Mama Kits to Increase Institutional Deliveries (3DE)
Client: Zambia Ministry of Health, Zambia Ministry of Community Development, Mother and Child Health
IDinsight service: Randomized evaluation
Partners: DFID, Clinton Health Access Initiative, UNICEF
Institutional delivery is highly correlated with improved maternal and infant survival, and Zambia has piloted a number of interventions to attempt to improve its institutional delivery rates. However, the relative impacts and cost-effectiveness of these interventions remain largely unknown, and Zambia’s institutional delivery rates still remain low at 43 percent, with even lower rates for rural areas.[i]
Non-monetary “mama kit” gifts, provided to pregnant mothers conditional on delivering in a health facility, have been used by several actors in Zambia to incentivize institutional delivery. However, no rigorous evidence existed about the cost-effectiveness of mama kits. Zambia’s MoCDMCH and MOH commissioned an impact evaluation to measure the cost-effectiveness of a planned mama kit program to inform national policy.
IDinsight designed and implemented a clustered randomized controlled trial supplemented with a qualitative inquiry and cost-effectiveness modeling to generate rigorous evidence about ideal mama kit contents, operations and cost-effectiveness.
[i] Abwao, S., P. Kalesha-Masuma, and N. Mugala. Scaling up Newborn Health: Zambia. Draft. October 2007.