Evaluation of the PANDA e-health system as a tool to increase antenatal contacts and improve perinatal outcomes in Tanzania: A pragmatic cluster randomised controlled trial

iverpool School of Tropical Medicine0 个研究点目标入组 1,720 人开始时间: 2023年11月14日最近更新: 2024年3月4日

适应症

试验速览

暂无简介。

•Main trial inclusion: Pregnant women (aged 18 and above) booked or planning to start their ANC at the study sites in the first and second trimester, regardless of parity.
•Process Evaluation inclusion:
•Pregnant women (age 18 and above) recruited into the study (both control and intervention arms) who:
•Have actively engaged in antenatal care (>4 more visits)
•Have not actively engaged in antenatal care (< 4 visits)
•Partners of women (aged 18 and above) recruited into the study, who also attended at least one ANC visit with their partner.
•Midwives delivering routine ANC in control sites.
•Midwives using PANDA to deliver ANC to pregnant women in intervention sites.
•Obstetricians / Senior Medical Officers from the Haydom Referral Hospital, in charge of validating the ANC visits received in the Medical Unit from the intervention facilities.
•District health officers, Regional Health officers, representative of Ministry of Health and other key stakeholders involved in prenatal care in Manyara Region and Tanzania

•Main trial exclusion:
•Women on ‘high risk’ pathway.
•Women unable/declining consent
•Process Evaluation exclusion:
•-Women who are already established on a high-risk pathway prior to recruitment. High-risk refers to women who have previous pregnancy or health complications for example hypertension, diabetes, epilepsy, thyroid disease, heart or blood disorders, poorly controlled asthma and infections, requiring referral to a higher level of care
•-Women unwilling to be interviewed, despite their visit conducted through PANDA.
•-Women who refuse to have their subsequent visits completed through PANDA
•-Midwives moved to a difference facility, not involved in the trial.
•-Midwives not in charge of ANC.
•-Obstetrician / Senior Medical officers unwilling to be interviewed, despite using the Medical Unit.
•-Key stakeholders unwilling to be interviewed despite their engagement with the PANDA research study.

发起方

iverpool School of Tropical Medicine