eRegCom: communication strategies to healthcare providers and women from an electronic maternal and child health registry – a cluster randomized controlled trial

Conditions

Antenatal and postpartum care in public health services in Palestine, particularly the quality of care, the timely utilization of care, and the combination of the two, defined as effective coverage. To this end, five sentinel conditions, complications, and events in pregnancy are studied: anemia, hypertensive disorders in pregnancy, gestational diabetes mellitus, fetal growth restriction, and maternal attendance to care. Pregnancy and Childbirth

Kjersti Mørkrid, Buthaina Ghanem, Eatimad Abbas, Khadija Abu Khader, Itimad Abu Ward et al. (21 authors)

Oxford Open Digital Health2023-01-01

10.1093/oodh/oqad010

Development of a targeted client communication intervention for pregnant and post-partum women: a descriptive study.

Bogale B, Mørkrid K, O'Donnell B, Ghanem B, Abu Ward I, Abu Khader K, Isbeih M, Frost M, Baniode M, Hijaz T, Awwad T, Rabah Y, Frøen JF.

2021-07-013 citations

10.1016/s0140-6736(21)01504-x

eRegCom-Quality Improvement Dashboard for healthcare providers and Targeted Client Communication to pregnant women using data from an electronic health registry to improve attendance and quality of antenatal care: study protocol for a multi-arm cluster randomized trial.

Mørkrid K, Bogale B, Abbas E, Abu Khader K, Abu Ward I, Attalh A, Awwad T, Baniode M, Frost KS, Frost MJ, Ghanem B, Hijaz T, Isbeih M, Issawi S, Nazzal ZAS, O'Donnell B, Qaddomi SE, Rabah Y, Venkateswaran M, Frøen JF.

2021-01-113 citations

10.1186/s13063-020-04980-1

Interventions

The unit of randomization is public primary healthcare centers. All included public primary healthcare centers use the electronic maternal and child health registry system (MCH eRegistry). Details of

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Public primary healthcare centers providing antenatal and postnatal services; currently active users of the national MCH eRegistry 2. There are no inclusion criteria on an individual basis

Exclusion criteria

Exclusion criteria: There are no eligibility criteria by individual healthcare providers or their client population characteristics

Design outcomes

Primary

Measure	Time frame
1. Comparison I: PFB arm vs Control arm: Appropriate screening and management of anemia, hypertensive disorders of pregnancy (HDP), gestational diabetes mellitus (GDM), and fetal growth restriction (FGR) 2. Comparison II: TCC arm vs Control arm: 2.1. Timely attendance to antenatal care visits 2.2. Retention rate from antenatal care to postpartum care 3. Comparison III: PFB + TCC (arm 3) vs Control arm: Timely attendance, appropriate screening, and management of anemia, hypertensive disorders of pregnancy, gestational diabetes mellitus, and fetal growth restriction. All the outcome measurements will be obtained from the MCH eRegistry monthly throughout the trial, data needed for these outcomes are continuously entered by the healthcare professionals at the point of care as a routine part of their documentation of care in clinical records.	—

Measure

Time frame

1. Comparison I: PFB arm vs Control arm: Appropriate screening and management of anemia, hypertensive disorders of pregnancy (HDP), gestational diabetes mellitus (GDM), and fetal growth restriction (FGR) 2. Comparison II: TCC arm vs Control arm: 2.1. Timely attendance to antenatal care visits 2.2. Retention rate from antenatal care to postpartum care 3. Comparison III: PFB + TCC (arm 3) vs Control arm: Timely attendance, appropriate screening, and management of anemia, hypertensive disorders of pregnancy, gestational diabetes mellitus, and fetal growth restriction. All the outcome measurements will be obtained from the MCH eRegistry monthly throughout the trial, data needed for these outcomes are continuously entered by the healthcare professionals at the point of care as a routine part of their documentation of care in clinical records.

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Secondary

Measure	Time frame
1. Comparison I: PFB arm vs Control arm: 1.1. Timely screening for anemia 1.2. Timely screening for HDP 1.3. Timely screening for GDM 1.4. Timely screening for FGR 1.5. Appropriate management of anemia 1.6. Appropriate management of HDP 1.7. Appropriate management of GDM 1.8. Appropriate management of FGR 2. Comparison II: TCC arm vs Control arm: 2.1. Timely attendance for anemia screening 2.2. Timely attendance for HDP screening 2.3. Timely attendance for GDM screening 2.4. Timely attendance for FGR screening 3. Comparison III: PFB + TCC (arm 3) vs Control arm: 3.1. Timely attendance, screening, and management of anemia 3.2. Timely attendance, screening, and management of HDP 3.3. Timely attendance, screening, and management of GDM 3.4. Timely attendance, screening, and management of FGR All the outcome measurements will be obtained from the MCH eRegistry monthly throughout the trial, data needed for these outcomes are continuously entered by the healthcare professionals at the point of care as a routine part of their documentation of care in clinical records. The outcomes stated above will be stratified by equity quintiles.	—

Measure

Time frame

1. Comparison I: PFB arm vs Control arm: 1.1. Timely screening for anemia 1.2. Timely screening for HDP 1.3. Timely screening for GDM 1.4. Timely screening for FGR 1.5. Appropriate management of anemia 1.6. Appropriate management of HDP 1.7. Appropriate management of GDM 1.8. Appropriate management of FGR 2. Comparison II: TCC arm vs Control arm: 2.1. Timely attendance for anemia screening 2.2. Timely attendance for HDP screening 2.3. Timely attendance for GDM screening 2.4. Timely attendance for FGR screening 3. Comparison III: PFB + TCC (arm 3) vs Control arm: 3.1. Timely attendance, screening, and management of anemia 3.2. Timely attendance, screening, and management of HDP 3.3. Timely attendance, screening, and management of GDM 3.4. Timely attendance, screening, and management of FGR All the outcome measurements will be obtained from the MCH eRegistry monthly throughout the trial, data needed for these outcomes are continuously entered by the healthcare professionals at the point of care as a routine part of their documentation of care in clinical records. The outcomes stated above will be stratified by equity quintiles.

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Countries

Palestinian Territory

Outcome results

None listed