Trial reportBMJ global health2020
Improving maternal, newborn and child health outcomes through a community-based women's health education program: a cluster randomised controlled trial in western Kenya.
Trial report in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Antenatal Care Interventions to Increase Contraceptive Use Following Birth in Low- and Middle-Income Countries: Systematic Review and Narrative Synthesis.Global health, science and practice · 2024Pooled it
- Interventions for improving coverage of childhood immunisation in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- Community-based intervention to improve measles vaccination completion in marginalised community settlements in Kota Kinabalu, Sabah: a cluster randomised control trial.BMC infectious diseases · 2025Trial
- Trial
- Group Medical Visit and Microfinance Intervention for Patients With Diabetes or Hypertension in Kenya.Journal of the American College of Cardiology · 2021Trial
- "There is a light that our wives had not seen before": community perspectives on a gender-responsive maternal health intervention in Western Kenya.Reproductive health · 2026Article
- Implementation determinants of risk-stratified gestational diabetes mellitus screening in community-based women's peer groups in rural western Kenya.BMC pregnancy and childbirth · 2026Article
- Immunization Coverage and Associated Factors Among Children Aged 18 to 72 Months in Communities With High Malaria Transmission, Bioko Island.International journal of public health · 2026Article
- Perspectives on enhancing peer support services for mothers living with HIV in Kenya: A qualitative assessment of Mentor Mothers and the mothers they serve.PLOS global public health · 2026Article
- Reciprocal Innovation in Action: Adapting a Community-Based Care Model for Pregnant and Parenting Women in Kenya to Indiana.Annals of global health · 2026Article
- From static guidelines to dynamic adaptation: a scoping review of maternal physical activity health services worldwide.BMC public health · 2025Article
- Effects of a gender-responsive maternal, newborn and child health program on health and economic outcomes during COVID-19 in Kenya: a mixed-methods study.International journal for equity in health · 2025Article
- Determinants of unmet family planning needs among women of reproductive age between 15 and 49 years in Siaya County, Kenya.The Pan African medical journal · 2025Article
- Tackling global inequalities in maternal hypertensive disorders: trends and the impact of public health emergencies, 1990-2021.Frontiers in public health · 2025Article
- Community-Based Health Education Led by Women's Groups Significantly Improved Maternal Health Service Utilization in Southern Ethiopia: A Cluster Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
- A systematic review of behaviour change interventions to improve maternal health outcomes in sub-Saharan Africa.PLOS global public health · 2024Article
- Interventions to improve the quality of maternal care in Ethiopia: a scoping review.Frontiers in global women's health · 2024Article
- Reducing maternal and child oral health disparities in Sub-Saharan Africa through a community-based strategy.Frontiers in oral health · 2024Article
- Evaluation of the RISE II integrated social and behavior change approach in Niger: A contribution analysis.PloS one · 2024Article
- "We help people change harmful norms": Working with key opinion leaders to influence MNCH+N behaviors in Nigeria.PloS one · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCommunity-based women's health education groups may improve maternal, newborn and child health (MNCH); however, evidence from sub-Saharan Africa is lacking. Chamas for Change (Chamas) is a community health volunteer (CHV)-led, group-based health education programme for pregnant and postpartum women in western Kenya. We evaluated Chamas' effect on facility-based deliveries and other MNCH outcomes.
methodsWe conducted a cluster randomised controlled trial involving 74 community health units in Trans Nzoia County. We included pregnant women who presented to health facilities for their first antenatal care visits by 32 weeks gestation. We randomised clusters 1:1 without stratification or matching; we masked data collectors, investigators and analysts to allocation. Intervention clusters were invited to bimonthly, group-based, CHV-led health lessons (Chamas); control clusters had monthly, individual CHV home visits (standard of care). The primary outcome was facility-based delivery at 12-month follow-up. We conducted an intention-to-treat approach with multilevel logistic regression models using individual-level data.
resultsBetween 27 November 2017 and 8 March 2018, we enrolled 1920 participants from 37 intervention and 37 control clusters. A total of 1550 (80.7%) participants completed the study with 822 (82.5%) and 728 (78.8%) in the intervention and control arms, respectively. Facility-based deliveries improved in the intervention arm (80.9% vs 73.0%; risk difference (RD) 7.4%, 95% CI 3.0 to 12.5, OR=1.58, 95% CI 0.97 to 2.55, p=0.057). Chamas participants also demonstrated higher rates of 48 hours postpartum visits (RD 15.3%, 95% CI 12.0 to 19.6), exclusive breastfeeding (RD 11.9%, 95% CI 7.2 to 16.9), contraceptive adoption (RD 7.2%, 95% CI 2.6 to 12.9) and infant immunisation completion (RD 15.6%, 95% CI 11.5 to 20.9).
conclusionChamas participation was associated with significantly improved MNCH outcomes compared with the standard of care. This trial contributes robust data from sub-Saharan Africa to support community-based, women's health education groups for MNCH in resource-limited settings.Trial registration numberNCT03187873.
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