Unique ID issued by UMIN | UMIN000027794 |
---|---|
Receipt number | R000031834 |
Scientific Title | Research on a monitoring system for maintaining high quality of Early Essential Newborn Care in the Western Pacific Region |
Date of disclosure of the study information | 2017/07/01 |
Last modified on | 2020/03/24 16:30:07 |
Research on a monitoring system for maintaining high quality of Early Essential Newborn Care in the Western Pacific Region
Research on continuous quality improvement of newborn care
Research on a monitoring system for maintaining high quality of Early Essential Newborn Care in the Western Pacific Region
Research on continuous quality improvement of newborn care
Japan | Asia(except Japan) |
Newborn death
Pediatrics | Child |
Others
NO
While the under-five child mortality was successfully declined in last 20 years, the neonatal mortality had not seen a dramatic reduction. WHO Western Pacific Regional Office(WPRO) developed the Early Essential Newborn Care(EENC) as a simple and cost-effective measures to prevent newborn deaths by changing routinely implemented harmful practices. Lao People's Democratic Republic(Lao PDR) with the highest neonatal mortality rate (27.2 newborn deaths per 1,000 births) in the region adopted EENC in 2015 and committed to roll out it to district hospitals in 2017.
However, mere introduction of EENC cannot reduce newborn deaths unless EENC is routinely provided for every newborn with high quality. Frequent interim training or external supervision are commonly implemented but are not feasible in resource limited settings. It has been observed that there is little continuous effort to solve detected problems after supervision. To overcome the above mentioned issues, it was agreed to introduce a self-managed continuous monitoring on EENC quality in Lao PDR. This study aims to evaluate the effectiveness of a self-monitoring on promotion of behavior change, retention of knowledge and skills on EENC, and inform how to design a feasible and sustainable system in resource limited countries. We believe that building a system to maintain quality of EENC will contribute to reduction of the neonatal mortality.
Efficacy
Confirmatory
Pragmatic
Not applicable
Likelihood of practicing EENC among health staff.
The data will be collected six times during the study period: 1) before the EENC coaching, 2) before randomization, 3) three months after randomization, 4) six months after randomization, 5) nine months after randomization, 6) one year after randomization. Likelihood of behaviour is quantified by using a self-administered questionnaire that is developed based on the Planned behavior theory(Ajzen, 1991). There are 48 questions in total and each question has scale between 1 to 7.
1.Knowledge on EENC among health staff
The data will be collected three times during the study period: 1) before the EENC coaching, 2) before randomization, and 3) one year after randomization.
2.Skill on EENC among health staff
The data will be collected twice during the study period: 1) before randomization and 2) one year after randomization.
We will use a written and simulation tests to evaluate and quantify the level of knowledge and skills on EENC.
3.Hospital environmental changes facilitating implementation of EENC
The data will be collected twice in both groups during the study period: 1) before randomisation and 2) one year after randomisation by the provincial officials. We will use a checklist designed by the Lao MoH and the WHO to quantify the district hospital's level of commitment and the availability of essential equipment, commodities, medications and human resources in each facility.
Interventional
Parallel
Randomized
Cluster
Open -no one is blinded
Active
YES
2
Educational,Counseling,Training
Behavior,custom |
A self-managed continuous monitoring for maintaining quality of Early Essential Newborn Care (EENC)
An external supervision visit
15 | years-old | <= |
60 | years-old | >= |
Male and Female
Obstetricians, pediatricians, general doctors, assistant doctors, midwives, nurses and other types of health staff who are routinely involved in the maternity and newborn care and have received the EENC coaching in district hospitals of the two target provinces.
Those who are going to leave the current working place or retire within one year.
225
1st name | Sayaka |
Middle name | |
Last name | Horiuchi |
Teikyo University
Graduate School of Public Health
173-8605
2-11-1, Kaga, Itabashi, Tokyo, Japan
03-3964-1211(46215)
sayakah@med.teikyo-u.ac.jp
1st name | Sayaka |
Middle name | |
Last name | Horiuchi |
Teikyo university
Graduate School of Public Health
173-8605
2-11-1, Kaga, Itabashi, Tokyo, Japan
09026240872
sayakah@med.teikyo-u.ac.jp
Teikyo University
Teikyo University
Other
Japan
World Health Organization, Laos Country Office
Teikyo University
2-11-1 Kaga, Itabashi-ku, Tokyo, Japan
03-3964-7256(42203)
turb-office@teikyo-u.ac.jp
NO
2017 | Year | 07 | Month | 01 | Day |
Unpublished
198
Completed
2017 | Year | 07 | Month | 19 | Day |
2017 | Year | 07 | Month | 18 | Day |
2017 | Year | 07 | Month | 20 | Day |
2019 | Year | 04 | Month | 05 | Day |
2019 | Year | 05 | Month | 17 | Day |
2019 | Year | 06 | Month | 01 | Day |
2019 | Year | 10 | Month | 31 | Day |
2017 | Year | 06 | Month | 17 | Day |
2020 | Year | 03 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031834
Research Plan | |
---|---|
Registered date | File name |
Research case data specifications | |
---|---|
Registered date | File name |
Research case data | |
---|---|
Registered date | File name |