Contact information
Type
Scientific
Primary contact
Prof Anthony Costello
ORCID ID
Contact details
University College London (UCL) Institute of Child Health
Centre for International Health and Development
30 Guilford Street
London
WC1N 1EH
United Kingdom
+44 (0)20 7905 2883
a.costello@ich.ucl.ac.uk
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Improving maternal and newborn health through participatory community groups in three rural districts in Bangladesh: a cluster randomised controlled trial
Acronym
BADAS (Perinatal Care Project)
Study hypothesis
Will a community mobilisation intervention improve maternal and neonatal home care, service uptake, morbidity and mortality in three rural districts in Bangladesh?
Ethics approval
Not provided at the time of registration
Study design
Cluster randomised controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Other
Trial type
Treatment
Patient information sheet
Condition
Maternal and child health
Intervention
In each intervention cluster a facilitator will convene community groups to explore maternal and neonatal health issues. Groups will meet once or twice a month and move through action research cycles. The programme inputs can be itemised as:
1. Recruitment, training, supervisions and remuneration of facilitators. The role of the facilitator is to activate and strengthen groups, support them in identifying problems, help to plan possible solutions and support the implementation and monitoring of solution strategies in the community. Although she requires a grasp of health issues and some knowledge of potential interventions, she needs to be a facilitator rather than a teacher. As such, she may act as a broker of information and communication but her prime importance is as a catalyst for community mobilisation
2. Development of tools for conducting group meetings, process evaluation and documentation
3. Recruitment, training, supervision and remuneration of a supervisory cadre to support the community-based facilitators
There is no follow-up period after the intervention ends. The intervention is a community mobilisation intervention, which only occurs in the intervention clusters. All clusters, control and intervention, receive health system strengthening activities.
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measures
Neonatal and maternal mortality rates, measured prospectively from 1st February 2005 until the end of the trial (31 December 2007).
Secondary outcome measures
1. Maternal and neonatal home care practices
2. Utilisation of antenatal, delivery and postnatal services
All outcomes measured prospectively from 1st February 2005 until the end of the trial (31 December 2007).
Overall trial start date
01/02/2005
Overall trial end date
31/12/2007
Reason abandoned
Eligibility
Participant inclusion criteria
Women (no defined age range) who reside in 18 communities during the study period.
Participant type
Patient
Age group
Other
Gender
Female
Target number of participants
2000 women group members
Participant exclusion criteria
1. Women who decline to be interviewed or reside outside the study area
2. Women residing in a Tea Estate
Recruitment start date
01/02/2005
Recruitment end date
31/12/2007
Locations
Countries of recruitment
Bangladesh
Trial participating centre
University College London (UCL) Institute of Child Health
London
WC1N 1EH
United Kingdom
Sponsor information
Organisation
University College London (UCL) Institute of Child Health (UK)
Sponsor details
Centre for International Health and Development
30 Guilford Street
London
WC1N 1EH
United Kingdom
+44 (0)20 7905 2883
a.costello@ich.ucl.ac.uk
Sponsor type
Research organisation
Website
Funders
Funder type
Research organisation
Funder name
Department for International Development (DFID) (UK) (ref: RPC HD5)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting
Publication summary
2010 results in http://www.ncbi.nlm.nih.gov/pubmed/20207412
Publication citations
-
Results
Azad K, Barnett S, Banerjee B, Shaha S, Khan K, Rego AR, Barua S, Flatman D, Pagel C, Prost A, Ellis M, Costello A, Effect of scaling up women's groups on birth outcomes in three rural districts in Bangladesh: a cluster-randomised controlled trial., Lancet, 2010, 375, 9721, 1193-1202, doi: 10.1016/S0140-6736(10)60142-0.