Improving maternal and newborn health through participatory community groups in three rural districts in Bangladesh

ISRCTN	ISRCTN54792066
DOI	https://doi.org/10.1186/ISRCTN54792066
Protocol serial number	N/A
Sponsor	University College London (UCL) Institute of Child Health (UK)
Funder	Department for International Development (DFID) (UK) (ref: RPC HD5)

Submission date: 27/02/2009
Registration date: 06/04/2009
Last edited: 27/04/2010

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Pregnancy and Childbirth

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Anthony Costello
Scientific

University College London (UCL) Institute of Child Health
Centre for International Health and Development
30 Guilford Street
London
WC1N 1EH
United Kingdom

Phone	+44 (0)20 7905 2883
Email	a.costello@ich.ucl.ac.uk

Study information

Primary study design	Interventional
Study design	Cluster randomised controlled trial
Secondary study design	Randomised controlled trial
Scientific title	Improving maternal and newborn health through participatory community groups in three rural districts in Bangladesh: a cluster randomised controlled trial
Study acronym	BADAS (Perinatal Care Project)
Study objectives	Will a community mobilisation intervention improve maternal and neonatal home care, service uptake, morbidity and mortality in three rural districts in Bangladesh?
Ethics approval(s)	Not provided at the time of registration
Health condition(s) or problem(s) studied	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
Primary outcome measure(s)	Neonatal and maternal mortality rates, measured prospectively from 1st February 2005 until the end of the trial (31 December 2007).
Key secondary outcome measure(s)	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).
Completion date	31/12/2007

Eligibility

Participant type(s)	Patient
Age group	Other
Sex	Female
Target sample size at registration	2000
Key inclusion criteria	Women (no defined age range) who reside in 18 communities during the study period.
Key exclusion criteria	1. Women who decline to be interviewed or reside outside the study area 2. Women residing in a Tea Estate
Date of first enrolment	01/02/2005
Date of final enrolment	31/12/2007

Locations

Countries of recruitment

United Kingdom
England
Bangladesh

Study participating centre

University College London (UCL) Institute of Child Health

London
WC1N 1EH
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	03/04/2010		Yes	No