A Study to Measure the Effectiveness of an Intervention Package Aiming to Decrease Perinatal Mortality and Increase Institution-based Obstetric Care Among Indigenous Populations in Guatemala
NCT01653626 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1
Last updated 2012-07-31
Summary
A matched pair cluster-randomized trial of this intervention package will be conducted in four rural and indigenous districts (Huehuetenango, Quiche, Alta Verapaz and San Marcos) of the Republic of Guatemala, using the health clinic as the unit of randomization. No external intervention is planned for control facilities, although enhanced monitoring, surveillance and data collection will occur throughout the study in all facilities in the four districts.
The package includes 3 interventions: 1) To train health care professionals in emergency obstetric and perinatal care using an innovative high-fidelity, low-tech, in situ, multidisciplinary simulation training curriculum (PRONTO); 2) To design and implement a social marketing strategy that promotes institution-based delivery; and 3) To integrate the role of obstetric nurse and professional midwife in intervention communities to act as liaisons between traditional birth attendants (TBA) and public health units. A fourth, cross-cutting component involves ongoing analysis, monitoring, surveillance and evaluation to strengthen information systems and monitor perinatal outcomes throughout the two years of the study.
Conditions
- ¨Maternal Morbidity¨
- ¨Perinatal Mortality¨
Interventions
- OTHER
-
package of 3 interventions
Emergency Obstetric Care training, social marketing approach and link TBS with public sector services
Sponsors & Collaborators
- collaborator OTHER
-
Hospital San Juan de Dios Guatemala
lead OTHER_GOV
Principal Investigators
-
Edgar E Kestler, MD · CIESAR
-
Edgar E. Kestler, MD · CIESAR
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 10 Years
- Max Age
- 49 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-07-31
- Primary Completion
- 2013-10-31
- Completion
- 2013-12-31
Countries
- Guatemala
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