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Social Networks for Improving Maternal & Child Health
Sponsor: Bahir Dar University
Summary
Brief Summary: Improving Maternal and Child Health via Indigenous Structures The goal of this cluster randomized controlled community trial is to assess the effect of community-based interventions using indigenous community structures on the improvement of health and nutritional status in pregnant women (recruited before 16 weeks of gestation) and their children in Northwest Ethiopia. The main questions it aims to answer are: * Does a community-based intervention using indigenous structures significantly improve the uptake of maternal health services (ANC, delivery, and PNC)? * Does the intervention effectively reduce the prevalence of maternal depression during the pregnancy and postpartum periods? * To what extent does the intervention improve the nutritional status (reducing thinness and stunting) of mothers and their children? Researchers will compare a group of women receiving counseling from trained indigenous social support groups to a control group receiving only the routine health and nutrition education provided by the standard healthcare system to see if the indigenous approach leads to better health and nutritional outcomes. Participants will: * Receive four counseling sessions during pregnancy (starting before 16 weeks of gestation) and four additional sessions during the lactation period, conducted in their homes by trained social support groups. * Receive educational leaflets containing core health and nutrition messages and appropriate pictures. * Participate in two rounds of surveys (baseline, and endline) involving interviewer-administered questionnaires. * Undergo physical measurements, specifically mid-upper arm circumference (MUAC), to assess nutritional status.
Official title: Improving the Health and Nutritional Status of Mothers and Children Using Indigenous Community Structure in Northwest Ethiopia
Key Details
Gender
FEMALE
Age Range
15 Years - 49 Years
Study Type
INTERVENTIONAL
Enrollment
700
Start Date
2026-04-01
Completion Date
2028-06-30
Last Updated
2026-04-13
Healthy Volunteers
Yes
Interventions
Community-based Health and Nutrition Counseling via Indigenous Social Support Structures (ISSS)
The intervention consists of a structured behavioral and educational program delivered via existing indigenous social support structures (ISSS), such as Idir, Senbete, or Equb. Key components include: Frequency: Eight (8) community-based counseling sessions in total. Four sessions occur during pregnancy (starting before 16 weeks gestation) and four sessions occur during the lactation period (up to 6 months postpartum). Personnel: Counseling is delivered by trained members of the indigenous social support groups who live within the same community as the participants. Content: Standardized counseling on maternal health service uptake (ANC, institutional delivery, PNC), maternal and child nutrition, and perinatal mental health. Materials: Distribution of educational leaflets containing core health and nutrition messages with culturally appropriate pictorial aids to reinforce the counseling sessions.
Locations (1)
Bahir Dar University
Bahir Dar, Ethiopia