Evidence map›Paper›PMID 41975534›Full record

Trial reportImplementation science : IS2026

Targeted social and behavior change communication (SBCC) in a high adolescent pregnancy setting of Bangladesh: a cluster-randomized study protocol engaging key family members.

Seohyun Lee, Gohtbyeol Kim, SeYeon Kim, Narae Kim, Jihye Kim, Jieun Kim, Mohammad Sarwar Basher, Md Atikur Rahman, Syeda Jamila Siddika, Jahanara Hridita and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Implementation science : IS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

14 authors.

Seohyun LeeDepartment of Global Public Administration, Yonsei University Mirae Campus, 1 Yonseidae-Gil, Wonju, Republic of Korea. leeesh@yonsei.ac.kr.
Gohtbyeol KimGraduate School of Public Health, Seoul National University, 1 Gwanak-Ro, Gwanak-Gu, Seoul, Republic of Korea.
SeYeon KimSave the Children, 174 Tojeongro Mapo-Gu, Seoul, Republic of Korea.
Narae KimSave the Children, 174 Tojeongro Mapo-Gu, Seoul, Republic of Korea.
Jihye KimSave the Children, 174 Tojeongro Mapo-Gu, Seoul, Republic of Korea.
Jieun KimSave the Children, 174 Tojeongro Mapo-Gu, Seoul, Republic of Korea.
Mohammad Sarwar BasherSave the Children International in Bangladesh Dhaka Country Office, House CWN (A) 35, Road 43, Gulshan 2, Dhaka, 1212, Bangladesh.
Md Atikur RahmanSave the Children International in Bangladesh Dhaka Country Office, House CWN (A) 35, Road 43, Gulshan 2, Dhaka, 1212, Bangladesh.
Syeda Jamila SiddikaSave the Children International in Bangladesh Dhaka Country Office, House CWN (A) 35, Road 43, Gulshan 2, Dhaka, 1212, Bangladesh.
Jahanara HriditaSave the Children International in Bangladesh Dhaka Country Office, House CWN (A) 35, Road 43, Gulshan 2, Dhaka, 1212, Bangladesh.
Golam FakhruddinSave the Children International in Bangladesh Dhaka Country Office, House CWN (A) 35, Road 43, Gulshan 2, Dhaka, 1212, Bangladesh.
Sharmin Sultana UrmiSave the Children International in Bangladesh Dhaka Country Office, House CWN (A) 35, Road 43, Gulshan 2, Dhaka, 1212, Bangladesh.
Uzzal Kumar RoySave the Children International in Bangladesh Dhaka Country Office, House CWN (A) 35, Road 43, Gulshan 2, Dhaka, 1212, Bangladesh.
Golam MothabbirSave the Children International in Bangladesh Dhaka Country Office, House CWN (A) 35, Road 43, Gulshan 2, Dhaka, 1212, Bangladesh.

Funding

Korea International Cooperation Agency No. 2023-0515
6 · The paper itself

Abstract

backgroundMaternal health service utilization remains low in Bangladesh, while maternal health outcomes are poor and adolescent pregnancy rates are high. In this context, targeted social and behavior change communication (SBCC) can be an effective approach. This targeted SBCC research was participatorily designed in collaboration with Bangladesh local partners and was funded as part of the 2023-27 KOICA Strategic Partnership Program (SPP)- Strengthening Maternal and Neonatal Health System in Rangpur, Bangladesh (No. 2023-0515). The study was informed by implementation and behavior change theories, engaging key family members in the intervention.

methodsA hybrid effectiveness-implementation type II cluster-randomized study was designed to measure key maternal health service utilization outcomes as well as implementation outcomes. A total of 750 participants classified into four targeted groups-1) adolescent pregnant women, 2) adult pregnant women, 3) husbands and 4) mothers-in-law, will be invited to participate in group-based interactive community courtyard sessions. These 5-month curriculum targeted SBCC sessions cover maternal and newborn health topics such as antenatal care (ANC), safe delivery, postnatal care (PNC), and neonatal care. The primary outcomes include four or more ANC visits, facility delivery, Postnatal Care (PNC) and neonatal care within 48 h after delivery. Secondary outcomes are perceptions on early marriage, maternal health-seeking behaviors, family support, decision making, and satisfaction with the information gained from the targeted SBCC sessions. To assess the effectiveness, baseline and endline surveys, along with endline focus group discussions (FGDs) will be conducted before and after the 5-month curriculum. Additionally, implementation outcomes such as adoption, penetration, acceptability, coverage, feasibility, fidelity, and sustainability will be measured. DISCUSSION: This study engages key decision-makers such as pregnant women, their husbands, and mothers-in-law, to enhance maternal health service utilization. As Bangladesh is a patriarchal society, men within households are often the primary decision-makers regarding marriage and reproductive matters. Moreover, the child marriage and adolescent pregnancy rates remain high, contributing to persistently elevated maternal and neonatal mortality. By applying implementation science frameworks and behavior change theories, this study aims to generate evidence to inform future scale-up efforts in similar contexts.

trial registrationThe protocol was registered with ISRCTN registry under registration ISRCTN12515877.

Indexed as

CommunicationFamilyMaternal Health ServicesPregnancy in AdolescenceAdolescentAdultBangladeshFemaleHumansImplementation SciencePregnancyPrenatal CareBangladeshCluster randomized studyHybrid effectiveness-implementation type II studyMaternal and child healthSocial and behavior change communication

Identifiers

PMID41975534
PMCPMC13191862

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.