Health Care Intervention Research- Improving Pre-natal and Maternal Care
QUALMAT
1 other identifier
interventional
36
1 country
1
Brief Summary
Besides a dramatic lack of financial and human resources in developing countries, health care is additionally endangered by quality deficiencies caused by low staff motivation. This lack of motivation leads to an insufficient translation of knowledge into optimal utilization of resources. The "know-do" gap represents a challenge that must be addressed to strengthen health services performance towards achieving the Millennium Development Goals (MDGs). This is in particular true for some sensitive sectors like pre-natal and maternal health care. General objective of this research is to improve maternal health through better pre-natal and maternal care services offered by better motivated health workers. A computer-assisted clinical decision support system (CDSS) will be developed, implemented and tested aiming at (I) quality improvement of maternal and newborn care and (II) assessment of provider's performance. Based on this tool a commonly agreed incentive scheme to increase motivation will be shaped and tested in three SSA - countries, namely Burkina, Ghana, and Tanzania. The incentive scheme might contain both non-monetary and monetary incentives and will be designed according to the human resource policy in the three countries. The planned approach is an implementation study with control arms containing one hospital and 6 first line health facilities in each of the study districts and an equal number of facilities in the control arm. A set of indicators for measurement of changes in quality of delivered services will be identified in order to follow up the sustainability and effectiveness of the strategies after their implementation. The study findings will allow understanding the important factors of staff motivation and facilitate adequate management for improvement of maternal and neonatal health care. "Knowing is not enough, we must apply; Wanting to do, is not enough, we must do it1" \- J.W. v. Goethe
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2009
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2010
CompletedFirst Submitted
Initial submission to the registry
August 3, 2011
CompletedFirst Posted
Study publicly available on registry
August 4, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2014
CompletedAugust 4, 2011
February 1, 2010
1.3 years
August 3, 2011
August 3, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
motivation
This research aims to increase the motivation of the health care providers through two parallel intervention packages- implementation of Clinical decision support system and incentive packages, based on the performance.
2 years
Secondary Outcomes (1)
Improved quality of health services in ANC and delivery
2 years
Study Arms (2)
without CDSS
NO INTERVENTIONThis arm includes 6 health facilities in each partner country, where the clinical decision support system will not be implemented
with CDSS
EXPERIMENTALThis arm includes 6 health facilities in each partner country, where the clinical decision support system will be implemented, parallel to the performance based incentive package
Interventions
Eligibility Criteria
You may qualify if:
- the patient in the primary health care center
You may not qualify if:
- patients outside the research regions
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Heidelberg Universitylead
- University Ghentcollaborator
- Centre de Recherche en Sante de Nouna, Burkina Fasocollaborator
- Navrongo Health Research Centre, Ghanacollaborator
- Karolinska Institutetcollaborator
- Muhimbili University of Health and Allied Sciencescollaborator
Study Sites (1)
University of Heidelberg
Heidelberg, 69120, Germany
Related Publications (2)
Saronga HP, Duysburgh E, Massawe S, Dalaba MA, Wangwe P, Sukums F, Leshabari M, Blank A, Sauerborn R, Loukanova S. Cost-effectiveness of an electronic clinical decision support system for improving quality of antenatal and childbirth care in rural Tanzania: an intervention study. BMC Health Serv Res. 2017 Aug 7;17(1):537. doi: 10.1186/s12913-017-2457-z.
PMID: 28784130DERIVEDBlank A, Prytherch H, Kaltschmidt J, Krings A, Sukums F, Mensah N, Zakane A, Loukanova S, Gustafsson LL, Sauerborn R, Haefeli WE. "Quality of prenatal and maternal care: bridging the know-do gap" (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa. BMC Med Inform Decis Mak. 2013 Apr 10;13:44. doi: 10.1186/1472-6947-13-44.
PMID: 23574764DERIVED
Related Links
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 3, 2011
First Posted
August 4, 2011
Study Start
May 1, 2009
Primary Completion
September 1, 2010
Study Completion
April 1, 2014
Last Updated
August 4, 2011
Record last verified: 2010-02