NCT05639595: i-MoMCARE

An Innovative Mobile Technology Intervention for Maternal and Child Health Care in Cambodia

Status unknown NA Last updated 13 November 2023

What this trial tests

NA trial testing Web interface for health center staff and mobile application on smart phones for village health volunteers in Maternal and Child Health in 2,400 participants. Status unknown.

Timeline

1 June 2023

Primary endpoint
31 December 2024

31 December 2024

Quick facts

Lead sponsor	National University of Singapore
Phase	NA
Status	Status unknown
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	health services research
Enrollment	2,400
Start date	1 June 2023
Primary completion	31 December 2024
Estimated completion	31 December 2024
Sites	1 location across Cambodia

Drugs / interventions tested

• Web interface for health center staff and mobile application on smart phones for village health volunteers

Conditions studied

• Maternal and Child Health — all drugs for Maternal and Child Health →

Sponsor

National University of Singapore

Who can join

Adults 18 to 49, any sex, with Maternal and Child Health. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The Innovative Mobile Technology for Maternal and Child Health Care (i-MoMCARE) project is a digital health intervention aiming to increase the coverage of and access to maternal and child health (MCH) services for pregnant women and their babies in rural communities in Cambodia. We will fully adopt an innovative model (ImTeCHO) developed, successfully implemented, and evaluated by Society for Education, Welfare and Action-Rural (SEWA Rural) in Gujarat, India. This study will take advantage of Cambodia's well-structured healthcare system, increased internet coverage, and the sharp rise in smartphone adoption to implement innovative mobile technology intervention.

i-MoMCARE will provide village health support groups (VHSGs) access and training in mobile-based job aid (mobile apps) to facilitate their work with pregnant women and mothers in the villages. Using mobile apps, VHSGs can register pregnant women and mothers, (re)schedule health care appointments, develop a digital record of the medical history of pregnant women and mothers, show educational videos to pregnant women and mothers, and alert health center staff on high-risk cases. i-MoMCARE will also offer health center staff access to the web interface where they can do longitudinal tracking of VHSGs' log-in rate, track the medical history of patients, and screen for complications and referrals.

In Cambodia, long distances to health facilities and inadequate education for women of reproductive age are among the determinants of poor health outcomes, predominantly in rural communities, where the demand for MCH services is high. VHSGs could help overcome the long distance to health facilities with mobile technology. i-MoMCARE could also improve women's understanding of the importance of regular antenatal and postnatal utilization and vaccination and, by extension, reduce high-risk cases and maternal and child deaths. This study is the first to be implemented in Cambodia, contributing to the use of digital health in MCH interventions, which remain in their infancy.

Publications & conference data

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

1. i-MoMCARE: Innovative Mobile Technology for Maternal and Child Health Care in Cambodia-study protocol of a cluster randomized controlled trial.
   Saing CH, Ung M, Suy S, Oy S, et al · · 2023 · cited 2× · PMID 37880782 · DOI 10.1186/s13063-023-07724-z
2. i-MoMCARE – Innovative Mobile Technology for Maternal and Child Health Care in Cambodia: study protocol of a cluster randomized controlled trial
   Saing CH, Ung M, Suy S, Oy S, et al · · 2023 · DOI 10.21203/rs.3.rs-2819388/v1