Chama Cha MamaToto: a Pilot Study of Peer Support Groups in Kenya

NCT ID: NCT03188250

Last Updated: 2017-06-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 515 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-09-30
• Study Completion Date: 2016-06-30

Brief Summary

Preventing maternal and newborn deaths remain high on the global agenda. To address this, the Academic Model Providing Access to Healthcare (AMPATH), in partnership with the Government of Kenya, launched Chama cha MamaToto, a community-led peer-support model that groups women together in pregnancy and infancy. Central to the chama approach is the integration of health, social and financial literacy education with a savings/loans program.

Detailed Description

To evaluate the feasibility of chamas, we analysed group attendance rates, GISE participation, membership retention, and continuation of the groups beyond the one year. To evaluate the effect of chamas, the investigators compared data from a prospective cohort of women in chamas with a group of controls who did not belong to a chama, matched for age, parity, and location of prenatal care. To evaluate the acceptability of chamas, FGDs were carried out with chama and non-chama participants, health providers and community health workers.

Conditions

Pregnancy Related; Group, Peer

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Chama cha MamaToto

Pregnant women in communities where chama cha mamatoto is taking place will be invited to join and participate in bi-weekly group meetings for a year

Group Type: EXPERIMENTAL

Chama cha Mamtoto

Intervention Type: BEHAVIORAL

Chama cha Mamatoto is a community-based model of peer support group in pregnancy and infancy that combines health education, relationship building and a savings and loans program, led by community health workers

Referent

Pregnant women attending at least one prenatal visit in communities where chama cha mamatoto was implemented three months later served as the comparison

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Chama cha Mamtoto

Chama cha Mamatoto is a community-based model of peer support group in pregnancy and infancy that combines health education, relationship building and a savings and loans program, led by community health workers

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Pregnant women in communities where chamas were taking place
• Any woman attending chama

Exclusion Criteria

-

• Minimum Eligible Age: 15 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Grand Challenges Canada

OTHER

Sponsor Role: collaborator

University of Toronto

OTHER

Sponsor Role: collaborator

Moi University

OTHER

Sponsor Role: lead

Responsible Party

Astrid Christoffersen-Deb

Visiting Lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Astrid Christoffersen-Deb, MDCM

Role: PRINCIPAL_INVESTIGATOR

Moi University

References

Maldonado LY, Songok JJ, Snelgrove JW, Ochieng CB, Chelagat S, Ikemeri JE, Okwanyi MA, Cole DC, Ruhl LJ, Christoffersen-Deb A. Promoting positive maternal, newborn, and child health behaviors through a group-based health education and microfinance program: a prospective matched cohort study in western Kenya. BMC Pregnancy Childbirth. 2020 May 12;20(1):288. doi: 10.1186/s12884-020-02978-w.

Reference Type: DERIVED

PMID: 32398156 (View on PubMed)

Other Identifiers

UMoi3

Identifier Type: -

Identifier Source: org_study_id