Evidence map›Paper›PMID 25887849›Full record

Trial reportTrials2015

Ghana's Ensure Mothers and Babies Regular Access to Care (EMBRACE) program: study protocol for a cluster randomized controlled trial.

Kimiyo Kikuchi, Evelyn Ansah, Sumiyo Okawa, Akira Shibanuma, Margaret Gyapong, Seth Owusu-Agyei, Abraham Oduro, Gloria Quansah-Asare, Abraham Hodgson, Masamine Jimba and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
9.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Schedules for home visits in the early postpartum period.The Cochrane database of systematic reviews · 2021
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  4. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Kimiyo KikuchiDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. kimiyo@m.u-tokyo.ac.jp.
Evelyn AnsahResearch and Development Division, Ghana Health Service, MB 190, Accra, Ghana. evelyn.ansah@ghsmail.org.
Sumiyo OkawaDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. sumiyo@m.u-tokyo.ac.jp.
Akira ShibanumaDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. shibanuma@m.u-tokyo.ac.jp.
Margaret GyapongDodowa Health Research Centre, PO Box DD1, Dodowa, Greater Accra, Ghana. margaret.gyapong@ghsmail.org.
Seth Owusu-AgyeiKintampo Health Research Centre, PO Box 200, Kintampo, Brong-Ahafo, Ghana. seth.owusu-agyei@kintampo-hrc.org.
Abraham OduroNavrongo Health Research Centre, PO Box 114, Navrongo, Upper East, Ghana. Abraham.Oduro@navrongo-hrc.org.
Gloria Quansah-AsareGhana Health Service, Accra, Ghana. gloria.quansahasare@ghsmail.org.
Abraham HodgsonResearch and Development Division, Ghana Health Service, MB 190, Accra, Ghana. abraham.hodgson@ghsmail.org.
Masamine JimbaDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. mjimba@m.u-tokyo.ac.jp.
Ghana EMBRACE Implementation Research Project
The University of Tokyo · JPGhana Health Service · GHDodowa Health Research Centre · GHKintampo Health Research Centre · GHNavrongo Health Research Centre · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe United Nations' Millennium Development Goals call for improving maternal and child health status. Their progress, however, has been minimal and uneven across countries. The continuum of care is a key to strengthening maternal, newborn, and child health. In this context, the Japanese government launched the Ghana Ensure Mothers and Babies Regular Access to Care (EMBRACE) Implementation Research Project in collaboration with the Ghanaian government. This study aims to evaluate the implementation process and effects of an intervention to increase the continuum of care for maternal, newborn, and child health status in Ghana. METHODS/

designWe will conduct a cluster randomized controlled trial using an effectiveness-implementation hybrid design in Dodowa, Kintampo, and Navrongo, Ghana. We will provide an intervention package to women living in randomly allocated intervention clusters. The study population is women of reproductive age between the ages of 15 and 49 years. The package includes: 1) use of a new continuum of care card, 2) continuum of care orientation for health workers, 3) 24-hour health facility retention of mothers and newborns after delivery, and 4) postnatal care by home visits. We will measure maternal, newborn, and child health outcomes for both intervention and implementation impacts. The intervention outcomes are continuum of care completion rate, rate of postnatal care within 48 hours, complication rate requiring mothers' and newborns' hospitalizations, and perinatal and neonatal mortality. The implementation outcomes are intervention coverage of the target population, intervention adoption and fidelity, implementation cost, and sustainability. DISCUSSION: In this trial, we will investigate how successful continuum of care can contribute to improving maternal, newborn, and child health outcomes. If successful, this model will then be implemented further in Ghana and other neighboring countries.

trial registrationCurrent Controlled Trials ISRCTN90618993 . Registered on 3 September 2014.

Indexed as

Clinical ProtocolsHealth Services AccessibilityMaternal Health ServicesAdolescentAdultChild HealthFemaleHumansInfant, NewbornMiddle AgedOutcome Assessment, Health CarePostnatal CarePregnancySample Size

Identifiers

PMID25887849
PMCPMC4324027
OpenAlexW2162780252

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.