Improving access to prenatal care in rural Côte d'Ivoire
Supply and Demand-Side Interventions to Improve Uptake of Antenatal Care Services: a Randomized Controlled Trial in Rural Côte d'Ivoire
This project will test whether short information videos, partner financial-planning sessions, and vouchers help pregnant women in rural Côte d'Ivoire attend recommended antenatal care.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1290 (estimated) |
| Ages | 15 Years and up |
| Sex | Female |
| Sponsor | Swiss Tropical & Public Health Institute Academic / other |
| Locations | 1 site (Taabo) |
| Trial ID | NCT07341581 on ClinicalTrials.gov |
What this trial studies
The investigators will run a randomized controlled experiment in Taabo, Côte d'Ivoire, testing supply- and demand-side interventions to increase uptake of recommended antenatal care. Pregnant women under six months gestation will be randomized to receive an informational video, a joint financial-planning session with their male partner, vouchers to reduce costs, combinations of these, or standard care. Primary outcomes include attendance at recommended ANC visits and receipt of recommended services, measured through facility records and household follow-up. The trial focuses on practical, low-cost interventions that could be scaled if effective.
Who should consider this trial
Good fit: Pregnant women aged 15 or older with estimated gestational age under six completed months who live in the Taabo Health & Demographic Surveillance System area, and their male partners aged 15 or older who are married to or the main romantic partner of an enrolled woman, are ideal candidates.
Not a fit: Women beyond six months gestation, those already attending all recommended ANC visits, or people living outside the Taabo surveillance area are unlikely to benefit from these specific interventions.
Why it matters
Potential benefit: If successful, the interventions could increase timely antenatal visits and reduce financial barriers to receiving recommended care, potentially improving maternal and newborn outcomes.
How similar studies have performed: Vouchers and informational campaigns have increased antenatal visit uptake in other low- and middle-income settings, but combining partner-focused financial planning with vouchers is less well-studied and evidence is mixed.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion criteria for pregnant women: * Currently pregnant * Aged 15 years or older * Live in the area served by the Taabo Health \& Demographic Surveillance System * Estimated gestational age of less than 6 completed months of pregnancy Inclusion criteria for male partners: * Aged 15 and older * Married to or currently the main romantic partner of a woman who is enrolled in the study
Where this trial is running
Taabo
- Centre Suisse de Recherches Scientifiques en Cote d'Ivoire — Taabo, Côte d’Ivoire (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.