Evaluation of Comprehensive Emergency Obstetric and Neonatal Care Program in Malawi
ConditionMaternal and Child Health
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorCDC Foundation
About this trial
The goal of this observational study is to evaluate the implementation and impact of a comprehensive emergency obstetric and newborn care (CEmONC) program on maternal and perinatal health services and outcomes in Malawi. The study will include health facilities providing delivery care in Lilongwe and Blantyre districts, healthcare providers, and selected clients. The main questions it aims to answer are:
1. Does implementation of the program improve health facility readiness, availability and quality of CEmONC services, and maternal and perinatal death surveillance and response (MPDSR)? 2. Are improvements in facility readiness associated with changes in maternal and perinatal health outcomes over time?
Participants and facilities will:
* Participate in health facility assessments at baseline, midline, and endline. * Provide routine facility registers and records for retrospective abstraction of pregnancy outcomes, obstetric complications, and maternal and perinatal deaths. * Participate in interviews to describe provider training, clinical practices, and experiences with maternal and newborn care and MPDSR implementation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Health facilities that do not provide maternity care
Health facilities that do not report an average of at least 120 deliveries per year
Trial population
This evaluation will be conducted in all health facilities Lilongwe and Blantyre Districts in Malawi that provide maternity care. At each assessment, health facility readiness will be evaluated using a standardized Health Facility Assessment (HFA), and retrospective facility-based pregnancy outcome data from the preceding 18-24 months will be collected using the Pregnancy Outcomes Monitoring System (POMS) and the Rapid Ascertainment Process of Institutional Deaths (RAPID).
Trial design
Design model
Other
Time perspective
Retrospective
Treatments tested in this trial
Not listed
Trial groups
78 Participants
are grouped into 1 trial groupGroup A: Health facilities
Trial outcomes
Primary outcomes
1
Availability of emergency obstetric and newborn care (EmONC)
The number of facilities providing emergency obstetric and newborn care (EmONC) per 500,000 total population
Time frame
From baseline through study completion, an average of 3 years and 8 months2
Institutional delivery rate
The number of women who delivered in health facilities divided by the expected number of live births in the area of observation
Time frame
From baseline through study completion, an average of 3 years and 8 months3
Proportion of all births in EmONC facilities
The number of women who delivered in EmONC facilities divided by the expected number of live births in the area of observation
Time frame
From baseline through study completion, an average of 3 years and 8 months4
Institutional C-section rate
Number of women who delivered by c-section/number of women who gave birth in health facilities \*100 per yr
Time frame
From baseline through study completion, an average of 3 years and 8 monthsLocations
Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: