| Title: |
The impact of i-PUSH on maternal and child health care utilization, health outcomes, and financial protection: study protocol for a cluster randomized controlled trial based on financial and health diaries data |
| Authors: |
Abajobir, Amanuel; de Groot, Richard; Wainaina, Caroline; Njeri, Anne; Maina, Daniel; Njoki, Silvia; Mbaya, Nelson; Donfouet, Hermann Pythagore Pierre; Pradhan, Menno; Janssens, Wendy; Sidze, Estelle M. |
| Contributors: |
Dutch National Postcode Lottery, the Joep Lange Institute, and the Dutch Ministry of Foreign Affairs through the Health Insurance Fund |
| Source: |
Trials ; volume 22, issue 1 ; ISSN 1745-6215 |
| Publisher Information: |
Springer Science and Business Media LLC |
| Publication Year: |
2021 |
| Description: |
Background Universal Health Coverage ensures access to quality health services for all, with no financial hardship when accessing the needed services. Nevertheless, access to quality health services is marred by substantial resource shortages creating service delivery gaps in low-and middle-income countries, including Kenya. The Innovative Partnership for Universal Sustainable Healthcare ( i -PUSH) program, developed by AMREF Health Africa and PharmAccess Foundation (PAF), aims to empower low-income women of reproductive age and their families through innovative digital tools. This study aims to evaluate the impact of i -PUSH on maternal and child health care utilization, women’s health including their knowledge, behavior, and uptake of respective services, as well as women’s empowerment and financial protection. It also aims to evaluate the impact of the LEAP training tool on empowering and enhancing community health volunteers’ health literacy and to evaluate the impact of the M-TIBA health wallet on savings for health and health insurance uptake. Methods This is a study protocol for a cluster randomized controlled trial (RCT) study that uses a four-pronged approach—including year-long weekly financial and health diaries interviews, baseline and endline surveys, a qualitative study, and behavioral lab-in-the-field experiments—in Kakemega County, Kenya. In total, 240 households from 24 villages in Kakamega will be followed to capture their health, health knowledge, health-seeking behavior, health expenditures, and enrolment in health insurance over time. Half of the households live in villages randomly assigned to the treatment group where i -PUSH will be implemented after the baseline, while the other half of the households live in control village where i -PUSH will not be implemented until after the endline. The study protocol was reviewed and approved by the AMREF Ethical and Scientific Review Board. Research permits were obtained from the National Commission for Science, Technology and Innovation ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1186/s13063-021-05598-7 |
| DOI: |
10.1186/s13063-021-05598-7.pdf |
| DOI: |
10.1186/s13063-021-05598-7/fulltext.html |
| Availability: |
http://dx.doi.org/10.1186/s13063-021-05598-7; https://link.springer.com/content/pdf/10.1186/s13063-021-05598-7.pdf; https://link.springer.com/article/10.1186/s13063-021-05598-7/fulltext.html |
| Rights: |
https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
| Accession Number: |
edsbas.BCDFBD2D |
| Database: |
BASE |