Study protocol for Ghana's Ensure Mothers and Babies Regular Access to Care (EMBRACE) program

Conditions

CoC in MNCH/pregnant woman, mother, newborn baby/maternal and neonatal morbidity, neonatal mortality Neonatal Diseases

Sumiyo Okawa, Margaret Gyapong, Hannah H. Leslie, Akira Shibanuma, Kimiyo Kikuchi et al. (16 authors)

BMJ Open2019-09-0125 citations

10.1136/bmjopen-2018-025347

Ghana's Ensure Mothers and Babies Regular Access to Care (EMBRACE) program: study protocol for a cluster randomized controlled trial.

Kikuchi K, Ansah E, Okawa S, Shibanuma A, Gyapong M, Owusu-Agyei S, Oduro A, Quansah-Asare G, Hodgson A, Jimba M, Ghana EMBRACE Implementation Research Project.

2015-01-2731 citations

10.1186/s13063-014-0539-3

Interventions

In each area of the HDSS site, we will assign sub-district based clusters randomly (Dodowa: 8, Kintampo: 12, Navrongo: 12 clusters) to either the intervention or the control arm. 1. I

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: Women at reproductive age between 15 and 49 years old and match to the following criteria: 1. Participants of the baseline survey: Those who gave birth between 1st September 2012 and 30th June 2014 2. Participants of the follow-up survey: Those who passed all the period from their 1st ANC to six weeks postpartum during the intervention period (1st October 2014 and 30th September 2015) 3. Participants of the intervention: Those who are in the period between pregnancy and six weeks postpartum during the intervention period (1st October 2014 and 30th September 2015) 4. Targets of the Health and Demographic Surveillance System (HDSS) data: 4.1. Those who have given birth between 1st September 2012 and 30th June 2014 for baseline HDSS data 4.2. Those who are in the period between pregnancy and six weeks postpartum during the intervention period (1st October 2014 and 30th September 2015) for follow-up HDSS data

Exclusion criteria

Exclusion criteria: Women: 1. Who refused participating with the intervention 2. Who decline to be interviewed 3. Who have migrated out of the HDSS sites

Design outcomes

Primary

Measure	Time frame
CoC completion rate among mothers and newborn babies. The CoC completion is defined as taking following all health services: antenatal care four times, delivery assisted by skilled birth attendants, PNC three times (within 48 hours, at 7 days, at 6 weeks after delivery).	—

Secondary

Measure	Time frame
Intervention outcomes: 1. PNC rate within 48 hours after delivery 2. Complication rate which requires mothers or newborn babies? hospitalization of more than 24 hours 3. Perinatal mortality rate (PMR), neonatal mortality rate (NMR) Implementation outcomes: 1. Intervention coverage of target population 2. Adoption in CoC card utilization or PNC within 48 hours by mothers? retention at health facility or by home visit 3. Fidelity in CoC card utilization or PNC within 48 hours by mothers? retention at health facility or by home visit 4. Implementation cost 5. Sustainability	—

Measure

Time frame

Intervention outcomes: 1. PNC rate within 48 hours after delivery 2. Complication rate which requires mothers or newborn babies? hospitalization of more than 24 hours 3. Perinatal mortality rate (PMR), neonatal mortality rate (NMR) Implementation outcomes: 1. Intervention coverage of target population 2. Adoption in CoC card utilization or PNC within 48 hours by mothers? retention at health facility or by home visit 3. Fidelity in CoC card utilization or PNC within 48 hours by mothers? retention at health facility or by home visit 4. Implementation cost 5. Sustainability

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Countries

Ghana

Outcome results

None listed