Sökning: onr:"swepub:oai:DiVA.org:uu-390196" > Scaling Up Safer Bi...
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001 | oai:DiVA.org:uu-390196 | |
003 | SwePub | |
008 | 190807s2019 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:141212376 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3901962 URI |
024 | 7 | a https://doi.org/10.1186/s13012-019-0917-z2 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1412123762 URI |
040 | a (SwePub)uud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Gurung, Rejinau Golden Community, Jwagal, Lalitpur, Nepal4 aut |
245 | 1 0 | a Scaling Up Safer Birth Bundle Through Quality Improvement in Nepal (SUSTAIN) - a stepped wedge cluster randomized controlled trial in public hospitals |
264 | c 2019-06-19 | |
264 | 1 | b BMC,c 2019 |
338 | a electronic2 rdacarrier | |
520 | a Background: Each year, 2.2 million intrapartum-related deaths (intrapartum stillbirths and first day neonatal deaths) occur worldwide with 99% of them taking place in low- and middle-income countries. Despite the accelerated increase in the proportion of deliveries taking place in health facilities in these settings, the stillborn and neonatal mortality rates have not reduced proportionately. Poor quality of care in health facilities is attributed to two-thirds of these deaths. Improving quality of care during the intrapartum period needs investments in evidence-based interventions. We aim to evaluate the quality improvement packageScaling Up Safer Bundle Through Quality Improvement in Nepal (SUSTAIN)on intrapartum care and intrapartum-related mortality in public hospitals of Nepal.Methods: We will conduct a stepped wedge cluster randomized controlled trial in eight public hospitals with each having least 3000 deliveries a year. Each hospital will represent a cluster with an intervention transition period of 2months in each. With a level of significance of 95%, the statistical power of 90% and an intra-cluster correlation of 0.00015, a study period of 19months should detect at least a 15% change in intrapartum-related mortality. Quality improvement training, mentoring, systematic feedback, and a continuous improvement cycle will be instituted based on bottleneck analyses in each hospital. All concerned health workers will be trained on standard basic neonatal resuscitation and essential newborn care. Portable fetal heart monitors (Moyo (R)) and neonatal heart rate monitors (Neobeat (R)) will be introduced in the hospitals to identify fetal distress during labor and to improve neonatal resuscitation. Independent research teams will collect data in each hospital on intervention inputs, processes, and outcomes by reviewing records and carrying out observations and interviews. The dose-response effect will be evaluated through process evaluations.Discussion: With the global momentum to improve quality of intrapartum care, better understanding of QI package within a health facility context is important. The proposed package is based on experiences from a similar previous scale-up trial carried out in Nepal. The proposed evaluation will provide evidence on QI package and technology for implementation and scale up in similar settings. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng |
653 | a Quality improvement interventions | |
653 | a Basic neonatal resuscitation | |
653 | a Fetal heart rate monitoring | |
653 | a Stepped wedge cluster randomized control trial | |
653 | a Nepal | |
700 | 1 | a Jha, Anjani Kumaru Govt Nepal, Minist Hlth & Populat, Kathmandu, Nepal4 aut |
700 | 1 | a Pyakurel, Susheelu Nepal Hlth Res Council, Kathmandu, Nepal4 aut |
700 | 1 | a Gurung, Abhisheku Golden Community, Jwagal, Lalitpur, Nepal4 aut |
700 | 1 | a Litorp, Helena,d 1980-u Karolinska Institutet,Uppsala universitet,Global hälsa - implementering och hållbarhet4 aut0 (Swepub:uu)helli994 |
700 | 1 | a Wrammert, Johan,d 1974-u Uppsala universitet,Global hälsa - implementering och hållbarhet4 aut0 (Swepub:uu)johwr369 |
700 | 1 | a Jha, Bijay Kumaru Govt Nepal, Minist Hlth & Populat, Kathmandu, Nepal4 aut |
700 | 1 | a Paudel, Prajwalu Anweshan, Lalitpur, Nepal4 aut |
700 | 1 | a Rahman, Syed Moshfiquru Uppsala universitet,Internationell barnhälsa och nutrition4 aut0 (Swepub:uu)syemo332 |
700 | 1 | a Malla, Honeyu Golden Community, Jwagal, Lalitpur, Nepal4 aut |
700 | 1 | a Sharma, Srijanau Golden Community, Jwagal, Lalitpur, Nepal4 aut |
700 | 1 | a Gautam, Manishu Anweshan, Lalitpur, Nepal4 aut |
700 | 1 | a Linde, Jorgen Erlandu Stavanger Univ Hosp, Dept Paediat, Stavanger, Norway4 aut |
700 | 1 | a Moinuddin, Mdu ICDDR B, Maternal & Child Hlth Div, Dhaka, Bangladesh4 aut |
700 | 1 | a Ewald, Uwe,d 1945-u Uppsala universitet,Global hälsa - implementering och hållbarhet4 aut0 (Swepub:uu)uweewald |
700 | 1 | a Målqvist, Mats,d 1971-u Uppsala universitet,Global hälsa - implementering och hållbarhet4 aut0 (Swepub:uu)matma534 |
700 | 1 | a Axelin, Annau Univ Turku, Turku, Finland4 aut |
700 | 1 | a KC, Ashish,d 1982-u Uppsala universitet,Global hälsa - implementering och hållbarhet,Soc Publ Hlth Phys Nepal, Lalitpur, Nepal4 aut0 (Swepub:uu)ashka967 |
710 | 2 | a Golden Community, Jwagal, Lalitpur, Nepalb Govt Nepal, Minist Hlth & Populat, Kathmandu, Nepal4 org |
773 | 0 | t Implementation Scienced : BMCg 14q 14x 1748-5908 |
856 | 4 | u https://doi.org/10.1186/s13012-019-0917-zy Fulltext |
856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1341018/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u https://implementationscience.biomedcentral.com/track/pdf/10.1186/s13012-019-0917-z |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-390196 |
856 | 4 8 | u https://doi.org/10.1186/s13012-019-0917-z |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:141212376 |
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