Perinatal Mortality Clinical Trial
Official title:
Global Network for Women's and Children's Health Research Does Implementation of HELPING BABIES BREATHE (HBB) Save Lives?
The primary purpose of this pre-post evaluation is to test the impact on perinatal mortality (fresh stillbirths or early neonatal deaths) among births > 1500g of training birth attendants at health facilities in the Helping Babies Breathe (HBB) and Essential Newborn Care (ENC) curricula. These facilities are located within clusters in the Global Network for Women's and Children's Health Research sites in Belgaum and Nagpur, India, and Eldoret, Kenya.
Status | Completed |
Enrollment | 70704 |
Est. completion date | December 2014 |
Est. primary completion date | March 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 16 Years and older |
Eligibility |
Inclusion Criteria: - Facilities: - at least 60 deliveries per year; - ability to provide 24-hour coverage, 7 days per week in the delivery ward; and - minimum perinatal mortality rate of 30 per 1000 deliveries in the reference period. Master Trainers (MT) - Experienced teachers and content experts in neonatal resuscitation - Trained and/or experienced in education - Dedication to learner-focused education - Able to give informed consent Facilitators - Experienced in teaching Learners in small groups - Experienced in care of newborns - Demonstrated understanding of course content - Aptitude for teaching - Able to give informed consent Learners - Skilled birth attendants with clearly defined responsibilities for attending deliveries at participating facilities - Able to give informed consent Exclusion Criteria: - If a facility, master trainer, facilitator, or learner does not meet the above inclusion criteria they are excluded from the study. |
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Country | Name | City | State |
---|---|---|---|
India | Jawaharlal Nehru Medical College | Belgaum | |
India | Lata Medical Research Foundation | Nagpur | |
Kenya | Moi University School of Medicine | Eldoret |
Lead Sponsor | Collaborator |
---|---|
NICHD Global Network for Women's and Children's Health | Christiana Care Health Services, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Indiana University School of Medicine, Jawaharlal Nehru Medical College, Laerdal Medical, Lata Medical Research Foundation, Nagpur, Massachusetts General Hospital, Moi Univeristy, RTI International |
India, Kenya,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Perinatal Mortality | The difference in the rate of perinatal mortality (fresh stillbirth or neonatal death prior to 7 days) among births =1500g, pre versus post implementation of an integrated package of HBB and ENC training and equipment (referred to as HBB/ENC training and equipment). This measure will be calculated using delivery data from the Global Network's Maternal Newborn Health Registry for participating clusters. | Perinatal mortality data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. | No |
Secondary | Facility-based perinatal mortality | The difference in the rate of facility-based perinatal mortality, among births =1500g pre versus post implementation of HBB/ENC training and equipment. | Perinatal mortality data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. | No |
Secondary | Retention of resuscitation knowledge and skills | The difference pre versus post intervention in mean scores on a multiple choice test of resuscitation knowledge, observed skills in bag and mask ventilation (BMV), and OSCE A and OSCE B scenarios. | Assessments completed at initial training and refresher training. | No |
Secondary | Number of neonatal resuscitations | The difference in the number of neonatal resuscitations, among births =1500g with bag and mask in participating facilities pre versus post HBB/ENC training and equipment. | Resuscitation data collected at 6 weeks post-delivery. | No |
Secondary | Delivery room checklist score | The difference in scores on delivery room checklist (in facilities with > 100 deliveries/year) | Observations conducted on a monthly basis. | No |
Secondary | Asphyxia related perinatal mortality | The difference in the rate of asphyxia related perinatal mortality, among births =1500g pre versus post HBB/ENC training. | Perinatal mortality data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. | No |
Secondary | Health seeking behavior | The difference in the proportion of health seeking behavior pre versus post HBB/ENC training. | Data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. | No |
Secondary | Facility deliveries | The difference in the proportion of facility deliveries pre versus post HBB/ENC training. | Data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. | No |
Secondary | Very early newborn death (within 1 day of birth) | The difference in very early newborn death (within 1 day of birth) pre versus post HBB/ENC training. | Data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. | No |
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