Improving maternal and newborn health care access
Official title: Pregnancy Risk, Infant Surveillance, and Measurement Alliance (PRiSMA) Maternal and Newborn Health (MNH) Study: A Multi-center, Prospective Cohort Study of Maternal, Newborn, and Infant Health
Run by George Washington University · NCT05904145 · Data updated 2026-11-12
This study is trying to find ways to improve access to quality care for pregnant women and their newborns in low-resource areas to help them have healthier pregnancies and births.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 15 Years and up |
| Sex | Women only |
| Enrollment | 267897 (estimated) |
| Sponsor | George Washington University Academic / other |
| Locations | 5 sites (Kintampo and 4 other locations) |
| Status | Recruiting |
| Started | August 1, 2022 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | June 11, 2026 |
| Trial ID | NCT05904145 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are pregnant women under 20 weeks of gestation who reside within the designated study areas.
✕Probably not a fit
Patients with nonviable pregnancies or those planning to relocate outside the study area during pregnancy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study focuses on enhancing access to quality antenatal and postnatal care for pregnant women and newborns in resource-poor regions. It aims to identify gaps in care delivery and assess the effectiveness of current practices in detecting risks and preparing women for childbirth. The study will involve women living within specific catchment areas in countries like Ghana, Kenya, Pakistan, Zambia, and India, who are in their first 20 weeks of pregnancy. By gathering data on maternal and newborn health services, the study seeks to inform better healthcare strategies and improve outcomes for vulnerable populations.
Why it matters
Potential benefit: If successful, this study could lead to improved maternal and newborn health outcomes by ensuring better access to quality care.
How similar studies have gone: Other studies have shown success in improving maternal and newborn health outcomes through enhanced care access, indicating that this approach has potential.
Who can join: the full rules
Show full inclusion / exclusion criteria
A woman who meets the following inclusion criteria during screening may be enrolled: * Lives within the study catchment area; * Meets minimum age requirement in study site country: * Ghana: 15 years of age; * Kenya: 18 years of age or those who meet the criteria of emancipated minors; * Pakistan: 15 years of age or those who meet the criteria of emancipated minors; * Zambia: 15 years of age; * India: 18 years of age * Intrauterine pregnancy \<20 weeks gestation verified via ultrasound; * Provides informed consent. A woman who meets the following exclusion criteria during screening may NOT be enrolled: * Nonviable (e.g. ectopic or molar) pregnancy; * Plans to relocate outside of the study catchment area during pregnancy and/or postpartum.
Where it's running
-
Christian Medical College (CMC) Vellore
Vellore, India Recruiting -
Aga Khan University
Karachi, Pakistan Recruiting -
Kintampo Health Research Centre
Kintampo, Ghana Completed -
Kenya Medical Research Institute-Center for Global Health Research
Kisumu, Kenya Active not recruiting -
University of North Carolina-Global Projects Zambia
Lusaka, Zambia Completed
Study contacts
- Study coordinator: Emily R Smith, ScD, MPH
- Email: emilysmith@gwu.edu
- Phone: 12029943589
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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NOURISH: a community partnership to improve nutrition and glycemic control in pregnant women with pregestational diabetes
Aiming to test a healthcare-community program that delivers healthy food weekly and provides nutrition education to pregnant women with type 1 or type 2 diabetes who have food insecurity, to improve blood sugar and pregnancy outcomes.
-
MOCHA: Inpatient Mental Health Care for High-Risk Pregnancy
This study tests a collaborative mental health program for pregnant or recently postpartum patients hospitalized for medical problems to see if it can be delivered feasibly and acceptably.
-
Permissive versus strict blood sugar control during labor for pregnant people with type 1 diabetes
This trial will test whether allowing slightly higher blood sugars (70–140 mg/dL) during labor is as safe for newborns as keeping tighter control (70–110 mg/dL) for pregnant people with type 1 diabetes using hybrid closed‑loop insulin systems.
-
Impact of Automated Insulin Delivery on Pregnancy Outcomes
This study looks at how using automated insulin delivery systems during pregnancy affects the health of both mothers with type 1 diabetes and their babies.
-
Comparing Metformin and Insulin for Gestational Diabetes Treatment
This study is testing whether metformin is as effective as insulin for treating gestational diabetes in pregnant people and looks at how safe both treatments are for mothers and their babies.
-
Improving management of preterm premature rupture of membranes with antibiotics
This study is testing if a new combination of antibiotics can help pregnant people with preterm premature rupture of membranes stay pregnant longer and have healthier babies compared to the usual treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.