UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063470
Receipt number R000071819
Scientific Title A Cluster Randomized Controlled Trial to Evaluate the Effect of a Smartphone Application for Obstetric Healthcare Providers on the Mental Health of Obstetric Healthcare Providers and Postnatal Mothers in Tanzania
Date of disclosure of the study information 2026/10/30
Last modified on 2026/10/29 22:55:46

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Basic information

Public title

Evaluation of a Smartphone Application for Postnatal Care and Mental Health Support for Maternity Healthcare Providers and Mothers in Tanzania

Acronym

Tanzania Postnatal Care App Study

Scientific Title

A Cluster Randomized Controlled Trial to Evaluate the Effect of a Smartphone Application for Obstetric Healthcare Providers on the Mental Health of Obstetric Healthcare Providers and Postnatal Mothers in Tanzania

Scientific Title:Acronym

Tanzania Postnatal Care App Study

Region

Africa


Condition

Condition

Postnatal care attendance and mental health of maternity healthcare providers and postpartum mothers

Classification by specialty

Obstetrics and Gynecology Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to evaluate the effects of a mobile application for healthcare providers on the mental health of healthcare providers, postnatal care attendance, the mental health of postpartum women, and health outcomes.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Whether mothers attended postnatal care on day 2 and at 1 month postpartum.

Key secondary outcomes

1) Depression, Anxiety and Stress Scale-21 (DASS-21)
2) Training Needs Analysis Questionnaire (TNAQ)
3) International Confederation of Midwives (ICM) Core Competencies
4) Knowledge of postnatal danger signs, maternal nutritional status, breastfeeding, and newborn care
5) Attitudes toward recommended postnatal care practices, perceived social norms, behavioral control, and intentions to attend appropriate postnatal care
6) Edinburgh Postnatal Depression Scale (EPDS)
7) Infant health status, feeding practices, and weight gain


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

In the intervention group, maternity healthcare providers use a mobile application based on 19 selected items from the WHO guidelines on maternal and newborn care for a positive postnatal experience to provide care to mothers. The application includes content on postnatal nutrition, infant feeding, mental health, and family support. Maternity healthcare providers in the intervention facilities use the mobile application for two months.

Interventions/Control_2

In the control group, mothers receive standard care from maternity healthcare providers who do not use the mobile application.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Cluster randomized controlled trial
(1) Maternity healthcare providers
1) Healthcare providers working in the obstetrics and gynecology departments of participating facilities
2) Healthcare providers with at least 6 months of work experience at the participating facility
3) Those who provide consent to participate in the study

(2) Pregnant and postpartum women
1) Women aged 18 years or older with a normal pregnancy in the third trimester (28 weeks of gestation or later)
2) Those who provide consent to participate in the study

2. Qualitative study
1) Those who used the application in the intervention group
2) Those who provide consent to participate in the study

Key exclusion criteria

1) Cluster randomized controlled trial

(1) Maternity healthcare providers
(a) Non-regular staff members (e.g., interns and nursing students)
(b) Those receiving psychiatric care and taking psychotropic medications at the time of data collection
(c) Those who do not own a smartphone
(2) Pregnant and postpartum women
(a) Those receiving psychiatric treatment or taking antipsychotic medications
(b) Those returning to their hometown for childbirth

2) Qualitative study
(a) Those who did not use the application during the study period

Target sample size

180


Research contact person

Name of lead principal investigator

1st name Yoko
Middle name
Last name Shimpuku

Organization

Hiroshima University

Division name

Graduate School of Biomedical and Health Sciences Program of Health Sciences

Zip code

734-8553

Address

1 Chome-2-3- Kasumi, Minami Ward, Hiroshima, Japan

TEL

082-257-555

Email

yokoshim@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Dorkasi
Middle name
Last name Mwakawanga

Organization

Muhimbili University of Health and Allied Sciences

Division name

School of Nursing, Department of Community Health Nursing

Zip code

11103

Address

P.O. Box 65001, Dar es Salaam, Tanzania

TEL

+255-22-2150302

Homepage URL


Email

dorkasmwakawanga@gmail.com


Sponsor or person

Institute

Muhimbili University of Health and Allied Sciences

Institute

Department

Personal name

Beatrice Mwilike


Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Committee for Clinical Research of Hiroshima University

Address

Kasumi 1-2-3 Minami-Ku, Hiroshima

Tel

082-257-1947

Email

iryo-sinsa@office.hiroshima-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

アマナ病院、テメケ病院、ムワナニャマラ病院


Other administrative information

Date of disclosure of the study information

2026 Year 10 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2026 Year 08 Month 28 Day

Date of IRB

2026 Year 10 Month 28 Day

Anticipated trial start date

2026 Year 11 Month 01 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 10 Month 30 Day

Last modified on

2026 Year 10 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071819