment 1

Intervention Type OTHER

Physicians will receive financial incentives for improving the quality of obstetric and neonatal care provided to mothers and newborns as reported by mothers during household interviews.

Treatment 2

Data collected on new mothers (up to three weeks after childbirth) and on providers with incentives for improvement in maternal and infant health outcomes in the providers' patient populations and in the catchment areas served by the providers.

Group Type EXPERIMENTAL

Experimental: Treatment 2

Intervention Type OTHER

Physicians will receive financial incentives for improving maternal and neonatal health outcomes as reported by mothers during household interviews.

Control

Data collected on new mothers (up to three weeks after childbirth) and providers with no incentives

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Experimental: Treatment 1

Physicians will receive financial incentives for improving the quality of obstetric and neonatal care provided to mothers and newborns as reported by mothers during household interviews.

Intervention Type OTHER

Experimental: Treatment 2

Physicians will receive financial incentives for improving maternal and neonatal health outcomes as reported by mothers during household interviews.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Households with new mothers (one to three weeks after childbirth)
* Rural private sector maternity care providers who are listed on the Karnataka government's legitimate provider list.

Exclusion Criteria

* Households without children
* Households where mothers gave birth \> 3 weeks ago
* Public sector maternity care providers
* Private sector maternity care providers serving in towns with large public providers such as Community Health Centers (CHCs)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role collaborator

International Initiative for Impact Evaluation

OTHER

Sponsor Role collaborator

Department for International Development, United Kingdom

OTHER_GOV

Sponsor Role collaborator

Sambodhi Research and Communication Pvt., Ltd.

UNKNOWN

Sponsor Role collaborator

Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Manoj Mohanan, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

Duke University

Locations

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Imatchine

Bangalore, Karnataka, India

Site Status

Countries

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India

Other Identifiers

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Pro00031046

Identifier Type: -

Identifier Source: org_study_id