Conditional Cash Transfers to Increase Uptake of and Retention of PMTCT Services

NCT ID: NCT01838005

Last Updated: 2017-04-25

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

433 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2015-04-30

Brief Summary

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The goals of the proposed study are to: 1) test whether small, increasing cash payments to HIV-infected pregnant women, on the condition that they attend scheduled clinic visits and receive proposed services, will increase the proportion of women who receive the most effective antiretroviral regimen they are eligible for by the time of delivery, and 2) elucidate factors that facilitate or inhibit the uptake and adherence to the PMTCT cascade, and to what extent the conditional cash payment program addresses these factors.

This intervention will be implemented and evaluated within our well-established PMTCT program in Kinshasa, Democratic Republic of Congo (DRC),

Detailed Description

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Conditions

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HIV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Caregivers

Study Groups

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Standard of Care

Routine implementation of the national PMTCT guidelines which are an adaptation of the WHO's "Option A"

Group Type NO_INTERVENTION

No interventions assigned to this group

Conditional Cash Transfer

Financial incentive to attend regular clinic visits and receive PMTCT care

Group Type EXPERIMENTAL

Conditional cash transfer

Intervention Type BEHAVIORAL

Eligible women randomized to the intervention group will receive the standard of care plus small and increasing cash payments, on the condition that they attend scheduled clinic visits on time (+/-5days), accept HIV services, deliver in a health facility, and at six weeks postpartum adhere to prescribed infant prophylactic drugs (cotrimoxazole, extended NVP) and provide blood sample for DNA PCR infant early HIV diagnosis.

Interventions

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Conditional cash transfer

Eligible women randomized to the intervention group will receive the standard of care plus small and increasing cash payments, on the condition that they attend scheduled clinic visits on time (+/-5days), accept HIV services, deliver in a health facility, and at six weeks postpartum adhere to prescribed infant prophylactic drugs (cotrimoxazole, extended NVP) and provide blood sample for DNA PCR infant early HIV diagnosis.

Intervention Type BEHAVIORAL

Other Intervention Names

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Contingency management

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed as HIV-positive
* Pregnant between 28 and 32 weeks of gestation (\>27 and \<32 completed weeks of pregnancy)
* Intend to stay in Kinshasa through delivery and six weeks postpartum
* Able and willing to participate (provide informed consent)

Exclusion Criteria

* Women will be excluded from the study if they are severely ill and require extended hospitalization or need to be cared for at a referral hospital out of the PMTCT network
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

Kinshasa School of Public Health

OTHER

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marcel Yotebieng, MD

Role: PRINCIPAL_INVESTIGATOR

Ohio State University

Emile W Okitolonda, MD

Role: PRINCIPAL_INVESTIGATOR

Kinshasa School of Public Health

Locations

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Kinshasa School of Public Health

Kinshasa, Kinshasa, Republic of the Congo

Site Status

Countries

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Republic of the Congo

References

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Yotebieng M, Moracco KE, Thirumurthy H, Edmonds A, Tabala M, Kawende B, Wenzi LK, Okitolonda EW, Behets F. Conditional Cash Transfers Improve Retention in PMTCT Services by Mitigating the Negative Effect of Not Having Money to Come to the Clinic. J Acquir Immune Defic Syndr. 2017 Feb 1;74(2):150-157. doi: 10.1097/QAI.0000000000001219.

Reference Type RESULT
PMID: 27787342 (View on PubMed)

Yotebieng M, Thirumurthy H, Moracco KE, Kawende B, Chalachala JL, Wenzi LK, Ravelomanana NL, Edmonds A, Thompson D, Okitolonda EW, Behets F. Conditional cash transfers and uptake of and retention in prevention of mother-to-child HIV transmission care: a randomised controlled trial. Lancet HIV. 2016 Feb;3(2):e85-93. doi: 10.1016/S2352-3018(15)00247-7.

Reference Type RESULT
PMID: 26847230 (View on PubMed)

Yotebieng KA, Fokong K, Yotebieng M. Depression, retention in care, and uptake of PMTCT service in Kinshasa, the Democratic Republic of Congo: a prospective cohort. AIDS Care. 2017 Mar;29(3):285-289. doi: 10.1080/09540121.2016.1255708. Epub 2016 Nov 6.

Reference Type RESULT
PMID: 27819151 (View on PubMed)

Saleska JL, Turner AN, Gallo MF, Shoben A, Kawende B, Ravelomanana NLR, Thirumurthy H, Yotebieng M. Role of temporal discounting in a conditional cash transfer (CCT) intervention to improve engagement in the prevention of mother-to-child transmission (PMTCT) cascade. BMC Public Health. 2021 Mar 10;21(1):477. doi: 10.1186/s12889-021-10499-0.

Reference Type DERIVED
PMID: 33691667 (View on PubMed)

Other Identifiers

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1R01HD075171-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

12-1676

Identifier Type: -

Identifier Source: org_study_id

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