Wakobo ti Kodro: a Quasi-experimental Study to Improve the Identification and Follow-up of Pregnant Women at Risk of Obstetric Complications in the Community by Traditional Birth Attendants in the Central African Republic
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,857
- 试验地点
- 1
- 主要终点
- Deliveries in health facilities of women with complicated pregnancies
研究概览
简要总结
This project aims to improve maternal health indicators in a national context where the maternal mortality rate is one of the highest in the world. Our hypothesis is that an intervention combining (i) the training of traditional birth attendant in the identification and monitoring of high-risk pregnancies, (ii) their integration into the health system and (iii) the use of a digital decision-support application installed on a smartphone and adapted to their profile, could strengthen the identification and monitoring of high-risk pregnancies, increase attendance at facilities and thus the rate of assisted deliveries in health facilities, in Bimbo district around the capital Bangui in the Central African republic.
详细描述
This is a quasi-experimental study with a before (baseline measurement) and after (final measurement) approach combined with 2) an exploratory prospective observational cohort study and 3) a sub-study using a mixed methodology.
The main objective is to assess a composite intervention implementation combining the integration of Traditional Birth Attendants (TBAs) into the health system through a strengthened collaboration with health facilities with the support of a numeric application aiming at registering pregnant women & identifying those at high risk of obstetric complications.
The secondary objectives are to:
- Describe the characteristics of antenatal care, pregnancy outcomes, postnatal care, maternal and neonatal mortality, and changes in the use of health facilities by pregnant women.
- To assess the acceptability and feasibility of this intervention with matrons, community health workers, community representatives, women who have already given birth in the study area and health staff involved in the study, in order to understand the potential levers and barriers to the implementation of the intervention.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Deliveries in health facilities of women with complicated pregnancies
时间窗: Comparison between baseline and endline data after 10 months of intervention
Proportion of deliveries by pregnant women at risk of obstetric complications among all women who give birth in the health facilities included in the study, after 10 months of intervention
次要结局
- Antenatal consultancies (ANCs)(after 10 months of intervention)
- Delivery(after 10 months of intervention)
- Post-partum consultancies(after 10 months of intervention)
- Pregnant women at risk of obstetrical complication, screened by traditional birth attendants in the community(after 10 months of intervention)
- Pregnant women at risk of obstetrical complication, monitored at health facilities(after 10 months of intervention)
- Maternal mortality rate(after 10 months of intervention)
- Neonatal mortality rate(after 10 months of intervention)