Maternal Health Service Utilization Among Women of Reproductive Age in Sidama Region, Ethiopia
NCT ID: NCT05865873
Last Updated: 2023-05-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.
UNKNOWN
NA
1126 participants
INTERVENTIONAL
2023-01-01
2023-09-30
Brief Summary
Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.
Objective: This study aims to improve maternal health service utilization among women of reproductive age in the Dale and Wonsho districts of the Sidama region, Ethiopia.
Methods: A community-based cross-sectional study will be carried out to assess the utilization and predictors of maternal health care. A phenomenological qualitative study will be conducted to explore perceptions, barriers, and facilitators of maternal health care. A cluster randomized controlled trial will be employed to assess the effect of health education on maternal knowledge about obstetric danger signs, birth preparedness and complication readiness plan, and maternal health service utilization (MHSU). The minimum required sample size is 1,104 for a cross-sectional study. To explore perceptions, barriers, and facilitators of maternal health care a minimum of 20 in-depth interviews, 3 focus group discussions per group, and 20 key informative interviews will be conducted. The minimum required sample size to assess the effect of health education on outcomes is 942. Data will be entered into Epi Data version 3.1 and exported to the SPSS and Stata software for analysis. Descriptive analyses will be carried out to get descriptive measures for the important variables of interest. The generalized estimated equations analysis will be used to assess the potential predictors of MHSU. The coding and analysis of the qualitative data will be done using the thematic content analysis technique by Atlas-Ti software and presented in narratives.
Schedule and budget: This study will be conducted from October to August 2023; the total cost of the project will be 421,600 ETB (7,026.67 EURO).
Related Clinical Trials
Explore similar clinical trials based on study characteristics and research focus.
Effectiveness of Trained Religious Leaders' Engagement in Maternal Health Education in Ethiopia
NCT05716178
Effectiveness of Health Education Provided to Couples on Utilization of Maternity Waiting Homes in Rural Ethiopia
NCT05015023
An Integrated Community-based Intervention Package in Improving Maternal and Neonatal Health Outcomes
NCT05517577
An Implementation Study of Interventions to Promote Safe Motherhood in Jimma Zone Ethiopia
NCT03299491
The Effect of Integrating Postpartum Family Planning Intervention With Maternal & Child Health Services
NCT06965283
Detailed Description
Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.
Objective: This study aims to improve maternal health service utilization among women of reproductive age in the North Zone of the Sidama region, Ethiopia.
Methods: A community-based cross-sectional study will be carried out to assess the utilization and predictors of maternal health care. A phenomenological qualitative study will be conducted to explore perceptions, barriers, and facilitators of maternal health care. A cluster randomized controlled trial will be employed to assess the effect of health education on maternal knowledge about obstetric danger signs, birth preparedness and complication readiness plan, and maternal health service utilization. The minimum required sample size is 1,104 for a cross-sectional study. To explore perceptions, barriers, and facilitators of maternal health care a minimum of 20 in-depth interviews, 3 focus group discussions per group, and 20 key informative interviews will be conducted. The minimum required sample size is 942 for the interventional study. A multi-stage sampling method will be used to select the study participants for a cross-sectional study. A maximum variance sampling method will be used for the qualitative study. A cluster-randomized sampling method will be utilized for the interventional study. Quantitative data will be collected using a validated, pre-tested, and structured questionnaire. Qualitative data will be collected using pre-tested focus group discussions, in-depth interviews, and key informant interview guides until information saturation is reached. The intervention group will be received 12 rounds of pre-recorded audio-based health education. The utilization of maternal health care will be measured at baseline and 6 months after the intervention. Data will be entered into Epi Data version 3.1 and exported to the SPSS and Stata software for analysis. Descriptive analyses will be carried out to get descriptive measures for the important variables of interest. The generalized estimated equations (GEE) analysis will be used to assess the potential predictors of MHSU. The coding and analysis of the qualitative data will be done using the thematic content analysis technique by Atlas-Ti software and presented in narratives. For maternal knowledge about the danger signs and practice of birth preparedness and complication readiness, the multilevel linear regression models will be utilized. The generalized mixed models or GEE will be utilized to adjust for between and within-cluster variation for MHSU. The intention-to-treat analysis will be used to compare outcomes between groups. The independent t-tests will be used to compare the effect of the intervention between the two groups. The statistical significance level will be adjusted to account for the effect of multiple comparison problems using the Bonferroni corrections methods.
Schedule and budget: This study will be conducted from December 2022 to December 2023; the total cost of the project will be 421,600 ETB (7,026.67 EURO) and funded by Hawassa University and the Sidama Regional State Administration.
Conditions
See the medical conditions and disease areas that this research is targeting or investigating.
Study Design
Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.
RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
Review each arm or cohort in the study, along with the interventions and objectives associated with them.
Interventional group
Intervention group: will receive routine plus pre-recorded audio-based HEI package for six months until date of delivery.
Health education
Health education will be delivered for six months, two times per month; one session will take one hour, and an overall 12 sessions will be conducted. One health education session consists of key messages on normal pregnancy and childbirths, ODS during pregnancy, delivery, and the postpartum period, the practice of BPCR, and the benefits of MHSU. The other actions executed by WDT facilitators will be the motivating mother and their families to utilize MHS. One hour will be allocated for each session, from this 20 minutes will be allowed for the pre-recorded an audio-based lecturer and the remaining 40 minutes will be allowed for raising questions and responses (discussion). After the session, some of the women will be selected to carry out role play which is basic to demonstrate the important messages and share experiences.
Comparator group
Comparator group: will receive the routine health education package for six months until the date of delivery as per the Ethiopian guidelines.
Health education
Health education will be delivered for six months, two times per month; one session will take one hour, and an overall 12 sessions will be conducted. One health education session consists of key messages on normal pregnancy and childbirths, ODS during pregnancy, delivery, and the postpartum period, the practice of BPCR, and the benefits of MHSU. The other actions executed by WDT facilitators will be the motivating mother and their families to utilize MHS. One hour will be allocated for each session, from this 20 minutes will be allowed for the pre-recorded an audio-based lecturer and the remaining 40 minutes will be allowed for raising questions and responses (discussion). After the session, some of the women will be selected to carry out role play which is basic to demonstrate the important messages and share experiences.
Interventions
Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.
Health education
Health education will be delivered for six months, two times per month; one session will take one hour, and an overall 12 sessions will be conducted. One health education session consists of key messages on normal pregnancy and childbirths, ODS during pregnancy, delivery, and the postpartum period, the practice of BPCR, and the benefits of MHSU. The other actions executed by WDT facilitators will be the motivating mother and their families to utilize MHS. One hour will be allocated for each session, from this 20 minutes will be allowed for the pre-recorded an audio-based lecturer and the remaining 40 minutes will be allowed for raising questions and responses (discussion). After the session, some of the women will be selected to carry out role play which is basic to demonstrate the important messages and share experiences.
Eligibility Criteria
Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.
Inclusion Criteria
* Must haven't planned to change residence during the implementation of an intervention
* No psychiatric problems
* Capable of providing written informed consent
Exclusion Criteria
* Women who experienced stillbirth and infant deaths.
15 Years
49 Years
FEMALE
Yes
Sponsors
Meet the organizations funding or collaborating on the study and learn about their roles.
Universidad Pública de Navarra
OTHER
Hawassa University
OTHER
Responsible Party
Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.
Amanuel Yoseph Samago
Lecturer
Principal Investigators
Learn about the lead researchers overseeing the trial and their institutional affiliations.
Amanuel Samago
Role: PRINCIPAL_INVESTIGATOR
HAWASSA UNIVERSITY COLLEGE OF MEDICINE AND HEALTH SCIENCES
Locations
Explore where the study is taking place and check the recruitment status at each participating site.
Hawassa University College of Medicine and Health Sciences
Awasa, Sidama Region, Ethiopia
Countries
Review the countries where the study has at least one active or historical site.
Central Contacts
Reach out to these primary contacts for questions about participation or study logistics.
Facility Contacts
Find local site contact details for specific facilities participating in the trial.
References
Explore related publications, articles, or registry entries linked to this study.
Central Statistical Agency (CSA). "[Ethiopia] and ICF," Ethiopia Minin Demographic and Health Survey 2019: Key Indicators Report: Addis Ababa, Ethiopia, and Rockville, CSA and ICF, Maryland, USA.
Umar NJ, Afolayan JL, Emmanuel EA, Rejuaro FM, Onasoga OA, et al. (2017) Impact of Health Education on Knowledge and Access to Delivery Care Services by Women among Edu Local Government Area, Nigeria. J Community Med Health Educ 7: 510. doi:10.4172/2161-0711.1000510
UM Ango, MO Oche, IS Abubakar, KJ Awosan, Kaoje AU, MO Raji. Effect of health education intervention on knowledge and utilization of health facility delivery services by pregnant women in Sokoto State, Nigeria. International Journal of Contemporary Medical Research 2018;5(6):F4-F9.
Jibril UN, Saleh GN, Kayode OS, Morisola RF, Umar A, et al. Impact of Health Education Intervention on Knowledge and Utilization of Postnatal Care Services among Women in Edu Local Government of Kwara State, Nigeria doi: 10.4103/2278-960X.194496
OKAFOR, Orji Urenna; YEWANDE, Ademuyiwa Iyabo. Effect of antenatal education on knowledge and utilization of facility-based delivery services among pregnant women in two health institutions in Alimosho, Lagos state. International Journal of Research in Medical Sciences, [S.l.], v. 8, n. 10, p. 3457-3462, sep. 2020. ISSN 2320-6012.
Creswell J. W, Qualitative Inquiry & Research Design: Choosing Among Five Traditions. Thousand Oaks: CA. Sag Publications, Inc. 1998.
World Health Organization (WHO), Maternal mortality. Available from https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Borde MT, Loha E, Johansson KA, Lindtjorn B. Utilisation of health services fails to meet the needs of pregnancy-related illnesses in rural southern Ethiopia: A prospective cohort study. PLoS One. 2019 Dec 4;14(12):e0215195. doi: 10.1371/journal.pone.0215195. eCollection 2019.
Borde MT, Loha E, Johansson KA, Lindtjorn B. Financial risk of seeking maternal and neonatal healthcare in southern Ethiopia: a cohort study of rural households. Int J Equity Health. 2020 May 18;19(1):69. doi: 10.1186/s12939-020-01183-7.
Borde MT, Loha E, Lindtjorn B. Incidence of postpartum and neonatal illnesses and utilization of healthcare services in rural communities in southern Ethiopia: A prospective cohort study. PLoS One. 2020 Aug 27;15(8):e0237852. doi: 10.1371/journal.pone.0237852. eCollection 2020.
Abosse Z, Woldie M, Ololo S. Factors influencing antenatal care service utilization in hadiya zone. Ethiop J Health Sci. 2010 Jul;20(2):75-82. doi: 10.4314/ejhs.v20i2.69432.
Mamuye SA. Magnitude and Determinants of Postnatal Care Service Utilization Among Women Who Gave Birth in the Last 12 Months in Northern Ethiopia: A Cross-Sectional Study. Int J Womens Health. 2020 Nov 13;12:1057-1064. doi: 10.2147/IJWH.S269704. eCollection 2020.
Geleto A, Chojenta C, Taddele T, Loxton D. Association between maternal mortality and caesarean section in Ethiopia: a national cross-sectional study. BMC Pregnancy Childbirth. 2020 Oct 6;20(1):588. doi: 10.1186/s12884-020-03276-1.
Berelie Y, Yeshiwas D, Yismaw L, Alene M. Determinants of institutional delivery service utilization in Ethiopia: a population based cross sectional study. BMC Public Health. 2020 Jul 8;20(1):1077. doi: 10.1186/s12889-020-09125-2.
Kifle D, Azale T, Gelaw YA, Melsew YA. Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study. Reprod Health. 2017 Jan 13;14(1):6. doi: 10.1186/s12978-016-0270-5.
Ayalew TW, Nigatu AM. Focused antenatal care utilization and associated factors in Debre Tabor Town, northwest Ethiopia, 2017. BMC Res Notes. 2018 Nov 16;11(1):819. doi: 10.1186/s13104-018-3928-y.
Aktac S, Sabuncular G, Kargin D, Gunes FE. Evaluation of Nutrition Knowledge of Pregnant Women before and after Nutrition Education according to Sociodemographic Characteristics. Ecol Food Nutr. 2018 Nov-Dec;57(6):441-455. doi: 10.1080/03670244.2018.1544561. Epub 2018 Nov 13.
Masoi TJ, Kibusi SM. Improving pregnant women's knowledge on danger signs and birth preparedness practices using an interactive mobile messaging alert system in Dodoma region, Tanzania: a controlled quasi experimental study. Reprod Health. 2019 Dec 12;16(1):177. doi: 10.1186/s12978-019-0838-y.
Fetohy EM. Impact of a simple health education program about antenatal care on knowledge, attitudes, subjective norms and intention of pregnant women. J Egypt Public Health Assoc. 2004;79(3-4):283-310.
Kamau M, Mirie W, Kimani S, Mugoya I. Effect of community based health education on knowledge and attitude towards iron and folic acid supplementation among pregnant women in Kiambu County, Kenya: A quasi experimental study. PLoS One. 2019 Nov 25;14(11):e0224361. doi: 10.1371/journal.pone.0224361. eCollection 2019.
Vural F, Vural B. The effect of prenatal and postnatal education on exclusive breastfeeding rates. Minerva Pediatr. 2017 Feb;69(1):22-29. doi: 10.23736/S0026-4946.16.04183-9.
Caine VA, Smith M, Beasley Y, Brown HL. The impact of prenatal education on behavioral changes toward breast feeding and smoking cessation in a healthy start population. J Natl Med Assoc. 2012 May-Jun;104(5-6):258-64. doi: 10.1016/s0027-9684(15)30159-0.
Lassi ZS, Kedzior SG, Bhutta ZA. Community-based maternal and newborn educational care packages for improving neonatal health and survival in low- and middle-income countries. Cochrane Database Syst Rev. 2019 Nov 5;2019(11):CD007647. doi: 10.1002/14651858.CD007647.pub2.
Shimpuku Y, Madeni FE, Horiuchi S, Kubota K, Leshabari SC. A family-oriented antenatal education program to improve birth preparedness and maternal-infant birth outcomes: A cross sectional evaluation study. Reprod Health. 2019 Jul 16;16(1):107. doi: 10.1186/s12978-019-0776-8.
Izudi J, Akwang DG, McCoy SI, Bajunirwe F, Kadengye DT. Effect of health education on birth preparedness and complication readiness on the use of maternal health services: A propensity score-matched analysis. Midwifery. 2019 Nov;78:78-84. doi: 10.1016/j.midw.2019.08.003. Epub 2019 Aug 5.
Soriano-Vidal FJ, Vila-Candel R, Soriano-Martin PJ, Tejedor-Tornero A, Castro-Sanchez E. The effect of prenatal education classes on the birth expectations of Spanish women. Midwifery. 2018 May;60:41-47. doi: 10.1016/j.midw.2018.02.002. Epub 2018 Feb 8.
Bolam A, Manandhar DS, Shrestha P, Ellis M, Costello AM. The effects of postnatal health education for mothers on infant care and family planning practices in Nepal: a randomised controlled trial. BMJ. 1998 Mar 14;316(7134):805-11. doi: 10.1136/bmj.316.7134.805.
Belizan JM, Barros F, Langer A, Farnot U, Victora C, Villar J. Impact of health education during pregnancy on behavior and utilization of health resources. Latin American Network for Perinatal and Reproductive Research. Am J Obstet Gynecol. 1995 Sep;173(3 Pt 1):894-9. doi: 10.1016/0002-9378(95)90362-3.
MacArthur C, Jolly K, Ingram L, Freemantle N, Dennis CL, Hamburger R, Brown J, Chambers J, Khan K. Antenatal peer support workers and initiation of breast feeding: cluster randomised controlled trial. BMJ. 2009 Jan 30;338:b131. doi: 10.1136/bmj.b131.
Central Statistical Agency (CSA) [Ethiopia] and ICF. Mini Ethiopia Demographic and Health Survey 2019: Key Indicators Report. Addis Ababa, Ethiopia, and Rockville, Maryland, USA. CSA and ICF. 2019.
Yoseph A, Teklesilasie W, Guillen-Grima F, Astatkie A. Effect of community health education on mothers' knowledge of obstetric danger signs and birth preparedness and complication readiness practices in southern Ethiopia: A cluster randomized controlled trial. PLoS One. 2024 Nov 27;19(11):e0312267. doi: 10.1371/journal.pone.0312267. eCollection 2024.
Yoseph A, Teklesilasie W, Guillen-Grima F, Astatkie A. Community-Based Health Education Led by Women's Groups Significantly Improved Maternal Health Service Utilization in Southern Ethiopia: A Cluster Randomized Controlled Trial. Healthcare (Basel). 2024 May 18;12(10):1045. doi: 10.3390/healthcare12101045.
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
IRB/076/15
Identifier Type: -
Identifier Source: org_study_id
More Related Trials
Additional clinical trials that may be relevant based on similarity analysis.