Health Facility Networking for Maternal Health (NCT01802957) | Clinical Trial Compass
CompletedNot Applicable
Health Facility Networking for Maternal Health
Ethiopia10,787 participantsStarted 2013-03
Plain-language summary
This study will introduce a multi-faceted intervention package which will be implemented in the newly developed network of St. Paul's Hospital Millennium Medical College (St. Paul) and the surrounding seven satellite health centers. The goal is to assess if this group of interventions improve the skills and confidence of providers to handle obstetric emergencies, if they streamline the referral process and if they result in improved maternal/newborn health outcomes.
Who can participate
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
Sample population for each data collection instrument:
Baseline/Endline:
Key Informant Interviews:
* St. Paul hospital: Maternal Child Health (MCH) Head, Midwife/nurse from Labor and Delivery (L\&D), Midwife/nurse from Emergency
* Health Centers: Medical Director, Head of MCH (midwife) Midwife from L\&D, Referral focal person
Health Facility Assessment:
\- Manager/most senior health worker asked (one from each facility)
Provider Survey:
\- All providers in the MCH at both the hospital and health center level
Chart review:
\- All deliveries in all centers will be screened during the intervention phase. Data on every birth will be collected from the log books of each facility. The data collector will then find the medical record of that patient to assess the Standard of Care (SOC) during Ante-natal care (ANC)- if available from the chart, L\&D and screen for an obstetric complication. If there was a complication, the near miss data will be collected.
Telephone registration log book:
\- all phone calls between HC and Hospital
Facility Checklists:
\- Forms completed by Supportive Supervision Teams at quarterly visits
Standardized BEmONC training evaluation
\- Will be given to every provider undergoing the training, as part of the training curriculum.
Monthly mentoring evaluations - for the six months post-training mentorship, for all providers who have undergone BEmONC training.
Supportive Supervision Gap Identification Checklists
\- Collect…
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Improved provider skill levels
Timeframe: One Year
2
Improved provider self-efficacy
Timeframe: One Year
3
Increased use of effective interventions for obstetric emergencies