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Management and Optimization of Nutrition, Antenatal, Reproductive, Child Health & HIV Care

NCT02626351 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 3172

Last updated 2017-08-17

No results posted yet for this study

Summary

This study evaluates the impact of a quality improvement (QI) intervention on maternal and child healthcare services in seven primary healthcare (PHC) clinics, in a rural setting of KwaZulu-Natal, South Africa.

Conditions

  • Pregnancy
  • HIV

Interventions

OTHER

Quality Improvement

In a stepped wedge fashion all 7 PHC clinics will receive QI one by one (exception: the two smallest clinics will be rolled into one step). Each step is of 2 months' duration. The study will commence with baseline data collection across all clinics, before the first randomised clinic receives the QI intervention. The QI intervention involves the following activities at each clinic: \[1\] Situational Analysis: assessment of clinic needs and gaps in processes that influence the specified study endpoints; \[2\] Intensive Intervention Phase (2 months): the clinic QI team (healthcare facility staff) with support of CRH QI mentors maps clinic processes and establishes priorities for process improvements through identification of bottlenecks, root-causes and commence plan-do-study-act (PDSA) cycles; \[3\] Maintenance Phase (duration varies for each clinic based on stepped wedge study design): clinic processes are further improved through iterative PDSA cycles; \[4\] Follow up.

OTHER

Baseline data collection (active comparator)

Endpoint data collection only

Sponsors & Collaborators

  • University of KwaZulu

    lead OTHER

Principal Investigators

  • Till Barnighausen, MD, ScD · Africa Centre for Population Health, University of KwaZulu-Natal

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Model
SINGLE_GROUP

Eligibility

Min Age
18 Years
Max Age
50 Years
Sex
FEMALE
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2015-07-15
Primary Completion
2017-01-26
Completion
2017-01-30

Countries

  • South Africa

Study Locations

More Related Trials

Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT02626351 on ClinicalTrials.gov