Skills and Drills Intervention for Improving Emergency Obstetric and Neonatal Care in Select First Referral Units in Northern Karnataka
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 15,018
- 主要终点
- Appropriate management of direct obstetric and perinatal complications
研究概览
简要总结
To evaluate the effectiveness of a First Referral Unit (FRU) Emergency Obstetric and Newborn Care (EmONC) skills and drills intervention, to estimate the appropriateness and effectiveness of referrals in intervention arm compared to control arm and to calculate the incremental cost and cost effectiveness of EmONC skills and drills intervention.
详细描述
The aim of this intervention is to improve the quality of care for institutional births with a special focus on improving the quality of Emergency Obstetric and Newborn Care (EmONC). This intervention will focus on improving the skills and practices of providers and through the improvement of referral networks, ensure timely and appropriate management of complications.
The specific objectives include:
- Evaluate the effectiveness of an FRU-level Basic and EmONC Skills and Drills intervention combined with the existing primary health centre (PHC) based nurse mentoring intervention in improving appropriate diagnosis and management of obstetric and perinatal complications.
- Assess the additional benefit of the EmONC Skills and drills intervention at FRUs in terms of improvement of obstetric and perinatal outcomes compared to the PHC-level intervention alone.
- Estimate the appropriateness and effectiveness of referrals in intervention facilities compared to controls.
- Calculate the incremental cost and cost-effectiveness of the EmONC skills and drills intervention
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All women age who are referred or admitted directly to the first referral unit for a delivery or with a complication Staff working in the First Referral Units
排除标准
- •no specific exclusion criteria
结局指标
主要结局
Appropriate management of direct obstetric and perinatal complications
时间窗: Month 18 of the project
Appropriate and timely management of postpartum hemorrhage (PPH), Preeclampsia, Obstructed or prolonged labor, Sepsis and birth asphyxia
次要结局
- Knowledge and skills competency of health care personnel on the management of obstetric and neonatal complications(Month 18 of the project)
- Case-fatality rates(Month 18 of the project)
- Acceptability of the intervention(Month 18 of the project)
- Self-efficacy of health care personnel to manage direct obstetric and neonatal complications(Month 18 of the project)
- Feasibility of the intervention(Month 18 of the project)
- Timeliness and appropriateness of referral(Month 18 of the project)
研究者
Ana Langer
Director of the Women and Health Initiative
Harvard School of Public Health (HSPH)