Trial Outcomes & Findings for mHealth-Assisted Conditional Cash Transfers to Improve Timeliness of Vaccinations (D0271) (NCT NCT03252288)

NCT ID: NCT03252288

Last Updated: 2025-03-07

Results Overview

Number of vaccinations received within 4 weeks of scheduled vaccination dates. Note: Vaccinations are due at birth and at ages 6, 10, and 14 weeks. Delays in 6 and/or 10 week vaccinations result in corresponding shifts in subsequent vaccination due dates. Timeliness is calculated independently for each vaccination in relation to its scheduled due date: The vaccination is considered timely if it is received within 4 weeks of the scheduled due date, not timely otherwise. Observations beyond 6 months after birth are censored.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

412 participants

Primary outcome timeframe

Up to 6 months after birth

Results posted on

2025-03-07

Participant Flow

Participant milestones

Participant milestones
Measure
No Intervention
No reminders or incentives
Reminders Only
Reminders are sent 1 week and 1 day before each scheduled vaccination date Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones
Reminders + Conditional Financial Transfer
Reminders are sent 1 week and 1 day before each scheduled vaccination date; and conditional financial transfers are made for each on-time vaccination visit Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones Conditional financial transfers: Full amount paid if visit occurs within 1 week of the scheduled visit; partial amount is paid if visit occurs \>1 week but within 4 weeks of the scheduled visit
Overall Study
STARTED
239
67
106
Overall Study
COMPLETED
140
67
106
Overall Study
NOT COMPLETED
99
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
No Intervention
No reminders or incentives
Reminders Only
Reminders are sent 1 week and 1 day before each scheduled vaccination date Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones
Reminders + Conditional Financial Transfer
Reminders are sent 1 week and 1 day before each scheduled vaccination date; and conditional financial transfers are made for each on-time vaccination visit Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones Conditional financial transfers: Full amount paid if visit occurs within 1 week of the scheduled visit; partial amount is paid if visit occurs \>1 week but within 4 weeks of the scheduled visit
Overall Study
Death
11
0
0
Overall Study
Withdrawal by Subject
2
0
0
Overall Study
Lost to Follow-up
79
0
0
Overall Study
Loss of baseline data on tablets
6
0
0

Baseline Characteristics

mHealth-Assisted Conditional Cash Transfers to Improve Timeliness of Vaccinations (D0271)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
No Intervention
n=140 Participants
No reminders or incentives
Reminders Only
n=67 Participants
Reminders are sent 1 week and 1 day before each scheduled vaccination date Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones
Reminders + Conditional Financial Transfer
n=106 Participants
Reminders are sent 1 week and 1 day before each scheduled vaccination date; and conditional financial transfers are made for each on-time vaccination visit Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones Conditional financial transfers: Full amount paid if visit occurs within 1 week of the scheduled visit; partial amount is paid if visit occurs \>1 week but within 4 weeks of the scheduled visit
Total
n=313 Participants
Total of all reporting groups
Age, Categorical
<=18 years
15 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
18 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
125 Participants
n=5 Participants
65 Participants
n=7 Participants
105 Participants
n=5 Participants
295 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Female
140 Participants
n=5 Participants
67 Participants
n=7 Participants
106 Participants
n=5 Participants
313 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
140 Participants
n=5 Participants
67 Participants
n=7 Participants
106 Participants
n=5 Participants
313 Participants
n=4 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
Tanzania
140 participants
n=5 Participants
67 participants
n=7 Participants
106 participants
n=5 Participants
313 participants
n=4 Participants
Age
26.7 years
STANDARD_DEVIATION 7.56 • n=5 Participants
29.7 years
STANDARD_DEVIATION 6.57 • n=7 Participants
30.3 years
STANDARD_DEVIATION 6.67 • n=5 Participants
28.58 years
STANDARD_DEVIATION 7.24 • n=4 Participants

PRIMARY outcome

Timeframe: Up to 6 months after birth

Population: Participants in follow-up survey without missing data on vaccinations and per-protocol study arm

Number of vaccinations received within 4 weeks of scheduled vaccination dates. Note: Vaccinations are due at birth and at ages 6, 10, and 14 weeks. Delays in 6 and/or 10 week vaccinations result in corresponding shifts in subsequent vaccination due dates. Timeliness is calculated independently for each vaccination in relation to its scheduled due date: The vaccination is considered timely if it is received within 4 weeks of the scheduled due date, not timely otherwise. Observations beyond 6 months after birth are censored.

Outcome measures

Outcome measures
Measure
No Intervention
n=139 Participants
No reminders or incentives
Reminders Only
n=67 Participants
Reminders are sent 1 week and 1 day before each scheduled vaccination date Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones
Reminders + Conditional Financial Transfer
n=104 Participants
Reminders are sent 1 week and 1 day before each scheduled vaccination date; and conditional financial transfers are made for each on-time vaccination visit Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones Conditional financial transfers: Full amount paid if visit occurs within 1 week of the scheduled visit; partial amount is paid if visit occurs \>1 week but within 4 weeks of the scheduled visit
Number of Timely Vaccinations Received
Received 0 vaccinations within 28 days of target age
10 Participants
5 Participants
5 Participants
Number of Timely Vaccinations Received
Received 2 vaccinations within 28 days of target age
12 Participants
6 Participants
18 Participants
Number of Timely Vaccinations Received
Received 4 vaccinations within 28 days of target age
81 Participants
38 Participants
50 Participants
Number of Timely Vaccinations Received
Received 1 vaccination within 28 days of target age
9 Participants
6 Participants
12 Participants
Number of Timely Vaccinations Received
Received 3 vaccinations within 28 days of target age
27 Participants
12 Participants
19 Participants

SECONDARY outcome

Timeframe: Up to 6 months after birth

Number of vaccinations received (range 0-4, for the vaccination due at birth, 6, 10, and 14 weeks) Note: Vaccinations are due at birth and at ages 6, 10, and 14 weeks. Delays in 6 and/or 10 week vaccinations result in corresponding shifts in subsequent vaccination due dates. Thus, some vaccinations may be due after the end of the observation period, which ends 6 months after birth).

Outcome measures

Outcome measures
Measure
No Intervention
n=139 Participants
No reminders or incentives
Reminders Only
n=67 Participants
Reminders are sent 1 week and 1 day before each scheduled vaccination date Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones
Reminders + Conditional Financial Transfer
n=104 Participants
Reminders are sent 1 week and 1 day before each scheduled vaccination date; and conditional financial transfers are made for each on-time vaccination visit Reminders: Text containing child name and vaccination due date sent via SMS to designated mobile phones Conditional financial transfers: Full amount paid if visit occurs within 1 week of the scheduled visit; partial amount is paid if visit occurs \>1 week but within 4 weeks of the scheduled visit
Number of Vaccinations Received
Received 0 vaccinations
0 Participants
0 Participants
0 Participants
Number of Vaccinations Received
Received 4 vaccinations
127 Participants
56 Participants
99 Participants
Number of Vaccinations Received
Received 1 vaccination
0 Participants
0 Participants
0 Participants
Number of Vaccinations Received
Received 2 vaccinations
1 Participants
0 Participants
0 Participants
Number of Vaccinations Received
Received 3 vaccinations
11 Participants
11 Participants
5 Participants

Adverse Events

No Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 12 deaths

Reminders Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Reminders + Conditional Financial Transfer

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jan Ostermann

University of South Carolina

Phone: +1803-777-8747

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place