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Scaling Up an Integrated Approach to Improve Delivery Care in North Guatemala With Stepped Wedge Design

NCT03151070 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 32000

Last updated 2017-05-12

No results posted yet for this study

Summary

"¡Que Vivan las Madres!: Venga a tener su parto al CAP" (QVLM) is a guatemalan quasi-experimental study that has been performed from January 2014 to January 2017 by the Epidemiological Research Center in Sexual and Reproductive Health (CIESAR) in Guatemala in coordination with PRONTO International and University of San Francisco, California. This project has been financed by Grands Challenges Canada' "Save Lives at Birth, A Grand Challenge for Development" partnership that includes USAID, Norwegian ministry of foreign affairs, Bill\&Melinda Gates foundation, UKaid. This project has applied a stepped wedge design (SWD) over 6 zones or clusters. Each one of the zones contains from 4 to 6 communities, each one with the presence of one second level health facility (known in Spanish as CAP, Centro de Atención Permanente). These health centers are the next level in attention after home, traditional and empirical attention. Communities around the selected health centers are mostly rural and have the worst maternal health indicators in the country. These health centers are expected to have enough equipment and personnel to attend the deliveries that occur in their communities. This study was performed in Huehuetenango and Alta Verapaz districts in north Guatemala. Each one with 3 zones for a total of 6 zones. The study follows a Stepped Wedge Design, in which all 6 zones are eventually intervened, but at different regular periods of time (each period is 4 months long). This project applies a package of 3 simultaneous interventions in each zone with the purpose of increasing institutional deliveries and improving deliveries attention in public health centers. This intervention plan has been implemented in a pilot study reported in (Kestler et. al, 2013).

Conditions

  • Maternal Sepsis During Labor
  • Hemorrhage, Postpartum
  • Eclampsia; Complicating Pregnancy
  • Pre-Eclampsia
  • Perinatal Morbidity

Interventions

OTHER

QVLM Intervention package

QVLM intervention package consists of 3 simultaneous interventions: * Social marketing to promote insitutional deliveries. * PRONTO training to public health personnel * Improve interaction with traditional birth attendants

Sponsors & Collaborators

  • Grand Challenges Canada

    collaborator OTHER

  • PRONTO International

    collaborator UNKNOWN

  • Hospital San Juan de Dios Guatemala

    lead OTHER_GOV

Principal Investigators

  • Edgar Kestler, Msc · Researh Center Director

Eligibility

Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2013-12-15
Primary Completion
2017-03-15
Completion
2017-03-15

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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 NCT03151070 on ClinicalTrials.gov