Maternal and neonatal health Pregnancy and Childbirth
Conditions
Interventions
Our Intervention consists in three complementary activities:
1. Training health workers to the use of the sandwich method
2. Training health workers in obstetric and ne
Sponsors
Institute of Research for Development, UMR 216
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients: 1. Pregnant women presenting in one of the participating health facilities for antenatal care 2. Women who give birth in one of the participating health facilities or were referred to a higher-level facility during childbirth Health professionals: All the general practitioners, obstetric nurses, midwives, health technicians and midwives who provide care to pregnant women and newborns in the participating health centres of Diema will be included in the study.
Exclusion criteria
Exclusion criteria: Women who have given birth at home and used postpartum healthcare services in one of the participating health centers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 20/10/2015: Proportion of health workers who use the sandwich method to estimate the date of last menstruation during first antenatal care visit. Previous primary outcome measure: Proportion of women who know the date of last menstruation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 20/10/2015: 1. The proportion of women who know the date of last menstruation 2. The knowledge score of the health care professionals 3. The health workers' satisfaction score regarding their working conditions 4. The rate of transfer of pregnant women to a higher-level structure during pregnancy 5. The rate of transfer of women to a higher-level structure after delivery 6. The rate of transfer of newborn to a higher-level structure after delivery 7. The proportion of newborns diagnosed pre-term, small for gestational age or post-term 8. Perinatal mortality rate All outcome measures will be measured one time before intervention and one time after intervention. Two rounds of supervision will be carried out. Previous secondary outcome measures: 1. The proportion of health professionals that determine the date of last menstruation using the sandwich method 2. The knowledge score of the health care professionals 3. The health workers' satisfaction score regarding their working conditions 4. The rate of transfer of pregnant women to a higher-level structure during pregnancy 5. The rate of transfer of women to a higher-level structure after delivery 6. The rate of transfer of newborn to a higher-level structure after delivery 7. The proportion of newborns diagnosed pre-term, small for gestational age or post-term 8. Perinatal mortality rate All outcome measures will be measured thus: 1. One year of pre-intervention data collection 2. One year of intervention implementation 3. One year of post-intervention data collection | — |
Countries
Mali
Contacts
Public ContactInes Dossa
Outcome results
None listed