NCT03561012

Team-Based Goals and Incentives for Community-Based Health Workers to Promote Maternal and Child Health in Bihar, India

Completed NA Last updated 19 April 2023

What this trial tests

NA trial testing Team-Based Goals and Incentives in Healthy in 3,581 participants. Completed in 30 November 2014.

Timeline

1 January 2012

Primary endpoint
30 November 2014

30 November 2014

Quick facts

Lead sponsor	Stanford University
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	non randomized
Design	parallel
Masking	none
Primary purpose	health services research
Enrollment	3,581
Start date	1 January 2012
Primary completion	30 November 2014
Estimated completion	30 November 2014

Drugs / interventions tested

• Team-Based Goals and Incentives
• Control Condition

Conditions studied

• Healthy — all drugs for Healthy →

Sponsor

Stanford University

Who can join

Adults 15 to 65, female only, with Healthy. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This study is designed to evaluate the impact of team-based goals and performance-based incentives for community-based health workers on health-promoting behaviors among women related to reproductive, maternal, newborn and child health and nutrition in Bihar, India.

The intervention was funded by the Bill and Melinda Gates Foundation (BMGF) and implemented from 2012 to 2014. Health sub-centers in the catchment areas of five blocks (sub-districts) of the district of Bengusarai were randomly assigned to treatment or control arms (38 sub-centers were assigned to each). Data were collected in the Intervention and Control areas from mothers of infants 0-12 months at baseline and at 2.5-year follow-up, to assess the intervention's effects on quality and quantity of FLW home visits, postnatal health behaviors, and among older infants/toddlers, complementary feeding and vaccination. Difference in difference analyses were used to assess outcome effects in this quasi experimental study.

The TBGI intervention was implemented in areas where the BMGF-funded Ananya program (official title: Bihar Family Health Initiative) was also being implemented. Thus, the impact is of the \[TBGI intervention + Ananya\] versus \[Ananya alone\]. The Ananya program was developed and implemented via a partnership of BMGF and the Government of Bihar. The ultimate purpose of Ananya was to reduce maternal, newborn, and child mortality; fertility; and child undernutrition in Bihar, India. Ananya involved multi-level interventions designed to build front line health worker (FLW) capacities and reach to communities and households, as well as to strengthen public health facilities and quality of care to improve maternal and neonatal care and health behaviors, and thus survival. It was implemented from 2012 to 2014. Eight focal districts in western and central Bihar received Ananya, while 30 districts did not.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. 'We pledge to improve the health of our entire community': Improving health worker motivation and performance in Bihar, India through teamwork, recognition, and non-financial incentives.
   Grant C, Nawal D, Guntur SM, Kumar M, et al · · 2018 · cited 27× · PMID 30161213 · DOI 10.1371/journal.pone.0203265
2. Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India.
   Carmichael SL, Mehta K, Raheel H, Srikantiah S, et al · · 2019 · cited 25× · PMID 31543982 · DOI 10.1136/bmjgh-2018-001146