Validation of a Midwifery Model in Palestine 1

NCT03145571 | Completed

• 1 other identifier: Midwife Palestine
• Study Type: interventional
• Target: 5,760
• Locations: 0 countries
• Sites: N/A

Brief Summary

To validate a model of Continuity of Midwifery Care implemented in the region of Nabuls and Jericho in Palestine in 2013, register data from the Palestinian Ministry of Health will be analyzed for the following indicators related to usage and quality. Changes in these variables before and after the implementation will be compared between the 16 clinics where the model was implemented and all comparable clinics in the region.

Conditions

Maternal Health

Outcome Measures

Primary Outcomes (1)

• Antenatal visits

  Mean number of antenatal visits in the clinic per woman

  0-9 months before delivery

Secondary Outcomes (2)

• Referral

  0-12 months after delivery

• Home visits

  0-12 months after delivery

Other Outcomes (5)

• Proportion of visits

  0-9 months before delivery

• Blood sugar referral

  0-12 months after delivery and 0-9 months before delivery

• Doctor follow-up

  0-12 months after delivery

Study Arms (2)

Continuity of midwifery care

OTHER

Clinics where the continuity of midwifery care program was implemented during 2013

Procedure: Continuity of midwifery care

Control

NO INTERVENTION

Clinics where no structured changes had been made to the ante- and post- natal care during the period 2013-2015

Interventions

Continuity of midwifery care PROCEDURE

Pre-natal care in rural villages performed by the midwives from the local hospital

Continuity of midwifery care

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All clinics in Nablus and Jericho governorate located in rural areas, that offer pregnancy- and postnatal-care in the whole study period.
• Only clinics that had the intervention continuously during the whole observations period (1st of January 2014 and continued till 31st of December 2015) will be included in the intervention group
• Only the clinics were there were no intervention at all during the whole period will be included in the control group.

You may not qualify if:

• Clinics located in urban areas (less than three km from Nablus or Jericho city centre).
• New Clinics that has not been open during the whole study period.
• Clinics were the intervention was only partially implemented

Sponsors & Collaborators

• Oslo University Hospital: lead

Related Publications (1)

• Mortensen B, Lukasse M, Diep LM, Lieng M, Abu-Awad A, Suleiman M, Fosse E. Can a midwife-led continuity model improve maternal services in a low-resource setting? A non-randomised cluster intervention study in Palestine. BMJ Open. 2018 Mar 22;8(3):e019568. doi: 10.1136/bmjopen-2017-019568.

  PMID: 29567846 DERIVED

Study Officials

• Erik Fosse, MD, PhD

  Oslo University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Specific output monitored in villages where the program had been implemented, and where it was not implemented

Study Record Dates

• First Submitted: April 21, 2017
• First Posted: May 9, 2017
• Study Start: January 1, 2011
• Primary Completion: December 31, 2015
• Study Completion: December 31, 2015
• Last Updated: May 9, 2017

Record last verified: 2017-05

Data Sharing

• IPD Sharing: Will not share