Lafiyan Jikin Mata "Excellent Health for Mothers"

Summary

This study aims to address the research question: Will continuous quality improvement, using a Break Through Series approach, increase uptake of PMTCT services and retention-in-care of HIV-infected pregnant women and mothers at six and 12 months postpartum?

Continuous Quality Improvement (CQI) is a health systems intervention to assist programs to systematically improve services and health outcomes. The Break Through Series (BTS) is a specific CQI approach is a short-term (6- to 15-month) learning system that brings together teams from several hospitals or clinics ("collaboratives") to seek improvement in a focused topic area through a common process of data sharing and review Primary Objective To assess whether retention-in-care of HIV-infected women at six (6) months postpartum is higher at health facilities implementing CQI-BTS approaches than at health facilities not implementing CQI-BTS approaches.

Secondary Objectives

To assess whether implementation of CQI-BTS initiatives at health facilities increases:

1. Uptake of PMTCT services by HIV-infected pregnant women;
2. Retention-in-care of HIV-infected women at twelve (12) months postpartum;
3. Retention-in-care of HIV-exposed babies at six (6) and twelve (12) months of age;
4. Uptake of a pre-defined, minimum set of integrated RH/PMTCT services by HIV-infected women in health facilities.

Conditions

• Retention

Interventions

OTHER

CQI/BTS

Application of CQI/BTS interventions through employing rapid structured cycles of data collection, testing of solutions and review of changes will be implemented. At each site a Quality Improvement Team (QIT) will be established from among the facility staff. Local Government and State level QI teams will provide oversight function of the health facilities' QI initiatives. BTS as a collaborative learning approach will be conducted quarterly in each study state at a central location with participants from the intervention sites. The sessions will provide opportunity for teams to learn from each other and to adapt and implement changes using the Plan-Do-Study-Act (PDSA) model.

OTHER

Control

Facilities in control will continue will routine unstructured, irregular continuous quality improvement. Break Through Collaborative will not be applied to the control facilities.

Sponsors & Collaborators

• Federal Ministry of Health, Nigeria

  collaborator OTHER_GOV

• World Health Organization

  collaborator OTHER

• Foreign Affairs, Trade and Development, Canada

  collaborator OTHER

• Centre for Integrated Health Programs, Nigeria

  lead OTHER

Principal Investigators

• Bolanle Oyeledun, MASTERS · Center for Integrated Health Program(CIHP)

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-07-14

Primary Completion

2016-10-31

Completion

2017-06-30

Countries

• Nigeria

Study Locations