Evidence map›Paper›PMID 39439765›Full record

ArticleWomen's health reports (New Rochelle, N.Y.)2024

Web-Based Development of Standard Operating Procedures and Midwifery Trainings at Ugandan Birth Clinic in the Framework of Implementing a Quality Improvement System for the MEWU-Midwife Exchange with Uganda.

Lea Stubbe, Anja Philippeit, Jill Philippeit, Laura Kaukemüller, Markus Kruppa, Marie Sunder-Plassmann, Alicia Ruppert, Peter Hillemanns, Jerome Mugisha, Rüdiger Klapdor

Abstract read
In one paragraph

Article in Women's health reports (New Rochelle, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Lea StubbeDepartment of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany.
Anja PhilippeitDepartment of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany.
Jill PhilippeitDepartment of Gynecology, KRH Clinic Siloah, Hannover, Germany.
Laura KaukemüllerDepartment of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany.
Markus KruppaDepartment of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany.
Marie Sunder-Plassmann³Medical care center Winterhude, Hamburg, Germany.
Alicia RuppertDepartment of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany.
Peter HillemannsDepartment of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany.
Jerome MugishaDepartment of Obstetrics, St. Francis Hospital Mutolere, Mutolere, Uganda.
Rüdiger KlapdorDepartment of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: High maternal and newborn mortality rates in Sub-Saharan Africa indicate the need for global action interventions. Thus, the clinic cooperation midwife exchange with Uganda (MEWU) between Hannover Medical School and Mutolere Hospital, Uganda, was founded. This study, as the first intervention within the MEWU framework, explored whether a web-based approach is suitable for developing, training, and establishing standard operating procedures (SOPs) at Mutolere Hospital. We focused on assessing midwives' confidence in midwifery core competencies. Methods: The study was conducted in a prospective, non-controlled intervention design. As a quality improvement tool, the Plan, Do, Check, Act cycle was implemented. SOPs for standard obstetric care were developed and trained in online meetings. Qualitative and quantitative data were collected through a questionnaire completed pre- and post-intervention by participating midwives, evaluations, minutes and video recordings of each case training, and annual analytical reports from Mutolere Hospital containing morbidity and mortality data. Results: The online intervention was successfully implemented. Nine SOPs on basic obstetric care were developed, trained in online case training, and integrated into clinical practice at Mutolere Hospital. An increase in midwives' confidence regarding all surveyed core competencies was observed. There were no significant changes in the hospital's morbidity and mortality rates. The quality management system was implemented to optimize the follow-up projects further. Conclusion: This pilot study shows the potential of web-based interventions as a quality improvement tool in developing countries. The developed SOPs and video database are being used in subsequent studies and extended to further health centers in the Kisoro region.

Indexed as

educationglobal healthinternet-based interventionmaternal healthmidwifery

Identifiers

PMID39439765
PMCPMC11491584

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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.