The East Africa Preterm Birth Initiative’s study intervention package was intended to reinforce existing data systems to improve data use, strengthen provider skills and team communication and catalyze system improvement. We hypothesized that these interventions, implemented together as a package, could reduce the combined rate of fresh stillbirth and neonatal mortality among preterm and low birthweight infants by 30% in intervention facilities compared to control facilities.
To evaluate the effect of the full intervention package on preterm mortality, we conducted a cluster-randomized controlled trial among 20 public sector health facilities in the Busoga Region of Uganda and Migori County, Kenya. Ten control facilities received data strengthening and the mSCC, whereas ten intervention facilities received all four components of the package (i.e., data strengthening, mSCC, PRONTO simulation and team training, QI Collaboratives). Study clusters in Uganda were four district facilities (two public and two non-profit missionary) which together have approximately 9,000 annual deliveries. In Kenya, the 16 study sites included 14 public and two non-profit missionary facilities and together have approximately 11,000 deliveries per year.
In this film by the Uganda Team, some of the implementers and beneficiaries share their experiences and impact of the study.
You can access the study report via: [ Ссылка ]
