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| Name | Class |
|---|---|
| Maseno University | OTHER |
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This is an observational cohort study that will assess barriers influencing access to emergency pregnancy, obstetrical and neonatal care.
Through a 12-month mixed methods, observational cohort study, investigators from Maseno University, University of Minnesota (UMN) and OHR-EKC will assess barriers influencing access to emergency pregnancy, obstetrical and neonatal care among patients seeking care at 9 health centers on Mfangano Island, as well as the preliminary impact and feasibility/acceptability of the HN approach for improving access to MNH services and shortening delays in care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MNH Emergency Cohort | Participants will be either patients who have experienced a critical pregnancy-related, obstetric, or neonatal health emergency. |
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| Birth Planning cohort | Pregnant women who complete an initial Birth Plan through the HN program within Mfangano Island East and South Sub-locations. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Focus Group Discussion | Other | At 12-month follow-up, a purposeful, convenience sample of study participants and their significant others, Community Health Workers trained as Health Navigators, and local program staff, will be invited by research staff to participate in focus group discussions to collect qualitative data on pregnancy care, experience of navigating obstetrical emergencies, financial hardships, and Health Navigation program feasibility/acceptability. Particular attention will be paid to recruiting study subjects involved in complex obstetrical emergencies, cases that involved significant delays in transfer of care, cases resulting in significant morbidity/mortality, as well as cases that involved efficient/successful care coordination, referral, and transportation. |
| Measure | Description | Time Frame |
|---|---|---|
| Assess time interval delays in access to emergency care among women and newborns who experience a critical health emergency | Quantify interval time delays in accessing emergency MNH care among women and newborns who experience a critical pregnancy-related, obstetrical, or neonatal health emergency on Mfangano Island Division. | From subject enrollment through study completion, an average of 12 months. |
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Overall Inclusion Criteria:
Emergency Cohort-Specific Criteria:
- Participants will be either patients who have experienced a critical pregnancy-related, obstetric, or neonatal health emergency, or appropriate family member in the case that patient is not able to participate in interview due to death or illness or other circumstance.
Birth Planning Cohort-Specific Criteria:
- All pregnant women who register a birth plan through the Health Navigation Birth Planning service will be eligible to enroll in the Birth Planning Cohort
Focus Group Cohort-Specific Criteria:
- All participants from the emergency cohort and the birth planning cohort will be eligible, as well as CHW volunteers, and OHR-EKC and MoH health facility staff
Exclusion Criteria:
Research subjects must be pregnant
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Pregnant women, and CHW volunteers OHR-EKC and MoH health facility staff
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| Name | Affiliation | Role |
|---|---|---|
| Chas Salmen, MD | University of Minnesota | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
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