Maternal and neonatal health and quality of care Pregnancy and Childbirth
Conditions
Interventions
Two randomised stepped wedge trial designs (SWD) will be crossed and used to assess the effects of the two interventions (Standards-based Audit and Training in ANC and PNC). Thus each HCF will receive
Sponsors
Liverpool School of Tropical Medicine
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Note: This is a clustered trial where healthcare facilities represent one cluster In consultation with the Ministry of Health districts or regions will be identified and all public or private HCFs that are: 1. Designated to provide ANC and PNC 2. in a state of readiness to provide ANC and PNC (i.e. equipment and consumables in principle in place) 3. Provide ANC to at least 25 women per month will be eligible for inclusion. For objective i) measurements will be done from facility registers and will not need inclusion of participants For objective ii) measurements will be done either from facility registers, either through exit interviews depending on the standard audited. Participants will be women coming for ANC or PNC within the healthcare facility. Eligible women will be those attending ANC-PNC in the selected facilities
Exclusion criteria
Exclusion criteria: 1. Women from non-selected facilities 2. Women that do not consent to be interviewed for audits measurements
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Percentage compliance with standards (aggregate) measured with standard-specific tool at baseline (month 1 and 2), then every alternate month from month 2 to month 15, or month 3 to 16, depending on stratum, plus at endline at month 15 or 16 depending on stratum 2. Proportion of ANC and PNC signal functions available measured using a standardised tool monthly | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
Togo
Outcome results
None listed