Health Care Intervention Research- Improving Pre-natal and Maternal Care (QUALMAT)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified February 2010 by Heidelberg University.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
Ghent University, International Center for Reproductive Health, Belgium
Centre de Recherche en Sante de Nouna, Burkina Faso
Navrongo Health Research Centre, Ghana
Karolinska Institutet
Muhimbili University of Health and Allied Sciences
Information provided by:
Heidelberg University
ClinicalTrials.gov Identifier:
NCT01409824
First received: August 3, 2011
Last updated: NA
Last verified: February 2010
History: No changes posted
  Purpose

Besides a dramatic lack of financial and human resources in developing countries, health care is additionally endangered by quality deficiencies caused by low staff motivation. This lack of motivation leads to an insufficient translation of knowledge into optimal utilization of resources. The "know-do" gap represents a challenge that must be addressed to strengthen health services performance towards achieving the Millennium Development Goals (MDGs). This is in particular true for some sensitive sectors like pre-natal and maternal health care. General objective of this research is to improve maternal health through better pre-natal and maternal care services offered by better motivated health workers. A computer-assisted clinical decision support system (CDSS) will be developed, implemented and tested aiming at (I) quality improvement of maternal and newborn care and (II) assessment of provider's performance. Based on this tool a commonly agreed incentive scheme to increase motivation will be shaped and tested in three SSA - countries, namely Burkina, Ghana, and Tanzania.

The incentive scheme might contain both non-monetary and monetary incentives and will be designed according to the human resource policy in the three countries. The planned approach is an implementation study with control arms containing one hospital and 6 first line health facilities in each of the study districts and an equal number of facilities in the control arm. A set of indicators for measurement of changes in quality of delivered services will be identified in order to follow up the sustainability and effectiveness of the strategies after their implementation. The study findings will allow understanding the important factors of staff motivation and facilitate adequate management for improvement of maternal and neonatal health care. "Knowing is not enough, we must apply; Wanting to do, is not enough, we must do it1"

- J.W. v. Goethe


Condition Intervention
Antenatal Care and Delivery
Other: CDSS

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: Health Care Intervention Research-Quality of Prenatal and Maternal Care: Bridging the Know-do Gap (QUALMAT)

Resource links provided by NLM:


Further study details as provided by Heidelberg University:

Primary Outcome Measures:
  • motivation [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    This research aims to increase the motivation of the health care providers through two parallel intervention packages- implementation of Clinical decision support system and incentive packages, based on the performance.


Secondary Outcome Measures:
  • Improved quality of health services in ANC and delivery [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    This research aims to improve the quality of the services provided through better motivated health workers


Estimated Enrollment: 36
Study Start Date: May 2009
Estimated Study Completion Date: April 2014
Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: without CDSS
This arm includes 6 health facilities in each partner country, where the clinical decision support system will not be implemented
Other: CDSS
Clinical Decision Support System
Experimental: with CDSS
This arm includes 6 health facilities in each partner country, where the clinical decision support system will be implemented, parallel to the performance based incentive package
Other: CDSS
Clinical Decision Support System

  Eligibility

Ages Eligible for Study:   12 Years to 45 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • the patient in the primary health care center

Exclusion Criteria:

  • patients outside the research regions
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01409824

Contacts
Contact: Rainer Sauerborn, Prof. 00496221565859 svetla.loukanova@urz.uni-heidelberg.de

Locations
Germany
University of Heidelberg Recruiting
Heidelberg, Germany, 69120
Contact: Rainer Sauerborn, Prof.    00496221565859    svetla.loukanova@urz.uni-heidelberg.de   
Sponsors and Collaborators
Heidelberg University
Ghent University, International Center for Reproductive Health, Belgium
Centre de Recherche en Sante de Nouna, Burkina Faso
Navrongo Health Research Centre, Ghana
Karolinska Institutet
Muhimbili University of Health and Allied Sciences
  More Information

Additional Information:
No publications provided by Heidelberg University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Prof. Rainer Sauerborn, University of Heidelberg
ClinicalTrials.gov Identifier: NCT01409824     History of Changes
Other Study ID Numbers: S-173/2008
Study First Received: August 3, 2011
Last Updated: August 3, 2011
Health Authority: Germany: Ethics Commission

Keywords provided by Heidelberg University:
clinical decision support system
performance based incentives
quality of maternal health care services

ClinicalTrials.gov processed this record on July 24, 2014