Health Facility Networking for Maternal Health
Health Facility Networking for Maternal Health
This study will introduce a multi-faceted intervention package which will be implemented in the newly developed network of St. Paul's Hospital Millennium Medical College (St. Paul) and the surrounding seven satellite health centers. The goal is to assess if this group of interventions improve the skills and confidence of providers to handle obstetric emergencies, if they streamline the referral process and if they result in improved maternal/newborn health outcomes.
Inclusion Criteria:
Sample population for each data collection instrument:
Baseline/Endline:
Key Informant Interviews:
Health Facility Assessment:
- Manager/most senior health worker asked (one from each facility)
Provider Survey:
- All providers in the MCH at both the hospital and health center level
Chart review:
- All deliveries in all centers will be screened during the intervention phase. Data on every birth will be collected from the log books of each facility. The data collector will then find the medical record of that patient to assess the Standard of Care (SOC) during Ante-natal care (ANC)- if available from the chart, L&D and screen for an obstetric complication. If there was a complication, the near miss data will be collected.
Telephone registration log book:
- all phone calls between HC and Hospital
Facility Checklists:
- Forms completed by Supportive Supervision Teams at quarterly visits
Standardized BEmONC training evaluation
- Will be given to every provider undergoing the training, as part of the training curriculum.
Monthly mentoring evaluations - for the six months post-training mentorship, for all providers who have undergone BEmONC training.
Supportive Supervision Gap Identification Checklists
- Collected quarterly from each of the 9 facilities
Addis Ketema Subcity, Woreda 4, Ethiopia
Gulele Subcity, Woreda 7, Ethiopia