Skip to main content

Advertisement

Table 1 Primary and secondary outcomes of the trial and sources of these data for different outcomes

From: Conditional cash transfers to retain rural Kenyan women in the continuum of care during pregnancy, birth and the postnatal period: protocol for a cluster randomized controlled trial

Primary outcomes Source of data
• Proportion of all eligible ANC visits made after recruitment
• Delivery at a health facility
• The proportion of health appointments honoured for PNC at week 2 to 6 after delivery, and months 4–12 after delivery
• Proportion of referrals for ANC, PNC and child immunization attended
Proportions of immunization appointments attended by children
• Abstracted health records from the health facility
• Electronic system used to enrol participants into the study
• Telephone surveys will collect visits made outside the study area by all “high risk” women and 50% of other women
Secondary outcomes Source of data
• Proportion of women retained in the continuum of MNCH from pregnancy to 12 months post-delivery • Clinic records
• Electronic card system
• Telephone survey 3 at 6 months after delivery
• Likelihood of a live birth and child survival 48 h after birth • Clinic records
• Telephone survey 2 at 2 weeks after EDD, if not delivered at the facility
• Likelihood of a maternal death during delivery and 48 h postpartum • Clinic records
• Telephone survey 2, 2 weeks after EDD, if not delivered at the facility
• Self-rated health of mothers, 6 months and 12 months after delivery • Telephone surveys 1, 3 and 4 at 6 months and 12 months after delivery
• Mother’s perception of infant’s health, 6 months and 12 months after delivery • Telephone surveys 2, 3 and 4 at 6 months and 12 months after delivery
• Proportion of mothers exclusively breastfeeding to 6 months of age • Telephone surveys 2 and 3 and 4 at 6 months and 12 months after delivery
• Proportion of women using family planning and contraceptive use after delivery • Telephone surveys #3 and #4 at 6 months and 12 months after delivery
• Screening and control of infections for mothers and fetus/baby during pregnancy and postnatal periods • Clinic records (ANC, HF deliveries and PNC clinic records)
• Manual collection of health records
• Cost of delivery and cost effectiveness of the intervention • Project accounts
• Key informant interviews
• Facility costing tool
• Benefit incidence and equity impact of the intervention • Clinic records
• Electronic system
• Telephone surveys 1, 2, 3, 4
Key confounders/covariates Source of data
• Expected date of delivery
• Education
• Asset ownership
• Age
• Distance to facility
• Level of health facility
• Marital status
• Number of children
• Planned pregnancy
• Quality of care (e.g. waiting time)
• Migration away from study area
• Enrolment survey at health facility
• Clinic records
• Telephone survey 1, 3, 4
Key process indicators Source of data
• Satisfaction with care received • Telephone surveys 1, 2 and 3 at 2 weeks, 6 months and 12 months after delivery, focus group discussions with a sub-sample of participating women in the intervention area
• Health worker motivation • Key informant interviews with health service providers
• Receipt of the Afya and/or any other transfers • Telephone surveys 3 and 4 at 6 months and 12 months after delivery
  1. MNCH maternal, newborn and child health, ANC antenatal care, PNC postnatal care, EDD expected delivery date