Effects of a Health Workforce Capacity Building and Quality Improvement Intervention in Kinshasa

NCT03363308 | Completed

• 1 other identifier: OPP1156220
• Study Type: interventional
• Target: 250
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to evaluate a health workforce capacity building and quality improvement intervention focused on integrated day-of-birth and post-pregnancy care at 16 hospitals in Kinshasa, Democratic Republic of Congo. The intervention package consists of a low-dose, high-frequency (LDHF) training of health workers, support for quality improvement teams, and provision of critical equipment, supplies and drugs within a quality improvement (QI) framework.

Conditions

Maternal Death; Infant Death; Stillbirth

Outcome Measures

Primary Outcomes (3)

• Mean number or percent of items correctly answered

  Each observed structured clinical exam (OSCE) or knowledge tests has between 13 and 38 items. A participant needs to achieve 85% correct score to pass at post-training to assess provider competencies. The main indicator for analysis will be the mean number of items (or percent of items) correctly answered. This mean percent of items correctly answered will be done pre-training, post-training and after 6 months. This will be done in the 8 intervention group facilities only in Phase I and again in the 8 new facilities in Phase II.

  1 day

• Intrapartum perinatal death ratio

  Defined as death of a fetus during labor who had heart tones documented on arrival in the maternity and neonatal deaths prior to 24 hours, divided by total births.

  1 day

• Percent of women after childbirth who adopt a family planning method immediately post-pregnancy or intend to adopt a method by six weeks post-pregnancy.

  Percent of women after childbirth who adopt a family planning method over all women who give birth in a facility

  3 days

Secondary Outcomes (1)

• maternal mortality

  3 days

Study Arms (2)

Phase 1

EXPERIMENTAL

training for health care workers supplemented by QI teams

Behavioral: training for health care workers supplmented by QI teams

Phase 2

NO INTERVENTION

Interventions

training for health care workers supplmented by QI teams BEHAVIORAL

Jhpiego will deliver maternal and newborn health and family planning (MNH+FP) training using evidence-based low-dose, high-frequency (LDHF) learning approaches and support hospital staff-led quality improvement efforts to increase the coverage of facility-based high-impact interventions, including care of the mother and newborn on the day of birth and through the first week postpartum and post abortion services.

Also known as: Practice coordinator training after training session, Practice sessions using anatomic models, SMS reminder messages and quizzes, Routine calls between mentors and providers, Health information officer training, Data collection and use training, Supply of simulators, equipment, kits and other, Develop quality improvement teams and review of action plans, Routine calls between project staff and mentors

Phase 1

Eligibility Criteria

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

You may qualify if:

• Health providers:
• Currently on the roster of maternity ward providers working at one of the 16 selected facilities at the time of the training module.
• Willing to attend a Jhpiego clinical training workshop and offer consent as study participant.
• Age 18 or older.

Sponsors & Collaborators

• Jhpiego: lead
• Bill and Melinda Gates Foundation: collaborator

Study Sites (1)

Jhpiego DRC

Kinshasa, Democratic Republic of the Congo

Location

MeSH Terms

Conditions

Maternal Death; Infant Death; Stillbirth

Interventions

Data Collection; Equipment and Supplies

Condition Hierarchy (Ancestors)

Parental Death; Death; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Fetal Death; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Intervention Hierarchy (Ancestors)

Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Virgile Kikaya

  Jhpiego DRC

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a cluster-randomized trial in phase I and interrupted time series in phase II

Study Record Dates

• First Submitted: November 30, 2017
• First Posted: December 6, 2017
• Study Start: November 16, 2017
• Primary Completion: June 30, 2020
• Study Completion: June 30, 2020
• Last Updated: July 24, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

DE (1)