Feasibility of Introducing Midwifery-embodied Community Clinic Model

NCT06466512 | Not Yet Recruiting DMC

• 1 other identifier: PR-24008
• Study Type: interventional
• Target: 70
• Locations: 0 countries
• Sites: N/A

Brief Summary

Background (brief):

1. 1.Burden: Maternal and neonatal mortality continue to be a serious public health problem in Bangladesh. Facility-based healthcare services reduce the probability of preventable causes of maternal and neonatal death. Community clinics (CCs) are located closer to the community than other healthcare facilities are. However, only 2.8% of all CCs are ready to provide antenatal care (ANC) and 2.4% of these facilities are ready to provide delivery services. Despite the wide acceptance of midwifery care for ANC and delivery services, they are posted only up to the Upazila Health Complexes and at selected Union Health and Family Welfare Centers.
2. 2.Knowledge gap: There is a dearth of evidence on whether the utilisation of ANC, normal vaginal delivery, and postnatal care (PNC) services can be increased if midwives are assigned to CCs to provide these services.
3. 3.Relevance: Midwives were trained to provide antenatal and postnatal care, conduct normal deliveries, and manage CC-specific pregnancy-related complications. Midwives are posted up to union-level facilities, and the Government of Bangladesh has a strategic plan to enable selective community clinics for normal delivery services in addition to antenatal and postnatal care.

Conditions

Maternal Death; Newborn Morbidity

Keywords

Midwife, community clinic, maternal health, newborn health, feasibility

Outcome Measures

Primary Outcomes (1)

• Fesibility of the midwifery-embodied community clinic model

  We will measure feasibility using qualitative method of data collection. We will conduct in-depth interviews and key-informant interviews to understand the extent to which the midwifery-led care in the primary level of healthcare facility (community clinic) can be introduced

  Immediately after the intervention

Secondary Outcomes (5)

• Acceptability of midwifery-embodied community clinic model

  Immediately after the intervention

• Appropriateness of midwifery-embodied community clinic model

  Immediately after the intervention

• Fidelity of midwifery-embodied community clinic model

  Immediately after the intervention

• Barriers and enablers of midwifery-embodied community clinic model

  Immediately after the intervention

• Proportion of women and newborns with a history of birth in last one year received maternal and newborn healthcare

  Immediately after the intervention

Study Arms (1)

Implementation

EXPERIMENTAL

Pregnant women, women who needs to delivery done, and recently delivered women to received ANC, delivery, and postnatal care

Behavioral: Midwifery-embodied care

Interventions

Midwifery-embodied care BEHAVIORAL

The midwife will provide ANC, delivery and PNC. The Community Healthcare Provider, Health Assistants will act as auxillary staff. Local transports will be integrated into the system. Coordination committee will see through that the interventions are carried out properly.

Implementation

Eligibility Criteria

• Age: 10 Years - 49 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Pregnant women or have a history of childbirth within one year of the survey period
• The participants must be living in the catchment areas of the Delua and Sonapur Community Clinics of Narua and Nawabpur unions of the Baliakandi sub-district of Rajbari district
• Healthcare providers of the selected community clinics (midwife, CHCP, HA, and FWA)
• UH\&FPO, and focal person of the community group and community support group
• Policymakers from Maternal Health Programme, MNC\&AH, DGHS and Maternal Health, DGFP
• Technical experts of the Obstetrical and Gynaecological Society of Bangladesh (OGSB)

You may not qualify if:

• \. Respondents who will not give consent to participate in the study

Sponsors & Collaborators

• International Centre for Diarrhoeal Disease Research, Bangladesh: lead
• Laerdal Foundation: collaborator

MeSH Terms

Conditions

Maternal Death

Condition Hierarchy (Ancestors)

Parental Death; Death; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 9, 2024
• First Posted: June 20, 2024
• Study Start: August 1, 2024
• Primary Completion: January 31, 2026
• Study Completion: January 31, 2026
• Last Updated: June 20, 2024

Record last verified: 2024-05