PRISMA Maternal and Newborn Health Study

NCT ID: NCT05904145

Last Updated: 2025-06-24

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

RECRUITING

Total Enrollment

267897 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-08-01

Study Completion Date

2028-12-31

Brief Summary

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Access to quality antenatal care (ANC) and postnatal care (PNC), including maternal, newborn, and infant services, is integral to reducing adverse pregnancy-related health outcomes and promoting positive birth experiences. The World Health Organization (WHO) recommends a total of eight ANC visits for pregnant women. However, the ANC coverage rate remains considerably lower among more vulnerable populations, and the quality of care that women receive is inconsistent, often poor, and frequently fails to detect risks in a timely fashion or adequately prepare women for the birth process. While rates of facility-based delivery are on the rise worldwide, disparities persist and the quality of care across facilities remains uneven. Even less information is available on PNC, where services beyond routine immunizations may not be widely available, especially in resource-poor regions.

Additionally, limited evidence exists on innovative service delivery approaches and how to effectively scale tested maternal and newborn health (MNH) interventions. This coupled with the fragmented datasets from smaller studies limit our ability to advocate for policy change.

The Pregnancy Risk Stratification Innovation and Measurement Alliance (PRiSMA) is implementing a harmonized open cohort study that seeks to evaluate pregnancy risk factors and their associations with adverse pregnancy outcomes, including stillbirth, neonatal mortality and morbidity, and maternal mortality and severe morbidity. The goals are to develop a harmonized data set to improve understanding of pregnancy risk factors, vulnerabilities, and morbidity and mortality and to estimate the burden of these risk factors and outcomes in LMICs. Ultimately, these data will inform development of innovative strategies to optimize pregnancy outcomes for mothers and their newborns.

Detailed Description

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Conditions

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Pregnancy, High Risk

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Lives within the study catchment area;
* Meets minimum age requirement in study site country:

* Ghana: 15 years of age;
* Kenya: 18 years of age or those who meet the criteria of emancipated minors;
* Pakistan: 15 years of age or those who meet the criteria of emancipated minors;
* Zambia: 15 years of age;
* India: 18 years of age
* Intrauterine pregnancy \<20 weeks gestation verified via ultrasound;
* Provides informed consent.

Exclusion Criteria

* Nonviable (e.g. ectopic or molar) pregnancy;
* Plans to relocate outside of the study catchment area during pregnancy and/or postpartum.
Minimum Eligible Age

15 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Kenya Medical Research Institute

OTHER

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role collaborator

Kintampo Health Research Centre, Ghana

OTHER

Sponsor Role collaborator

Aga Khan University

OTHER

Sponsor Role collaborator

Christian Medical College, Vellore, India

OTHER

Sponsor Role collaborator

Centres for Disease Control and Prevention, Kenya.

OTHER

Sponsor Role collaborator

Vital Pakistan Trust

OTHER

Sponsor Role collaborator

George Washington University

OTHER

Sponsor Role lead

Responsible Party

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Emily Smith

Princiapl Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Kintampo Health Research Centre

Kintampo, , Ghana

Site Status RECRUITING

Christian Medical College (CMC) Vellore

Vellore, , India

Site Status RECRUITING

Kenya Medical Research Institute-Center for Global Health Research

Kisumu, , Kenya

Site Status RECRUITING

Aga Khan University

Karachi, , Pakistan

Site Status RECRUITING

University of North Carolina-Global Projects Zambia

Lusaka, , Zambia

Site Status RECRUITING

Countries

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Ghana India Kenya Pakistan Zambia

Central Contacts

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Emily R Smith, ScD, MPH

Role: CONTACT

12029943589

Jaime Marquis, MPH

Role: CONTACT

Facility Contacts

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KP Asante, PhD

Role: primary

Charlotte Tawaiahh

Role: backup

Santosh Benjamin, MD

Role: primary

Anne George Cherian, MD

Role: backup

Victor Akelo, MD

Role: primary

Zahra Hoodbhoy, PhD

Role: primary

Bridget Spelke, MD

Role: primary

Margaret Kasaro, MD

Role: backup

References

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Smith ER, Hoodbhoy Z, Hotwani A, Jehan F, Khan A, Nisar I, Yazdani N, Benjamin SJ, Cherian AG, Mohan VR, Varghese S, Vijayalekshmi B, Wylie BJ, Chatterjee L, Dang A, Venketeshwar R, Baumann SG, Mores C, Pan Q, Sudfeld CR, Akelo V, Mwebia WK, Otieno K, Ouma G, Owuor H, Were J, Adu-Gyasi D, Agyemang V, Newton S, Tawiah C, Jadaun AS, Mazumder S, Sharma N, Ugwu LG, Benneh-Akwasi Kuma A, Freeman B, Kasaro MP, Mbewe FM, Mwape H, Resop RS, Spelke MB, Asante KP; Redefining Maternal Anemia in Pregnancy and Postpartum (ReMAPP) Study Investigators. Protocol for the Redefining Maternal Anemia in Pregnancy and Postpartum (ReMAPP) study: A multisite, international, population-based cohort study to establish global hemoglobin thresholds for maternal anemia. PLoS One. 2025 Jul 28;20(7):e0321943. doi: 10.1371/journal.pone.0321943. eCollection 2025.

Reference Type DERIVED
PMID: 40720446 (View on PubMed)

Naz S, Jaffar A, Yazdani N, Kashif M, Hussain Z, Khan U, Farooq F, Nisar MI, Jehan F, Smith E, Hoodbhoy Z. Cohort profile: the Pregnancy Risk Infant Surveillance and Measurement Alliance (PRISMA) - Pakistan. BMJ Open. 2023 Dec 10;13(12):e078222. doi: 10.1136/bmjopen-2023-078222.

Reference Type DERIVED
PMID: 38072494 (View on PubMed)

Other Identifiers

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PRiSMA-MNH 2022

Identifier Type: -

Identifier Source: org_study_id

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