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Leveraging Community Health Workers and a Digital Health System to Improve the Timeliness of Child Well Visits
Sponsor: University of South Carolina
Summary
The goal of this cluster-randomized type 1 effectiveness implementation hybrid trial is to evaluate whether a community health worker led, integrated digital health intervention (Huduma Kwa Wakati; "Timely Services" in Kiswahili) can improve rates of timely well visits and receipt of key recommended preventive interventions among children in their first year of life. The hypothesis is that Huduma Kwa Wakati will improve the timeliness and rates of completion of child well visits and receipt of recommended preventive services before age 1 year, compared to the standard of care. Researchers will compare outcomes among children enrolled from intervention clusters and no-intervention comparison clusters. Outcomes will also be compared to a cross-sectional retrospective comparison sample. This study will address the lack of rigorous evidence on the effectiveness of a community-based digital health intervention for promoting rates and timeliness of preventive service receipt among children from sub-Saharan Africa, and identify implementation strategies to facilitate the deployment of integrated community-based digital health interventions in low- and middle-income country settings.
Official title: Leveraging Community Health Workers and a Responsive Digital Health System to Improve Rates and Timeliness of Child Well Visits in the First Year of Life
Key Details
Gender
FEMALE
Age Range
15 Years - Any
Study Type
INTERVENTIONAL
Enrollment
800
Start Date
2026-03-01
Completion Date
2027-07-31
Last Updated
2025-12-26
Healthy Volunteers
No
Interventions
Huduma Kwa Wakati - Knowledge Intervention
Counseling scripts assessing and addressing child health-related knowledge gaps
Huduma Kwa Wakati - Reminders
Reminders of upcoming well visit due dates, sent to the mother's mobile phone
Huduma Kwa Wakati - Incentives
Conditional incentives for timely service receipt, tailored to each child's well visit schedule
Huduma Kwa Wakati - Service notifications
Service notifications (e.g., related to stockouts or service non-availability), sent to the mother's mobile phone
Locations (1)
National Institute for Medical Research
Dar es Salaam, Tanzania