Evaluation of the Maternal and Child Survival Program (MCSP) in Mozambique Using Mixed Methods

NCT ID: NCT03774602

Last Updated: 2019-02-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 2767 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-11-22
• Study Completion Date: 2018-12-22

Brief Summary

This study evaluates changes in knowledge, attitudes, practices and coverage of key reproductive, maternal, newborn, and child health (RMNCH) areas, including malaria, family planning (FP), nutrition, water, sanitation and hygiene (WASH), and gender equity among the population in Nampula and Sofala provinces targeted by the Maternal and Child Survival Program (MCSP) in Mozambique.

Detailed Description

The specific objectives of the study are to:

1. Assess changes in knowledge, attitudes, practices and coverage (KAPC) of high-impact interventions related to MNCH (antenatal care, delivery, post-partum/natal care, and sick child care), immunization, family planning and reproductive health, nutrition, WASH and malaria among mothers and fathers of children age 0-23 months in MCSP supported areas;

2. Evaluate the effectiveness of male engagement interventions that encourage couples communication at increasing antenatal care (ANC) attendance, joint birth preparedness and complication readiness (BPCR) plans, institutional birth, and use of modern FP;

3. Determine the feasibility and acceptability of male engagement interventions on RMNCH services for clients and providers;

4. Explore how decisions between couples are made and what may influence their decisions about seeking RMNCH services; and

5. Explore the experiences of women who were referred to a health facility for themselves or their child for obstetric, newborn or child health complications, and examine the factors contributing to whether and how those referrals were completed in Nampula Province.

This study is a final program evaluation that will use a mixed methods approach, including both quantitative and qualitative data collection.

Quantitative data will be collected through a cross-sectional KAPC household survey of mothers and fathers of children age 0-23 months, replicating the same KAPC questionnaire that was conducted at baseline in 2016 in the same geographic areas. Questions were harmonized with the DHS and MICS where appropriate. Findings from the endline KAPC survey will be compared to findings from the baseline survey to assess changes over time in the primary outcomes of interest.

Qualitative data will be collected through focus group discussions (FGDs) and in-depth interviews (IDIs) with clients (mothers and fathers of children age 0-23 months) and health providers in MCSP-supported areas. The qualitative component will be conducted to help us gain a more in-depth understanding of the influence of male engagement interventions on couples' decision-making and care-seeking related to RMNCH as well as the barriers and facilitators that affected the experience of identified women who were referred to health facilities for obstetric or newborn complications. We will explore both client and provider experiences with gender-equitable male engagement practices, as well as individual client referral narratives related to obstetric or newborn complications.

Conditions

Knowledge, Attitudes, Practice; Gender Issues

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

MCSP package of interventions

MCSP package of interventions for health promotion and provision of RMNCH services

Group Type: EXPERIMENTAL

Health promotion and provision of RMNCH services

Intervention Type: BEHAVIORAL

Implementation of quality, high-impact interventions at institutional and community levels to increase access to and utilization of RMNCH services

Interventions

Health promotion and provision of RMNCH services

Implementation of quality, high-impact interventions at institutional and community levels to increase access to and utilization of RMNCH services

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Women 15 years and older who have had a live birth in the 2 years preceding the survey and the child is living at the time of the interview
• Male partners (age 18 and older) of women 15 years and older who have had a live birth in the 2 years preceding the survey and the child is living at the time of the interview

• Facility managers working in selected primary health care centers
• Health care workers who provide RMNCH services in MCSP-supported facility in one of these six areas: ANC, maternity, postnatal care, FP, sick child, or well-child

• Women 18-49 years of age who delivered in the last 12 months
• Male partner (age 18 and older) of a woman 18-49 years of age who delivered in the last 12 months
• Participated in a community dialogue

• Minimum Eligible Age: 15 Years
• Maximum Eligible Age: 49 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Ministry of Health, Mozambique

OTHER_GOV

Sponsor Role: collaborator

United States Agency for International Development (USAID)

FED

Sponsor Role: collaborator

Save the Children

OTHER

Sponsor Role: collaborator

Jhpiego

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Connie Lee, MPH, MIA

Role: PRINCIPAL_INVESTIGATOR

Jhpiego

Locations

Angoche District, Community Setting

Angoche, Nampula, Mozambique

Meconta District, Community Setting

Meconta, Nampula, Mozambique

Mecuburi District, Community Setting

Mecubúri, Nampula, Mozambique

Moma District, Community Setting

Moma, Nampula, Mozambique

Monapo District, Community Setting

Monapo, Nampula, Mozambique

Mossuril District, Community Setting

Mossuril, Nampula, Mozambique

Centro de Saude Ontupaia

Nacala, Nampula, Mozambique

Centro de Saude Quissinmanjulo

Nacala, Nampula, Mozambique

Nacala Porto District, Community Setting

Nacala, Nampula, Mozambique

Erati District, Community Setting

Namapa-erati, Nampula, Mozambique

Centro de Saude Iapala Sede

Ribáuè, Nampula, Mozambique

Hospital Rural de Ribaue

Ribáuè, Nampula, Mozambique

Ribaue District, Community Setting

Ribáuè, Nampula, Mozambique

Beira City, Community Setting

Beira, Sofala, Mozambique

Buzi District, Community Setting

Búzi, Sofala, Mozambique

Centro de Saude Ampara

Búzi, Sofala, Mozambique

Centro de Saude Bandua

Búzi, Sofala, Mozambique

Dondo District, Community Setting

Dondo, Sofala, Mozambique

Centro de Saude Metuchira

Nhamatanda, Sofala, Mozambique

Hospital Rural de Nhamatanda

Nhamatanda, Sofala, Mozambique

Nhamatanda District, Community Setting

Nhamatanda, Sofala, Mozambique

Countries

Mozambique

Other Identifiers

IRB 8902

Identifier Type: -

Identifier Source: org_study_id