AfyaJamii (Parenting Well): Evaluating the Feasibility of a Group Antenatal/Well-child Care Model in Pregnancy in Kenya
Sponsor
Moi University (Other)
Overall Status
Completed
CT.gov ID
NCT03188237
Collaborator
Grand Challenges Canada (Other)
15
1
2
33
0.5
Study Details
Study Description
Brief Summary
This proposal is a program evaluation of a group care delivery model designed for pregnant women that was implemented as a pilot project in Teso District, Kenya in 2012.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The investigators will carry out a pre/post evaluation of this program comparing maternal and child health indicators collected at the facility and at 10 comparison facilities in the year prior to implementation (2012) and throughout the duration of the program (2013-2014). They will also analyze program attendance records, anonymous exit surveys, and training records.
Study Design
Study Type:
Interventional
Actual Enrollment
:
15 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
AfyaJamii is a group care model in pregnancy facilitated by Government of Kenya (GOK) Community Health Volunteers (CHVs) and Ministry of Health (MOH) nurses. Pregnant women are assigned to specific care groups according to their Expected Date of Delivery (EDD) and meet 3 times antenatally and 4 times postnatally. These groups are meant to provide women with antenatal and postnatal care, peer support, and knowledge to improve their health outcomes and the health outcomes of their infants. This model of group prenatal and postnatal care is being evaluated as an alternative to the existing policy of focused antenatal care that individualizes care to a single woman at a time.AfyaJamii is a group care model in pregnancy facilitated by Government of Kenya (GOK) Community Health Volunteers (CHVs) and Ministry of Health (MOH) nurses. Pregnant women are assigned to specific care groups according to their Expected Date of Delivery (EDD) and meet 3 times antenatally and 4 times postnatally. These groups are meant to provide women with antenatal and postnatal care, peer support, and knowledge to improve their health outcomes and the health outcomes of their infants. This model of group prenatal and postnatal care is being evaluated as an alternative to the existing policy of focused antenatal care that individualizes care to a single woman at a time.
Masking:
None (Open Label)
Primary Purpose:
Health Services Research
Official Title:
AfyaJamii (Parenting Well): Evaluating the Feasibility of a Group Antenatal and Well-child Care Model in Pregnancy in Kenya
Actual Study Start Date
:
Jan 1, 2012
Actual Primary Completion Date
:
Oct 1, 2014
Actual Study Completion Date
:
Oct 1, 2014
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: AfyaJamii facility Facilities using AfyaJamii |
Behavioral: AfyaJamii
AfyaJamii is a group antenatal and well-child care program developed in Kenya for use in Kenyan health centers
|
| No Intervention: Referent facility Facilities using Focused Antenatal Care Individual Model |
Outcome Measures
Primary Outcome Measures
- Facility 4 Antenatal Care (ANC) visits [18 months]
Average monthly number 4 or more ANC facility visits
Secondary Outcome Measures
- Facility New Family Planning (FP) [18 months]
Average monthly number new FP visits
- Facility Total FP [18 months]
Average monthly number total FP visits
- Facility Delivery Rate [18 months]
Average monthly number of Facility deliveries
- Facility Oral Polio Vaccine 0 (OPV0) [18 months]
Average monthly number of OPV0 Immunization
Eligibility Criteria
Criteria
Ages Eligible for Study:
N/A
to 50 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
- All facilities that participated in AfyaJamii
Exclusion Criteria:
- Any facility that did not offer AfyaJamii and was not been selected as a comparison facility
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Teso North Ministry of Health Centers | Kocholya | Kenya |
Sponsors and Collaborators
- Moi University
- Grand Challenges Canada
Investigators
- Principal Investigator: Julia Songok, MBChB, Moi University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.Responsible Party:
Astrid Christoffersen-Deb,
Visiting Lecturer,
Moi University
ClinicalTrials.gov Identifier:
NCT03188237
Other Study ID Numbers:
- UMoi2
First Posted:
Jun 15, 2017
Last Update Posted:
Jun 15, 2017
Last Verified:
Jun 1, 2017
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No