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Sökning: id:"swepub:oai:DiVA.org:uu-390196" > Scaling Up Safer Bi...

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FältnamnIndikatorerMetadata
00006239naa a2200625 4500
001oai:DiVA.org:uu-390196
003SwePub
008190807s2019 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:141212376
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3901962 URI
0247 a https://doi.org/10.1186/s13012-019-0917-z2 DOI
0247 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 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Gurung, Rejinau Golden Community, Jwagal, Lalitpur, Nepal4 aut
2451 0a 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 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a 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
7001 a Jha, Anjani Kumaru Govt Nepal, Minist Hlth & Populat, Kathmandu, Nepal4 aut
7001 a Pyakurel, Susheelu Nepal Hlth Res Council, Kathmandu, Nepal4 aut
7001 a Gurung, Abhisheku Golden Community, Jwagal, Lalitpur, Nepal4 aut
7001 a Litorp, Helena,d 1980-u Karolinska Institutet,Uppsala universitet,Global hälsa - implementering och hållbarhet4 aut0 (Swepub:uu)helli994
7001 a Wrammert, Johan,d 1974-u Uppsala universitet,Global hälsa - implementering och hållbarhet4 aut0 (Swepub:uu)johwr369
7001 a Jha, Bijay Kumaru Govt Nepal, Minist Hlth & Populat, Kathmandu, Nepal4 aut
7001 a Paudel, Prajwalu Anweshan, Lalitpur, Nepal4 aut
7001 a Rahman, Syed Moshfiquru Uppsala universitet,Internationell barnhälsa och nutrition4 aut0 (Swepub:uu)syemo332
7001 a Malla, Honeyu Golden Community, Jwagal, Lalitpur, Nepal4 aut
7001 a Sharma, Srijanau Golden Community, Jwagal, Lalitpur, Nepal4 aut
7001 a Gautam, Manishu Anweshan, Lalitpur, Nepal4 aut
7001 a Linde, Jorgen Erlandu Stavanger Univ Hosp, Dept Paediat, Stavanger, Norway4 aut
7001 a Moinuddin, Mdu ICDDR B, Maternal & Child Hlth Div, Dhaka, Bangladesh4 aut
7001 a Ewald, Uwe,d 1945-u Uppsala universitet,Global hälsa - implementering och hållbarhet4 aut0 (Swepub:uu)uweewald
7001 a Målqvist, Mats,d 1971-u Uppsala universitet,Global hälsa - implementering och hållbarhet4 aut0 (Swepub:uu)matma534
7001 a Axelin, Annau Univ Turku, Turku, Finland4 aut
7001 a KC, Ashish,d 1982-u Uppsala universitet,Global hälsa - implementering och hållbarhet,Soc Publ Hlth Phys Nepal, Lalitpur, Nepal4 aut0 (Swepub:uu)ashka967
7102 a Golden Community, Jwagal, Lalitpur, Nepalb Govt Nepal, Minist Hlth & Populat, Kathmandu, Nepal4 org
7730 t Implementation Scienced : BMCg 14q 14x 1748-5908
8564 u https://doi.org/10.1186/s13012-019-0917-zy Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:1341018/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://implementationscience.biomedcentral.com/track/pdf/10.1186/s13012-019-0917-z
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-390196
8564 8u https://doi.org/10.1186/s13012-019-0917-z
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:141212376

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