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| Name | Class |
|---|---|
| Grand Challenges Canada | OTHER |
| University of Toronto | OTHER |
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Preventing maternal and newborn deaths remain high on the global agenda. To address this, the Academic Model Providing Access to Healthcare (AMPATH), in partnership with the Government of Kenya, launched Chama cha MamaToto, a community-led peer-support model that groups women together in pregnancy and infancy. Central to the chama approach is the integration of health, social and financial literacy education with a savings/loans program.
To evaluate the feasibility of chamas, we analysed group attendance rates, GISE participation, membership retention, and continuation of the groups beyond the one year. To evaluate the effect of chamas, the investigators compared data from a prospective cohort of women in chamas with a group of controls who did not belong to a chama, matched for age, parity, and location of prenatal care. To evaluate the acceptability of chamas, FGDs were carried out with chama and non-chama participants, health providers and community health workers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chama cha MamaToto | Experimental | Pregnant women in communities where chama cha mamatoto is taking place will be invited to join and participate in bi-weekly group meetings for a year |
|
| Referent | No Intervention | Pregnant women attending at least one prenatal visit in communities where chama cha mamatoto was implemented three months later served as the comparison |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chama cha Mamtoto | Behavioral | Chama cha Mamatoto is a community-based model of peer support group in pregnancy and infancy that combines health education, relationship building and a savings and loans program, led by community health workers |
| Measure | Description | Time Frame |
|---|---|---|
| Facility delivery | Proportion of women giving birth in a health facility based on questionnaire | 22 months |
| Measure | Description | Time Frame |
|---|---|---|
| 4 ANC visits | attendance at 4 or more ANC visits in pregnancy based on questionnaire | 22 months |
| CHV homevisit | CHW homevisit within 48 hours of birth based on questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Astrid Christoffersen-Deb, MDCM | Moi University | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32398156 | Derived | Maldonado LY, Songok JJ, Snelgrove JW, Ochieng CB, Chelagat S, Ikemeri JE, Okwanyi MA, Cole DC, Ruhl LJ, Christoffersen-Deb A. Promoting positive maternal, newborn, and child health behaviors through a group-based health education and microfinance program: a prospective matched cohort study in western Kenya. BMC Pregnancy Childbirth. 2020 May 12;20(1):288. doi: 10.1186/s12884-020-02978-w. |
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| 22 months |
| Exclusive breastfeeding | Initiation of solids to the infant after 6 months based on questionnaire | 22 months |