A Skills and Drills Intervention for Emergency Obstetrics and Neonatal Care at First Referral Units of North Karnataka

Summary

To evaluate the effectiveness of a First Referral Unit (FRU) Emergency Obstetric and Newborn Care (EmONC) skills and drills intervention, to estimate the appropriateness and effectiveness of referrals in intervention arm compared to control arm and to calculate the incremental cost and cost effectiveness of EmONC skills and drills intervention.

Conditions

• Obstetric and Perinatal Complications
• Postpartum Hemorrhage
• Preeclampsia/Eclampsia
• Obstructed/Prolonged Labor
• Sepsis
• Birth Asphyxia

Interventions

OTHER

Skills training

Refresher training on Basic Emergency Obstetric and Newborn care

OTHER

Emergency obstetric drills

Emergency obstetric drills to practice timely and appropriate management of postpartum hemorrhage and preeclampsia/eclampsia

OTHER

Revised Case Sheets

Revised case sheets will be introduced to capture the timing and appropriate medical treatment of women in labor and newborns

OTHER

Supportive supervision

Quarterly supportive supervision visits each of the intervention first referral units.

OTHER

Referral strengthening

To support referral systems that ensure timely and appropriate treatment for obstetric emergencies

Sponsors & Collaborators

• St. John's Research Institute

  collaborator OTHER

• Maternal Health Task Force

  collaborator UNKNOWN

• Bill and Melinda Gates Foundation

  collaborator OTHER

• Karnataka Health Promotion Trust

  collaborator OTHER

• Harvard School of Public Health (HSPH)

  lead OTHER

Principal Investigators

• Beena Verghese, PhD · St. John's Research Institute, Public Health Foundation of India

• Prem Mony, MD, MSc · St. John's Research Institute, Bangalore

• Krishnamurthy Jeyanna, MD · Karnataka Health Promotion Trust

• Ana Langer, MD · Harvard School of Public Health (HSPH)

• Fernando Althabe, MD · Institute for Clinical Effectiveness and Health Policy

Study Design

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2013-07-31

Primary Completion

2014-10-31

Completion

2015-01-31