Antenatal Care and Delivery Clinical Trial
— QUALMATOfficial title:
Health Care Intervention Research-Quality of Prenatal and Maternal Care: Bridging the Know-do Gap (QUALMAT)
Besides a dramatic lack of financial and human resources in developing countries, health
care is additionally endangered by quality deficiencies caused by low staff motivation. This
lack of motivation leads to an insufficient translation of knowledge into optimal
utilization of resources. The "know-do" gap represents a challenge that must be addressed to
strengthen health services performance towards achieving the Millennium Development Goals
(MDGs). This is in particular true for some sensitive sectors like pre-natal and maternal
health care. General objective of this research is to improve maternal health through better
pre-natal and maternal care services offered by better motivated health workers. A
computer-assisted clinical decision support system (CDSS) will be developed, implemented and
tested aiming at (I) quality improvement of maternal and newborn care and (II) assessment of
provider's performance. Based on this tool a commonly agreed incentive scheme to increase
motivation will be shaped and tested in three SSA - countries, namely Burkina, Ghana, and
Tanzania.
The incentive scheme might contain both non-monetary and monetary incentives and will be
designed according to the human resource policy in the three countries. The planned approach
is an implementation study with control arms containing one hospital and 6 first line health
facilities in each of the study districts and an equal number of facilities in the control
arm. A set of indicators for measurement of changes in quality of delivered services will be
identified in order to follow up the sustainability and effectiveness of the strategies
after their implementation. The study findings will allow understanding the important
factors of staff motivation and facilitate adequate management for improvement of maternal
and neonatal health care. "Knowing is not enough, we must apply; Wanting to do, is not
enough, we must do it1"
- J.W. v. Goethe
| Status | Recruiting |
| Enrollment | 36 |
| Est. completion date | April 2014 |
| Est. primary completion date | September 2010 |
| Accepts healthy volunteers | No |
| Gender | Female |
| Age group | 12 Years to 45 Years |
| Eligibility |
Inclusion Criteria: - the patient in the primary health care center Exclusion Criteria: - patients outside the research regions |
Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label
| Country | Name | City | State |
|---|---|---|---|
| Germany | University of Heidelberg | Heidelberg |
| Lead Sponsor | Collaborator |
|---|---|
| Heidelberg University | Centre de Recherche en Sante de Nouna, Burkina Faso, Ghent University, International Center for Reproductive Health, Belgium, Karolinska Institutet, Muhimbili University of Health and Allied Sciences, Navrongo Health Research Centre, Ghana |
Germany,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | motivation | This research aims to increase the motivation of the health care providers through two parallel intervention packages- implementation of Clinical decision support system and incentive packages, based on the performance. | 2 years | No |
| Secondary | Improved quality of health services in ANC and delivery | This research aims to improve the quality of the services provided through better motivated health workers | 2 years | No |
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Not yet recruiting |
NCT02643953 -
Increasing Women's Access to Skilled Pregnancy Care to Reduce Maternal Mortality in Nigeria
|
N/A |