Can a climate-smart pregnancy care program prevent stillbirths in a fast-growing city?

NCT ID NCT07751432

First seen Aug 07, 2026 · Last updated Aug 11, 2026 · Updated 2 times

Summary

This study tests a co-created antenatal care program designed for busy urban clinics in Dar es Salaam, Tanzania, where climate risks like heat, flooding, and pollution add to pregnancy challenges. The program includes guidance for pregnant women and their families, provider training, booklets, and text message reminders. Researchers will compare pregnancy care and outcomes before and after the program is introduced, focusing on whether it reduces stillbirths and improves care quality.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
A co-created antenatal care program including guidance for pregnant women and families, provider training, booklets, and text message support.
What this could lead to
If effective, this program could reduce stillbirths and improve pregnancy care in climate-vulnerable urban settings, offering a model for other low- and middle-income cities.
What could go wrong
This is a pre-post comparison, not a randomized trial, so results may be influenced by other changes over time. The program's success depends on implementation in busy clinics, and outcomes may not generalize to other settings.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • 21 Antenatal Care Clinics in Temeke District, Dar es Salaam.

    Dar es Salaam, Temeke District, Tanzania

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