Feasibility and Acceptability of a Family-led Care Model to Increase Coverage and Quality of Postnatal Care in Ethiopia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Jhpiego
- 入组人数
- 229
- 试验地点
- 1
- 主要终点
- Change in coverage (Mothers)
研究概览
简要总结
Family-led Postnatal Care-FPNC A midwife involves families and uses a visual checklist to assess and counsel. The midwife then gives families the checklist along with information on how to retrieve a "homecare kit" that has a blood pressure machine, infrared thermometer, and health education booklet. At home, families assess the health of postnatal mothers and newborns for 6 days, and then return the completed checklist and homecare kit to the community location. A community health worker collects the checklists monthly. This study aims to assess the acceptability and feasibility of the FPNC and assess if FPNC increases the proportion of women/newborns who have a postnatal check in the first week after delivery and the proportion who seek care from a health provider when a postnatal danger sign is identified. The study will take approximately 12 months.
详细描述
Four health centers in Ada District of Oromia will be included in the study. Prior to FPNC introduction, the investigators will conduct a baseline survey over 8 weeks to measure coverage and content of postnatal checks on Days 3 and 7, as well as care-seeking behavior.
The health centers will then implement FPNC. Postnatal women, families, midwives, health extension workers, and homecare kit custodians will have the option to accept or decline participation in the study. At the end of the first- and second-months after FPNC implementation, the investigators will conduct qualitative interviews with mothers, families, midwives, health extension workers and homecare kit custodians.
Post intervention survey will take 8 weeks and will be conducted three months after FPNC is introduced. Coverage and content of postnatal checks in the first week will be abstracted weekly from FPNC checklists and care-seeking information will be collected through face-to-face interviews. The investigators will also conduct a quantitative measurement of sustainability of the FPNC intervention six months after the deadline through facility register data abstraction and review of completed checklists.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Health center discharge counselors
- •Provides postnatal care at intervention health center
- •Willing to participate in study
- •Postnatal women and family members
- •Per participant report, age 15 years or older
- •Delivered at the intervention health centers
- •Maximum of Postnatal Day 1-3 at HC
- •Intends to remain within catchment area for first week after birth
- •Has family members who are willing to participate in the study
- •Able and willing to provide consent
- •Per participant report, age 15 years or older
- •Husband of eligible postnatal woman who has consented to participate
- •Able and willing to provide consent
- •Family members
- •Per participant report, age 15 years or older
- •Family members of eligible postnatal women who have consented to participate
- •Able and willing to provide consent
- •Health extension workers
- •Works within catchment area of intervention health center
- •Willing to participate in study
- •Home care custodians
- •Able and willing to provide consent
- •Health facility managers
- •Able and willing to provide consent
排除标准
- •Health center discharge counselors
- •Postnatal women and family members
- •Women who are unable to provide valid information because of mental or other serious health condition
- •Family members
- •15-18 year old members who are not emancipated minors (married or have children of their own)
- •Health extension workers
- •Is not selected to participate (i.e., if there is more than one HEWs per health post)
- •Home care custodians
- •Health facility managers
结局指标
主要结局
Change in coverage (Mothers)
时间窗: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).
Between pre-intervention (for approximately 8 weeks) and immediately after the intervention (for approximately 8 weeks), the investigators will measure the change in the proportion of postnatal women who have all three postnatal checks (within 1st day, 2nd-3rd days, and 4th-7th days).
Change in coverage (Newborns)
时间窗: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).
Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of newborns who have all three postnatal checks (within 1st day, 2nd-3rd days, and 4th-7th days).
Change in completeness (Mothers)
时间窗: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).
Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of postnatal women who had all specified PNC components assessed during all three postnatal checks (within 1st day, 2nd-3rd days, and 4th-7th days).
Change in postnatal Contacts (Newborns)
时间窗: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).
Between pre-intervention and immediately after the intervention, the investigators will measure the change in the average number of PNC checks that are done for newborns in the first 7 days after delivery.
Change in completeness (Newborns)
时间窗: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).
Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of newborns who had all specified PNC components assessed during all three postnatal checks (within 1st day, 2nd-3rd days, and 4th-7th days).
Change in postnatal Contacts (Mothers)
时间窗: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).
Between pre-intervention and immediately after the intervention, the investigators will measure the change in the average number of PNC checks that are done for mothers in the first 7 days after delivery.
次要结局
- Feasibility (Homecare Kit)(Immediately after the intervention (for approximately 8 weeks))
- Feasibility (Blood Pressure)(Immediately after the intervention (for approximately 8 weeks))
- Change in Danger Sign Recognition (Newborns)(Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).)
- Feasibility (Communication)(Immediately after the intervention (for approximately 8 weeks))
- Feasibility (Register)(Immediately after the intervention (for approximately 8 weeks))
- Sustainability(Six months after the post-intervention survey.)
- Feasibility (Functional Kits)(Immediately after the intervention (for approximately 8 weeks))
- Acceptability (Checklist)(Immediately after the intervention (for approximately 8 weeks))
- Acceptability (Perceptions of Husbands and Family Members)(Immediately after the intervention (for approximately 8 weeks))
- Preference (Families')(Immediately after the intervention (for approximately 8 weeks))
- Satisfaction (Dsicharge counselors')(Immediately after the intervention (for approximately 8 weeks))
- Change in Danger Sign Recognition (Mothers)(Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).)
- Change in Care-Seeking (Mothers)(Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks))
- Change in Care-Seeking (Newborns)(Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks))
- Feasibility (Checklist Return)(Immediately after the intervention (for approximately 8 weeks))
- Acceptability (Homecare Kit)(Immediately after the intervention (for approximately 8 weeks))
- Acceptability (Perceptions of Discharge Counselors)(Immediately after the intervention (for approximately 8 weeks))
- Acceptability (Perceptions of Homecare Kit Custodians)(Immediately after the intervention (for approximately 8 weeks))
- Acceptability (Perception of Health Managers)(Immediately after the intervention (for approximately 8 weeks))
- Acceptability (Perceptions of Health Extension Workers)(Immediately after the intervention (for approximately 8 weeks))
- Feasibility (Thermometer, Mothers)(Immediately after the intervention (for approximately 8 weeks))
- Feasibility (Thermometer, Newborns)(Immediately after the intervention (for approximately 8 weeks))
- Feasibility (Kit Return)(Immediately after the intervention (for approximately 8 weeks))
- Feasibility (Checklist Collection)(Immediately after the intervention (for approximately 8 weeks))