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Primary Care Provider Supply and Patient Outcomes

NCT03131193 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 10852

Last updated 2022-10-21

No results posted yet for this study

Summary

The evidence on how primary care provider supply and skill relates to patient outcomes is limited and inconclusive. The issue of skill is a particularly important one in low-income countries where the shortage of skilled medical professionals has led to greater use of the task-shifting model in which medical tasks are redistributed from highly skilled health workers to mid-level providers who receive less training. In this large-scale cluster-randomized trial, the investigators randomly select primary health care facilities to receive a highly skilled provider (a doctor), a mid-level health provider, or no additional providers (the control group). The investigators study the effect of this intervention on patient outcomes. Embedded within this trial is another experimental intervention in which pregnant women residing in communities served by the primary health care facilities are assigned to receive a cash transfer conditional on using antenatal, delivery and postnatal care. The investigators study the effect of the cash transfer on health care utilization and on maternal and infant outcomes.

Conditions

  • Health Services Accessibility
  • Health Behavior
  • Health Care Quality, Access, and Evaluation

Interventions

OTHER

Physician

Study primary health centers will be staffed with an additional physician

OTHER

Mid-level provider

Study primary health centers will be staffed with an additional mid-level provider

BEHAVIORAL

Conditional Cash Transfer

Study participants (who are pregnant women) will receive a cash transfer conditional upon: registering for and attending antenatal care in the study clinic, giving birth in the study clinic and completing a postnatal visit with the new infant

Sponsors & Collaborators

  • RAND

    lead OTHER

Principal Investigators

  • Edward N Okeke, MD, PhD · RAND

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Model
FACTORIAL

Eligibility

Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2017-03-20
Primary Completion
2018-12-30
Completion
2022-06-30

Countries

  • Nigeria

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03131193 on ClinicalTrials.gov