A clustered randomized control trial to assess feasibility, acceptability, and impact of implementing the birth companion intervention package in Ethiopia, Kenya, and Nigeria: study protocol

BMC Health Services Research

Study Protocol

Alemayehu Worku¹  Gadise Bekele¹  Hanna Melesse¹  Patricia Owira²  Griffins Manguro³  Eberechukwu Chinedu Eke⁴  Jennyfer Oluyemisi Don-Aki⁴  Siraj Mohammed⁵  Dedefo Teno⁵  Konjit Wolde⁵  Della Berhanu⁵  Elizabeth Doggett⁶  Stephanie Suhowatsky⁶  Anne Hyre⁶  Lisa Noguchi⁶  Valentino Muyundo Wabwile⁷  Samuel Mwaura⁷  Osborn Koech Kiptoo⁷  Gayane Yenokyan⁸  Oluwatosin Laleye⁹  Zubaida Farouk^1,10  Mobolanle Balogun^1,11  Felagot Taddese^1,12 

[1] Addis Continental Institute of Public Health, Addis Ababa, Ethiopia;International Center for Reproductive Health Kenya, Mombasa, Kenya;International Center for Reproductive Health Kenya, Mombasa, Kenya;Ghent University, Faculty of Medicine and Health Sciences, Ghent, Belgium;Jhpiego, Abuja, Nigeria;Jhpiego, Addis Ababa, Ethiopia;Jhpiego, Baltimore, USA;Jhpiego, Nairobi, Kenya;Johns Hopkins Bloomberg School of Public Health, Baltimore, USA;Maternal and Reproductive Health Research Collective, Lagos, Nigeria;Maternal and Reproductive Health Research Collective, Lagos, Nigeria;Centre for Infectious Diseases Research, Bayero University Kano, Kano, Nigeria;Maternal and Reproductive Health Research Collective, Lagos, Nigeria;Department of Community Health & Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria;St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia;

关键词: Birth companion;    Labor companion;    Labor support;    Experience of care;    Maternal and neonatal mortality;    Facility-based birth;    Intrapartum care;    Respectful maternity care;    Quality of care;   

DOI  :  10.1186/s12913-023-10082-w

 received in 2023-08-21, accepted in 2023-09-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundA birth companion is a simple and low-cost intervention that can improve both maternal and newborn health outcomes. The evidence that birth companionship improves labor outcomes and experiences of care has been available for many years. Global and national policies exist in support of birth companions. Many countries including Ethiopia, Kenya, and Nigeria have not yet incorporated birth companions into routine practice in health facilities. This paper presents the protocol for a trial that aims to assess if a package of interventions that addresses known barriers can increase the coverage of birth companions.MethodsThis two parallel arm cluster randomized controlled trial will evaluate the impact of a targeted intervention package on scale-up of birth companionship at public sector health facilities in Ethiopia (five study sites encompassing 12 facilities), Kenya (two sites encompassing 12 facilities in Murang’a and 12 facilities in Machakos counties), and Nigeria (two sites encompassing 12 facilities in Kano and 12 facilities in Nasarawa states). Baseline and endline assessments at each site will include 744 women who have recently given birth in the quantitative component. We will interview a maximum of 16 birth companions, 48 health care providers, and eight unit managers quarterly for the qualitative component in each country.DiscussionAmple evidence supports the contribution of birth companions to positive health outcomes for mothers and newborns. However, limited data are available on effective strategies to improve birth companion coverage and inform scale-up efforts. This trial tests a birth companion intervention package in diverse clinical settings and cultures to identify possible barriers and considerations to increasing uptake of birth companions. Findings from this study may provide valuable evidence for scaling up birth companionship in similar settings.Trial registrationTrial is registered with ClinicalTrials.gov with identifier: NCT05565196, first posted 04/10/ 2022.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 3