Discussion
COMPLICATIONS
This two-arm non-randomized controlled cluster trial of six months will determine the effect of e-registration tracking and mHealth counseling as a complete package on institutional deliveries in the hazard-prone areas of Southern Bangladesh. A minimum of 268 pregnant mothers of 28–36 weeks will be enrolled and followed up until their deliveries in each intervention and control area. Baseline and end-line data will be used to synthesize the study result. Since the end-line data will be collected four months later than baseline data collection, the study might have a recall bias.However, to our best knowledge, this two-arm non-randomized controlled cluster trial will be the first study that will evaluate the effect of e-Registration and mHealth as a complete package on institutional deliveries in the hazard-prone areas of Southern Bangladesh. e-registration and mHealth intervention package may increase facility delivery, thus, reduce delivery-related complications and maternal mortality. Thus, our study will facilitate the evidence gap related to the effectiveness of e-registration and mHealth on facility delivery and provide substantial evidence which may help the government to take the necessary steps to roll out e-registration and mHealth counseling as a complete package to increase institutional deliveries and reduce the burden of maternal mortality ratio of Bangladesh by 2030.