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Evaluation of an MNCH Mentoring Intervention in Karnataka

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ClinicalTrials.gov Identifier: NCT02004912
Recruitment Status : Completed
First Posted : December 9, 2013
Last Update Posted : November 28, 2016
Sponsor:
Collaborators:
University of Manitoba
Bill and Melinda Gates Foundation
Information provided by (Responsible Party):
Dr. Stephen Moses, Karnataka Health Promotion Trust

Brief Summary:
Our hypothesis is that an on-site mentoring program for staff at primary health care centers in northern Karnataka, will improve the quality of maternal, neonatal and child health care, and improve clinical outcomes.

Condition or disease Intervention/treatment Phase
Maternal-child Health Services Other: Mentoring intervention Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 295 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Monitoring and Evaluation of an MNCH Mentoring Intervention in Two Districts of Karnataka
Study Start Date : September 2012
Actual Primary Completion Date : September 2015
Actual Study Completion Date : September 2015

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Mentoring intervention
The mentoring intervention involves periodic supportive visits and education to health center staff by nurse mentors.
Other: Mentoring intervention
The mentoring intervention involves periodic supportive visits and education to health center staff by nurse mentors.

No Intervention: No mentoring intervention
The no mentoring intervention arm does not have supportive visits and education to health center staff by nurse mentors.



Primary Outcome Measures :
  1. Changes in provider knowledge and performance from baseline on intrapartum, postpartum and newborn care [ Time Frame: 12-24 months ]
    Outcome measures with respect to knowledge of intrapartum care include, among others: % providers who know how to do AMTSL; % providers who know how to use a partograph; % providers who know what are danger signs needing referral; % providers who know to identify and manage PPH; % providers who know to identify and manage obstructed labour; % providers who know to identify and manage fetal distress. There are also several indicators that will be measured with respect to provider performance during labour, such as % labours with fully completed essential general history taking documentation. Outcome measures with respect to knowledge of and performance in postpartum and newborn care include, among others: % providers who know what to monitor in the mother in the immediate PP period; % postpartum women staying in the facility for at least 12 hours and for 2 days or more; % postpartum women properly monitored 2 and 4 hourly; % PHC clients who were given FP counselling.


Secondary Outcome Measures :
  1. Change from baseline in quality of care provided at primary health care centres [ Time Frame: 12-24 months ]
    Outcome measures with respect to quality of care at primary health care centres include: % PHCs having action plans; % PHCs having all needed drugs; % PHCs having all needed equipment and supplies for delivery; % PHCs having all needed equipment and supplies for infection prevention; % PHCs having all needed equipment on emergency tray in labour room; % PHCs that have a complete newborn corner; % PHCs that have all needed IEC and learning materials; % PHCs that have a list of referral facilities/displayed referral chart; % PHCs that have a functioning feedback mechanism for women referred to FRU; % PHCs that follow correct steps in infection control; % PHCs that have an M&M audit meeting at least once per quarter with notes recorded.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All physicians and staff nurses in PHCs in the two districts.

Exclusion Criteria:

  • Physicians and staff nurses in PHCs who do not consent to participate.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02004912


Locations
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India
Bellary and Gulbarga districts
Bangalore, Karnataka, India
Sponsors and Collaborators
Karnataka Health Promotion Trust
University of Manitoba
Bill and Melinda Gates Foundation
Investigators
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Principal Investigator: Ramesh Banadakoppa, PhD Karnataka Health Promotion Trust

Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Dr. Stephen Moses, Trustee, Karnataka Health Promotion Trust
ClinicalTrials.gov Identifier: NCT02004912     History of Changes
Other Study ID Numbers: 38/2012
First Posted: December 9, 2013    Key Record Dates
Last Update Posted: November 28, 2016
Last Verified: November 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Peer-reviewed publications and end-of-project workshop held in February 2016

Keywords provided by Dr. Stephen Moses, Karnataka Health Promotion Trust:
maternal
neonatal
child
health services
health care
Karnataka
India