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.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,060 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pregnant women attending antenatal care at participating government health facilities in Temeke District, Dar es Salaam, during the study period. * Able and willing to provide informed consent. Exclusion Criteria: * Women not attending antenatal care at a participating government health facility in Temeke District. * Women who do not provide informed consent. * Individuals otherwise not eligible according to local ethical requirements.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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21 Antenatal Care Clinics in Temeke District, Dar es Salaam.
Dar es Salaam, Temeke District, Tanzania
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Other studies related to the condition(s) this trial covers.
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