Health Facility Networking for Maternal Health
Training of health workers in Basic Obstetric Emergency Care
+ Hospital-health center networking system
+ Post Basic Emergency Obstetric Training Mentorship
Resumen
Fecha de inicio: 1 de marzo de 2013
Fecha en la que se inscribió al primer participante.This study will introduce a multi-faceted intervention package which will be implemented in the newly developed network of St. Paul's Hospital Millennium Medical College (St. Paul) and the surrounding seven satellite health centers. The goal is to assess if this group of interventions improve the skills and confidence of providers to handle obstetric emergencies, if they streamline the referral process and if they result in improved maternal/newborn health outcomes.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Se reclutarán 10.787 pacientes
Número total de participantes que el ensayo clínico espera reclutar.Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.Voluntarios sanos permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Criterios
Inclusion Criteria: Sample population for each data collection instrument: Baseline/Endline: Key Informant Interviews: St. Paul hospital: Maternal Child Health (MCH) Head, Midwife/nurse from Labor and Delivery (L&D), Midwife/nurse from Emergency Health Centers: Medical Director, Head of MCH (midwife) Midwife from L&D, Referral focal person Health Facility Assessment: - Manager/most senior health worker asked (one from each facility) Provider Survey: - All providers in the MCH at both the hospital and health center level Chart review: - All deliveries in all centers will be screened during the intervention phase. Data on every birth will be collected from the log books of each facility. The data collector will then find the medical record of that patient to assess the Standard of Care (SOC) during Ante-natal care (ANC)- if available from the chart, L&D and screen for an obstetric complication. If there was a complication, the near miss data will be collected. Telephone registration log book: - all phone calls between HC and Hospital Facility Checklists: - Forms completed by Supportive Supervision Teams at quarterly visits Standardized BEmONC training evaluation - Will be given to every provider undergoing the training, as part of the training curriculum. Monthly mentoring evaluations - for the six months post-training mentorship, for all providers who have undergone BEmONC training. Supportive Supervision Gap Identification Checklists - Collected quarterly from each of the 9 facilities
Plan de Estudio
Conoce todos los tratamientos administrados en este estudio, su descripción detallada y en qué consisten.Un solo grupo de intervención está designado en este estudio
0% de probabilidad de ser asignado al grupo placebo
Grupos de Tratamiento
Grupo I
Objetivos del Estudio
Objetivos Primarios
Objetivos Secundarios
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene 8 ubicaciones
Addis Ketema Health Center
Addis Ketema Subcity, Woreda 4, EthiopiaAbrir Addis Ketema Health Center en Google MapsWoreda 7 Health Center
Addis Ketema Subcity, Woreda 9, Addis Ababa,, EthiopiaSemen Health Center
Arada Sub City, Addis Ababa, EthiopiaSelam Health Center
Gulele Sub City, Woreda 9, Addis Ababa, Ethiopia