CompletedNot Applicable

Effects of Video-based Health Education on Maternal and Child Health in Ethiopia

Ethiopia675 participantsStarted 2020-03-13

Plain-language summary

Low adherence to recommended health and nutrition strategies during the critical 1000 day-window of opportunity is multifactorial but low quality communication is key limitation. Innovative strategies to improve interpersonal communication can reduce the burden and the fatigue of community health workers and may result in a greater change. The findings of this project will support governments and other stakeholders in their delivery of high impact nutrition and health practices. This intervention aims to improve adherence to ante- and post-natal care practices and recommendations by the use of our video-based health education. These videos will be implemented through home-based counseling by trained assistants, and video-based forum participation led by community nurses and health extension workers (HEWs). During the monthly forums, the educational package will be delivered in a video form - locally prepared using multiple approaches like testimony, comedy, dramas in the form of questions and answers, group discussions and deductive approaches. Cordless projectors and locally created videos give the health community more quality control over the end message, expand the number of people reached, allow for the use of minimally trained non-expert facilitators such as the hews, and allow for contextually appropriate information. They can also be used in areas without access to electricity, helping to bridge the digital divide, and serving as a leapfrog technology for areas that would otherwise not have access to media.

Who can participate

Age range

18 Years

Sex

FEMALE

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Signed informed consent form * Aged at least 18 years * Permanent resident of the village of the study intervention/control * Planned availability during the whole period of the study (12 months) * Acceptance of the intervention package including home visits for data collection and morbidity follow up. Exclusion Criteria: * Severe anemia (hemoglobin \<70 g/L), * Under nutrition (defined as body mass index before pregnancy of \<18.5 kg/m2), * Chronically ill mothers with tuberculosis or other chronic diseases, * Reported HIV-positive mother. * Individuals with anatomical deformity will be excluded due to the difficulty of measurement of height.

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Adherence to iron and folic acid supplementation during pregnancy

Timeframe: Monthly during six months pregnancy

Adherence to iron and folic acid supplementation post-partum

Timeframe: Monthly during three months postpartum

Maternal anemia during pregnancy

Timeframe: Hemoglobin concentrations will be measured at 9 months pregnancy

Maternal anemia post-partum

Timeframe: Hemoglobin concentrations will be measured at six months postpartum

Early initiation

Timeframe: At birth (six months after the enrollment)

Exclusive breastfeeding

Timeframe: Birth to six months postpartum

Dietary intake during six months pregnancy

Timeframe: Assessed at 6 months and 9 months pregnancy

Trial details

NCT IDNCT04414527

SponsorUniversity Ghent

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2021-07-31

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