An evaluation of healthcare provider training on the availability and quality of antenatal and postnatal care in Chad

Randomized stepped wedge trial to assess the effectiveness of healthcare provider training on the availability and quality of antenatal and postnatal care in Chad

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN13816818

Enrollment

630

Registered

2020-09-29

Start date

2020-09-28

Completion date

Unknown

Last updated

2022-08-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Maternal and neonatal health and quality of care Pregnancy and Childbirth

Interventions

A multi-dimensional incomplete stepped wedge trial design (SW-RCT) will be used to assess the effects of the intervention (competency-based Training in ANC and PNC). Each healthcare facility will rece

mentoring (10%) and self-evaluation and assessment (10%). Total duration: 1 year

total follow-up: 1 year (this is a stepped-wedge RCT, observation happens from the beginning to the end of the trial).

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: (Note: This is a clustered trial where healthcare facilities represent one cluster) Healthcare facilities: In consultation with the Ministry of Health public or private HCFs in N’Djamena will be identified 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) will be eligible for inclusion Healthcare providers: All healthcare providers providing antenatal or postnatal services in the selected facilities Women (clients): Those attending antenatal or postnatal care services in the selected facilities over the age of 18

Exclusion criteria

Exclusion criteria: 1. Healthcare facilities: those not identified as eligible by the MOH 2. Healthcare providers: 2.1. Not providing antenatal or postnatal care in the selected faciltiies 2.2. Not consenting to be observed as part of the study 3. Clients (women): 3.1. Under 18 years old 3.2. Not attending antenatal or postnatal services in selected facilities 3.3. Not consenting to be observed as part of the study 3.4. Respondents expressing physical or psychological distress at the idea of being observed during a consultation

Design outcomes

Primary

Measure	Time frame
Proportion of essential components delivered during antenatal or postnatal visits measured using a standardised tool for observation of antenatal and postnatal care at every step, each step lasts 6-7 weeks, and there are 8 steps in total	—

Secondary

Measure	Time frame
There are no secondary outcome measures	—

Countries

Chad

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026