Maternal Mortality Clinical Trial
Official title:
Effectiveness of the Education Program on Increasing the Competency Level of Health Cadres in Indonesia
Ending preventable maternal mortality (EPMM): By 2030, every country should reduce its maternal mortality ratio (MMR) by at least two-thirds from the 2010 baseline. In the era of the SDGs, an acceleration of current progress is required to achieve SGD target 3.1, working towards a vision of ending all preventable maternal mortality. In Central Java, one of the most effective efforts to reduce maternal mortality is increasing the number of human resources, who can assist pregnant mothers and supervise their period of pregnancy. The maternal mortality rate (MMR) in Banjarnegara Regency in 2021 is 287.05 per 100,000 live births, this indicates the top 10 in Central Java Province over the past 5 years. Health cadres, who are non-professional volunteer health supporters for pregnant women appointed by regional public health centers (PHCs), are expected to be the key human resources who contribute to reducing MMR in Indonesia and Banjarnegara Regency as well. However, based on an initial study by researchers conducting qualitative research with focus group discussions (FGDs) and in-depth interviews in April-July 2023, researchers found that health cadres had incorrect and unscientific knowledge. Therefore, improving the knowledge and skills of the health cadres through education programs could be expected to further improve the health outcomes of pregnant women, consequently contributing to reducing the MMR. The purpose of this study is to improve health cadres' competency level in monitoring the risks of pregnant women. This monitoring activities for pregnant women by cadres is an effort to prevent maternal mortality, because if there are complications they can be treated as early as possible.
Status | Not yet recruiting |
Enrollment | 132 |
Est. completion date | April 7, 2024 |
Est. primary completion date | March 27, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 19 Years and older |
Eligibility | Inclusion Criteria: 1. Currently working as a health care for at least 1 year 2. Domiciled in the local area 3. Able to operate a telephone 4. Those who agreed to give consent and are willing to participate in the study 5. Those who agreed to receive the health education program and participate in the whole evaluation process. Exclusion Criteria: 1. Those who are planning to move out to another city during the study period. 2. Those who are no longer work as a health cadre. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Hiroshima University |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The competency level of health cadres | Competency is operationally defined as the ability to integrate components of knowledge, skills, values, and attitudes into practice, and build a trusting relationship with and guide a pregnant woman and her surroundings for them to take evidence-based appropriate behavior. The competency level is measured by the researcher developing a competency questionnaire which consists of a knowledge test, skill, and attitude checklist score | baseline (T0), after 1 month from the baseline (T1) and after 3 months from the baseline (T2) | |
Secondary | The knowledge test scores of health cadres | researcher developing knowledge questionnaire | baseline (T0), after 1 month from the baseline (T1) and after 3 months from the baseline (T2) | |
Secondary | The health assessment skills checklist score of health cadres | researcher developing health assessment skills checklist | after 1 month from the baseline (T1) and after 3 months from the baseline (T2) | |
Secondary | The communication skills checklist score of health cadres | researcher developing communication skills checklist | after 1 month from the baseline (T1) and after 3 months from the baseline (T2) | |
Secondary | The confidence score of health cadres | researcher developing communication skills checklist | after 1 month from the baseline (T1) and after 3 months from the baseline (T2) | |
Secondary | The satisfaction score of health cadres | researcher developing satisfaction skills checklist | after 1 month from the baseline (T1) |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT01945931 -
Evaluation of a Smartphone Application to Reduce Adverse Pregnancy Outcomes in Ethiopia
|
N/A | |
Completed |
NCT01389219 -
Post Partum Maternal and Neonatal Intervention Package
|
N/A | |
Completed |
NCT03299491 -
An Implementation Study of Interventions to Promote Safe Motherhood in Jimma Zone Ethiopia
|
N/A | |
Not yet recruiting |
NCT04904380 -
Impact of New Tools of Simulation-enhanced Peer Learning on Neonatal and Maternal Mortality
|
N/A | |
Enrolling by invitation |
NCT04029207 -
The ASOS-2 Trial Maternal Mortality Sub-study
|
||
Recruiting |
NCT05484804 -
Accountability for Care Through Undoing Racism & Equity for Moms
|
N/A | |
Completed |
NCT03024905 -
Project to Use Community Health Workers to Reduce Maternal Deaths
|
N/A | |
Completed |
NCT01487707 -
Community Based Strategies to Reduce Maternal Mortality in Northern Nigeria
|
N/A | |
Completed |
NCT00211341 -
Trial of the Impact of Vitamin A on Maternal Mortality
|
Phase 3 | |
Completed |
NCT02878226 -
Outcomes of Uterine Rupture
|
||
Completed |
NCT00198822 -
Impact of Maternal Vitamin A or Beta-Carotene Supplementation on Maternal and Infant Mortality in Bangladesh
|
Phase 3 |