Pre-eclampsia Clinical Trial
— AccelerateOfficial title:
Evaluating the Effects of Clinical Decision Making Support Systems on Maternal and Neonatal Mortality and Morbidity in Ghana: a Cluster Randomized Controlled Trial
Verified date | August 2017 |
Source | Julius Global Health |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Introduction Maternal and neonatal mortality continue to be to be prominent public health
issues in sub Saharan Africa including Ghana, with slow progress made towards attainment of
Millennium Development Goals (MDG) 4 & 5. Studies have identified poor quality of maternal
and child healthcare as a major challenge to the prevention of neonatal and maternal deaths.
Effective interventions are required to make significant inroads in these areas.
Objective To evaluate the effect of a SMS text messaging intervention to support clinical
decision making by frontline health care professionals on neonatal and maternal mortality.
Methods We propose to conduct a randomized controlled trial in the Eastern region of Ghana,
involving 8 intervention and 8 control districts. The intervention consists of text messaging
of standard protocols for maternal and neonatal care to front line health care providers in
the region. A total of 17,040 pregnant women who are receiving care (including antenatal,
delivery and post-natal) at any of the hospitals in the selected districts in the region will
be monitored through monthly aggregate data on outcome measures such as neonatal and maternal
deaths from eclampsia, postpartum haemorrhage, puerperal sepsis, birth asphyxia, low birth
weight and neonatal sepsis. Cord sepsis will also be included as neonatal sepsis for this
study. Also, a quality of care assessment in four sampled districts to measure adherence to
the safe motherhood protocol will be conducted. Stata software package.55 and MLwiN software
version 2.2456 will be employed in data analysis. Descriptive analysis will be carried out to
explore baseline characteristics of study groups while logistic regression will be applied to
evaluate the effect of the intervention. A two-tailed statistical significant level of 0.05
will be used.
Expected outcome We hypothesize that the intervention will improve both maternal and neonatal
service delivery and health outcomes in the intervention areas.
Status | Completed |
Enrollment | 65831 |
Est. completion date | April 9, 2017 |
Est. primary completion date | February 9, 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - District location in the Eastern region of Ghana. - The districts should have an expected deliveries of = 1,100 / year - The District Health Management Team and the District Hospital Management Team must agree to participate in the study. Exclusion Criteria: - District location outside the Eastern region. - The districts expected deliveries of <1,100 / year - The District Health Management Team and the District Hospital Management Team disagreeing to participate in the study. |
Country | Name | City | State |
---|---|---|---|
Ghana | Eastern Region Health directorate | Koforidua |
Lead Sponsor | Collaborator |
---|---|
Hannah Brown Amoakoh | Ghana Health Services, University of Ghana |
Ghana,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Percentage of cases of pre-eclampsia/Pregnancy induced hypertension appropriately managed | This will measure the percentage of cases of pre-eclampsia/pregnancy induced hypertension managed according to the Safe Motherhood Protocol | 18 months | |
Other | Percentage of cases of birth asphyxia appropriately managed | This will measure the percentage of cases of birth asphyxia managed according to the Safe Motherhood Protocol | 18 months | |
Primary | Number of neonatal deaths | Total number of neonatal deaths among total number of deliveries over an 18 month period | 18 months | |
Secondary | Number of maternal deaths | Total number of maternal deaths among total antenatal attendants over an 18 month period | 18 months | |
Secondary | Number of cases of eclampsia | Total number of cases of eclampsia among total antenatal attendants over an 18 month period | 18 months | |
Secondary | Number of cases of postpartum haemorrhage | Total number of cases of postpartum haemorrhage among total antenatal attendants over an 18 month period | 18 months | |
Secondary | Number of cases of prolonged labour | Total number of cases of prolonged labour among total antenatal attendants over an 18 month period | 18 months | |
Secondary | Number of cases of puerperal sepsis | Total number of cases of puerperal sepsis among total antenatal attendants over an 18 month period | 18 months | |
Secondary | Number of cases of birth asphyxia among deliveries | Total number of cases of birth asphyxia among total deliveries over an 18 month period | 18 months | |
Secondary | Number of cases of low birth weight deliveries | Total number of cases of low birth deliveries among total deliveries over an 18 month period | 18 months | |
Secondary | Number of cases of cord sepsis | Total number of cases of cord sepsis among total deliveries over an 18 month period | 18 months |
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