Saving Lives at Birth in Uganda: Building and Sustaining Capacity of Frontline Health Workers - A Program Evaluation

Summary

The study aims are to evaluate the impact of supportive follow-up strategies for a novel twinned training and capacity-sustaining program among frontline health workers (providers) attending facility-based births in remote and district level health facilities in Uganda. The program is designed to improve provider competencies, provider performance and health outcomes among women giving birth and newborns.

Conditions

• Postpartum Hemorrhage
• Neonatal Asphyxia

Interventions

OTHER

Helping Mothers Survive - Bleeding After Birth training

One-day training in postpartum hemorrhage prevention and treatment; this includes instruction to provide oxytocin within one minute of birth to prevent postpartum hemorrhage.

OTHER

Helping Babies Breathe

One-day training in neonatal asphyxia management; this includes routine care for the newborn, such as drying and stimulation immediately after birth, and resuscitation of asphyxiated newborns using a bag \& mask device.

BEHAVIORAL

Mentor

A birth attendant in the facility is designated as a clinical mentor and encouraged to lead simulator-based practice sessions in the facility after training day.

BEHAVIORAL

Phone

District trainers telephone clinical mentors and encourage them to lead practice sessions.

DRUG

oxytocin and misoprostol

This study did not provide uterotonic drugs except in the case of stock out where locally purchased oxytocin and misoprostol were provided only as back up.

DEVICE

Newborn bag and mask

All facilities were supplied with at least 1 bag and mask for newborn resuscitation. This bag and mask was used for training, practice, and clinical care

Sponsors & Collaborators

• United States Agency for International Development (USAID)

  collaborator FED

• Jhpiego

  lead OTHER

Principal Investigators

• Cherrie Evans, DrPH · Jhpiego

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-11-14

Primary Completion

2016-12-31

Completion

2016-12-31