Effects of a Health Workforce Capacity Building and Quality Improvement Intervention in Kinshasa

NCT ID: NCT03363308

Last Updated: 2020-07-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 250 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-11-16
• Study Completion Date: 2020-06-30

Brief Summary

The aim of the study is to evaluate a health workforce capacity building and quality improvement intervention focused on integrated day-of-birth and post-pregnancy care at 16 hospitals in Kinshasa, Democratic Republic of Congo. The intervention package consists of a low-dose, high-frequency (LDHF) training of health workers, support for quality improvement teams, and provision of critical equipment, supplies and drugs within a quality improvement (QI) framework.

Detailed Description

The health workforce capacity building and quality improvement intervention will be implemented in two phases: eight facilities will receive the intervention in phase 1 and the remaining eight facilities will receive the intervention in phase 2.

Objective 1: For objective 2 on facility-based health outcomes, the study design is a cluster-randomized evaluation in phase 1. The intervention's effects will be assessed by comparing an intervention group and a control group of facilities. These will be selected from 16 Kinshasa health facilities. Intervention and control facilities' monthly reported health outcomes will be compared in a 12-month baseline period and 12-month period during and after the intervention implementation (Phase 1) in a difference-in-difference analysis. In Phase 2, all facilities will have their monthly service statistics and health outcomes reviewed for trends in improvement.

Overall, in Phase 1, eight intervention sites will be matched to eight sites serving as controls. In Phase 2, the eight Phase 1 control sites will then receive the same package as the intervention sites in Phase 1. Sites will be stratified by case load, low and high (over 90 births per month), and funding (public or private funding). Within each stratum, prior to start of the intervention, there will be random selection to intervention and control groups to allow for baseline comparability between groups.

Conditions

Maternal Death; Infant Death; Stillbirth

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Phase 1

training for health care workers supplemented by QI teams

Group Type: EXPERIMENTAL

training for health care workers supplmented by QI teams

Intervention Type: BEHAVIORAL

Jhpiego will deliver maternal and newborn health and family planning (MNH+FP) training using evidence-based low-dose, high-frequency (LDHF) learning approaches and support hospital staff-led quality improvement efforts to increase the coverage of facility-based high-impact interventions, including care of the mother and newborn on the day of birth and through the first week postpartum and post abortion services.

Phase 2

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

training for health care workers supplmented by QI teams

Jhpiego will deliver maternal and newborn health and family planning (MNH+FP) training using evidence-based low-dose, high-frequency (LDHF) learning approaches and support hospital staff-led quality improvement efforts to increase the coverage of facility-based high-impact interventions, including care of the mother and newborn on the day of birth and through the first week postpartum and post abortion services.

Intervention Type: BEHAVIORAL

Other Intervention Names

Practice coordinator training after training session; Practice sessions using anatomic models; SMS reminder messages and quizzes; Routine calls between mentors and providers; Health information officer training; Data collection and use training; Supply of simulators, equipment, kits and other; Develop quality improvement teams and review of action plans; Routine calls between project staff and mentors

Eligibility Criteria

Inclusion Criteria

• Health providers:

• Currently on the roster of maternity ward providers working at one of the 16 selected facilities at the time of the training module.
• Willing to attend a Jhpiego clinical training workshop and offer consent as study participant.
• Age 18 or older.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Bill and Melinda Gates Foundation

OTHER

Sponsor Role: collaborator

Jhpiego

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Virgile Kikaya

Role: PRINCIPAL_INVESTIGATOR

Jhpiego DRC

Locations

Jhpiego DRC

Kinshasa, , Democratic Republic of the Congo

Countries

Democratic Republic of the Congo

Other Identifiers

OPP1156220

Identifier Type: -

Identifier Source: org_study_id