Evidence map›Paper›PMID 29871696›Full record

ArticleTrials2018

Strengthening intrapartum and immediate newborn care to reduce morbidity and mortality of preterm infants born in health facilities in Migori County, Kenya and Busoga Region, Uganda: a study protocol for a randomized controlled trial.

Phelgona Otieno, Peter Waiswa, Elizabeth Butrick, Gertrude Namazzi, Kevin Achola, Nicole Santos, Ryan Keating, Felicia Lester, Dilys Walker

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03112018 (Strengthening Intrapartum and Immediate Newborn Care to Reduce Morbidity and Mortality of Preterm Infants in Health Facilities in Migori County, Kenya and Busoga Region, Uganda), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 4% 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.

NCT03112018 nacompletednot on this map

Strengthening Intrapartum and Immediate Newborn Care to Reduce Morbidity and Mortality of Preterm Infants in Health Facilities in Migori County, Kenya and Busoga Region, Uganda: an Implementation Science RCT

TypeinterventionalSponsorUniversity of California, San FranciscoRan2016 to 2019Enrolled102,988ConditionsPregnancy Complications, Preterm Labor, PreTerm Birth, StillbirthArmsdata strengthening, modified Safe childbirth checklist - control, modified Safe childbirth checklist - enhanced, PRONTO training, QI cycles
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Phelgona OtienoKenya Medical Research Institute, Nairobi, Kenya.
Peter WaiswaDepartment of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, Uganda.
Elizabeth ButrickInstitute for Global Health Sciences, University of California, San Francisco, CA, USA.
Gertrude NamazziDepartment of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, Uganda.
Kevin AcholaKenya Medical Research Institute, Nairobi, Kenya.
Nicole SantosInstitute for Global Health Sciences, University of California, San Francisco, CA, USA.
Ryan KeatingInstitute for Global Health Sciences, University of California, San Francisco, CA, USA.
Felicia LesterInstitute for Global Health Sciences, University of California, San Francisco, CA, USA.
Dilys WalkerInstitute for Global Health Sciences, University of California, San Francisco, CA, USA. Dilys.Walker@ucsf.edu.
University of California, San Francisco · USGlobal Brain Health Institute · USKenya Medical Research Institute · KEMakerere University · UG

Funding

Bill & Melinda Gates Foundation OPP1107312
6 · The paper itself

Abstract

backgroundPreterm birth (birth before 37 weeks of gestation) and its complications are the leading contributors to neonatal and under-5 mortality. The majority of neonatal deaths in Kenya and Uganda occur during the intrapartum and immediate postnatal period. This paper describes our study protocol for implementing and evaluating a package of facility-based interventions to improve care during this critical window. METHODS/

designThis is a pair-matched, cluster randomized controlled trial across 20 facilities in Eastern Uganda and Western Kenya. The intervention facilities receive four components: (1) strengthening of routine data collection and data use activities; (2) implementation of the WHO Safe Childbirth Checklist modified for preterm birth; (3) PRONTO simulation training and mentoring to strengthen intrapartum and immediate newborn care; and (4) support of quality improvement teams. The control facilities receive both data strengthening and introduction of the modified checklist. The primary outcome for this study is 28-day mortality rate among preterm infants. The denominator will include all live births and fresh stillbirths weighing greater than 1000 g and less than 2500 g; all live births and fresh stillbirths weighing between 2501 and 3000 g with a documented gestational age less than 37 weeks. DISCUSSION: The results of this study will inform interventions to improve personnel and facility capacity to respond to preterm labor and delivery, as well as care for the preterm infant.

trial registrationClinicalTrials.gov, ID: NCT03112018 . Registered on 13 April 2017.

Indexed as

Infant, PrematurePremature BirthChecklistClinical CompetenceDelivery of Health Care, IntegratedFemaleGestational AgeHealth FacilitiesHealth PersonnelHospital MortalityHumansInfant, NewbornInservice TrainingKenyaMulticenter Studies as TopicPatient Care TeamKenyaNeonatal mortalityPreterm birthQuality improvementSimulation trainingUganda

Identifiers

PMID29871696
PMCPMC5989441
OpenAlexW2806143447

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.