Postpartum Hemorrhage Clinical Trial
Official title:
Saving Lives at Birth in Uganda: Building and Sustaining Capacity of Frontline Health Workers - A Program Evaluation
Verified date | August 2017 |
Source | Jhpiego |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The study aims are to evaluate the impact of supportive follow-up strategies for a novel twinned training and capacity-sustaining program among frontline health workers (providers) attending facility-based births in remote and district level health facilities in Uganda. The program is designed to improve provider competencies, provider performance and health outcomes among women giving birth and newborns.
Status | Completed |
Enrollment | 3440 |
Est. completion date | December 31, 2016 |
Est. primary completion date | December 31, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - For Providers: Health providers who attend births in participating health facility and consent to be assessed at the time of enrollment and at several points in time over two years. - For Clinical mentors: being an experienced skilled birth attendant and likely to remain at the facility during the study period For Women in Labor and Delivery and Newborns: Women in any stage of labor in participating facility who consent to observation of their delivery and care of their newborn (or consent from the next of kin if the woman is incapacitated and not able to provide consent) Facility In-charges and Stakeholders: Facility in-charges at sampled health facilities; stakeholders identified by Jhpiego senior managers as being influential in maternal and newborn health policy decisions in Uganda. Exclusion Criteria: - Providers: has <1 year of experience, and has plans to be transferred to another facility or leave the facility soon - Other types of participants: none |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Jhpiego | United States Agency for International Development (USAID) |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Difference in differences: change in use of oxytocin for prevention of postpartum hemorrhage | The change in the percentage of women who received oxytocin in correct dose immediately after vaginal birth in three study arms, as assessed by direct clinical observation, using a standardized checklist. | Baseline, Midline (6 months), Endline (12 months) | |
Secondary | Change in provider performance on simulator-based assessments | The proportion of providers that obtain a passing score on the assessments, based on assessments done by clinical trainers. | Pre-test (before training)- post-test (immediately after training) - midline (6 months) | |
Secondary | Difference in differences: change in care of the mother composite score | A composite variable of care provided to laboring mothers, based on direct clinical observation using a standardized checklist. | Baseline (before training), Midline (6 months), Endline (12 months) | |
Secondary | Difference in differences: change care of the newborn composite score | A composite variable of care provided to laboring mothers, based on direct clinical observation using a standardized checklist. | Baseline (before training), Midline (6 months), Endline (12 months) |
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