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NCT07717619

Overview

NCT ID: NCT07717619
Lead Sponsor: University of California, San FranciscoOTHER
Official Title: Implementing and Evaluating an Antenatal High-Risk Pregnancy Intervention Bundle in Rural Nepal
Brief Summary: The proposed study will assess and implement a comprehensive antenatal HRP screening and telehealth follow-up program in rural Nepal. The main questions it aims to answer are:

To estimate the burden of HRPs using the existing Antenatal Risk-Score Checklist in rural Nepal

Assess acceptability, feasibility, preliminary effectiveness, and implementation outcomes of the HRP bundle at the primary healthcare in Nepal
Conditions: High Risk Pregnancy
Interventions

Status and Timeline

Status: Not yet recruiting
Last Update Posted: Jul 21, 2026Actual
Start Date: Aug 1, 2026Estimated
Primary Completion Date: Jul 31, 2027Estimated
Completion Date

Participation Criteria

Ages Eligible for Study: Child (0-17)Adult (18-64)Older Adult (65+)
Sexes Eligible for Study: Female
Accepts Healthy Volunteers?: Yes
Eligibility Criteria: Inclusion Criteria:

all pregnant women above who are receiving antenatal care at Melamchi Primary Health Care Center

Exclusion Criteria:

life-threatening maternal or fetal conditions requiring immediate tertiary-level care

unable to provide informed consent due to cognitive or language barriers

do not have access to a mobile phone for telehealth consultations.

Study Plan

Study Type: Interventional
Phase: Not Applicable
Enrollment: 100Estimated
Primary Purpose: Health Services Research
Allocation: Randomized
Interventional Model: Parallel Assignment
Masking: None (Open Label)

Contacts and Locations

Central Contacts: Anju Ranjit, MD MPHContact
anju.ranjit@ucsf.edu4153533400

Similar Studies

Participant Group/Arms

Standard of CareNo Intervention

Usual prenatal care, including on-site consultation and visits from health facility staff

High Risk Pregnancy (HRP) Bundle Intervention ArmActive Comparator

The intervention arm would include 1. identification of high-risk pregnancy 2. Teleconsultation with expert consultant 3. weekly call with patient navigator 4. training of health care provider for HRP care, and 5. visits in the weekly prenatal telehealth clinic

Other: High Risk Pregnancy Bundle