Country-Specific Adaptations to the MNH eCohort Implementation Approach
| Country | Priority Areas of Interest | Minimum Enrollment Age, Years | In-Person Enumerators for Baseline and Endline Modules | Phone Enumerators | Incentives – Phone Follow-up | Incentives – Endline | Maternal Card Review |
|---|---|---|---|---|---|---|---|
| Ethiopia | Maternal malnutrition and mental health, and maternity waiting homes; added specific questions | 15 | 30 hired by EPHI | 50 birr airtime provided per month after completion of surveys | Wrapper for baby and maternal pad | Reviewed Integrated Maternal and Newborn Health card at baseline for general health history, obstetric history, content of care for ANC1 | |
| Kenya | Post-discharge care patterns; adolescent reproductive health; psychosocial and emotional well-being; key indicators to improve Kenya Health Information System | 15 | 21 and 2 supervisors employed by KEMRI-Wellcome Trust | 17 employed by Laterite | 50 Kenyan shillings provided after completion of each module | Bar of soap | Reviewed Mother-Child Health Handbook at endline for delivery care and outcomes, postnatal care quality, and immunizations |
| India | Chronic diseases in pregnancy (including mental health, hypertension, and diabetes); sites have important differences in outcomes (one poor, one better), aim to understand if care is different between sites | 18 | 8 (with ANM/staff nurse and/or master’s degree with relevant experience) hired by PHFI | 8 (with ANM/staff nurse and/or master’s degree with relevant experience) hired by PHFI | 669 Indian rupees (depending on service provider) of airtime provided every 3 months | Gift basket with items for basic newborn care | Reviewed Mother and Child Protection card at facility at baseline and endline |
| South Africa | Adolescent pregnancies, HIV/PMTCT, reasons for booking first ANC late in pregnancy, respectful intrapartum care | 15 with parental consent or 18 otherwise | 10 living in Nongoma and 7 in Umhlatuze, hired by UKZN | 6 hired by UKZN based in Durban, South Africa | ∼30 South African Rand provided after each completion of a phone survey | Additional airtime | Reviewed Road to Health Card at endline to collect information about infant’s health, including PMTCT |
Abbreviations: ANC, antenatal care; ANM, auxiliary nurse-midwife; EPHI, Ethiopian Public Health Institute; KEMRI, Kenya Medical Research Institute; MNH, maternal and newborn health; PHFI, Public Health Foundation of India; PMTCT, prevention of mother-to-child transmission of HIV; UKZN, University of KwaZulu Natal.