Evidence map›Paper›PMID 37838662›Full record

ArticleBMC health services research2023

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.

Della Berhanu, Gadise Bekele, Hanna Melesse, Felagot Taddese, Patricia Owira, Griffins Manguro, Oluwatosin Laleye, Zubaida Farouk, Mobolanle Balogun, Anne Hyre and 13 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05565196 (Implementing the Birth Companion Intervention Package in Ethiopia, Kenya and Nigeria), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT05565196 nacompletednot on this map

Implementing the Birth Companion Intervention Package in Ethiopia, Kenya and Nigeria: Feasibility, Acceptability, and Impact on Coverage of Facility Births Attended by a Companion.

TypeinterventionalSponsorJhpiegoRan2022 to 2024Enrolled10,360ConditionsMaternal Care PatternsArmsBirth companions
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

23 authors.

Della BerhanuJhpiego, Addis Ababa, Ethiopia. della.berhanu@jhpiego.org.
Gadise BekeleAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Hanna MelesseAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Felagot TaddeseSt. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Patricia OwiraInternational Center for Reproductive Health Kenya, Mombasa, Kenya.
Griffins ManguroInternational Center for Reproductive Health Kenya, Mombasa, Kenya.
Oluwatosin LaleyeMaternal and Reproductive Health Research Collective, Lagos, Nigeria.
Zubaida FaroukMaternal and Reproductive Health Research Collective, Lagos, Nigeria.
Mobolanle BalogunMaternal and Reproductive Health Research Collective, Lagos, Nigeria.
Anne HyreJhpiego, Baltimore, USA.
Samuel MwauraJhpiego, Nairobi, Kenya.
Osborn Koech KiptooJhpiego, Nairobi, Kenya.
Valentino Muyundo WabwileJhpiego, Nairobi, Kenya.
Siraj MohammedJhpiego, Addis Ababa, Ethiopia.
Konjit WoldeJhpiego, Addis Ababa, Ethiopia.
Dedefo TenoJhpiego, Addis Ababa, Ethiopia.
Eberechukwu Chinedu EkeJhpiego, Abuja, Nigeria.
Jennyfer Oluyemisi Don-AkiJhpiego, Abuja, Nigeria.
Lisa NoguchiJhpiego, Baltimore, USA.
Stephanie SuhowatskyJhpiego, Baltimore, USA.
Elizabeth DoggettJhpiego, Baltimore, USA.
Gayane YenokyanJohns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Alemayehu WorkuAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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. DISCUSSION: Ample 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.

Indexed as

Labor, ObstetricEthiopiaFeasibility StudiesFemaleHumansInfant, NewbornKenyaNigeriaPregnancyRandomized Controlled Trials as TopicBirth companionExperience of careFacility-based birthIntrapartum careLabor companionLabor supportMaternal and neonatal mortalityQuality of careRespectful maternity care

Identifiers

PMID37838662
PMCPMC10576887

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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.