An integrated approach to improve maternal and perinatal outcomes in rural Guatemala: a stepped-wedge cluster randomized trial
Authors: Noura Al-Mutairi, Khaled El-Sharif, Laila Hassan
DOI: 10.87349/JBUPT/27102
Page No: 12-31
Abstract
Objective: To evaluate the impact on maternal and newborn health indicators of an intervention package. Methods: A random stepped-wedge design across six sub-districts within two districts in Guatemala from January-2014 to January-2017. Data on outcomes were collected on all births in all 33-health centers from nine months. The intervention package included: distribution of promotional materials encouraging health center birth; education for traditional birth attendants about the importance of health center-birth and; provider capacity building using simulation training. Main outcomes were number of health center births, maternal morbidity, and perinatal morbidity and mortality. Women, providers and data collectors were unblinded to the intervention.
