Kjersti Mørkrid1, Binyam Bogale1,2, Eatimad Abbas3, Khadija Abu Khader3, Itimad Abu Ward3, Amjad Attalh4, Tamara Awwad5, Mohammad Baniode3, Kimberly Suzanne Frost6, Michael James Frost6, Buthaina Ghanem3, Taghreed Hijaz3,4, Mervett Isbeih3, Sally Issawi3, Zaher A S Nazzal7, Brian O'Donnell1,4, Sharif E Qaddomi3, Yousef Rabah3, Mahima Venkateswaran1,2, J Frederik Frøen8,9. 1. Division for Health Services, Global Health Cluster, Norwegian Institute of Public Health, PB 222 Skøyen, 0213, Oslo, Norway. 2. Centre for Intervention Science in Maternal and Child Health, University of Bergen, Bergen, Norway. 3. Palestinian National Institute of Public Health, Ramallah, Palestine. 4. The Palestinian Ministry of Health, Ramallah, Palestine. 5. Institute of Community and Public Health, Birzeit University, Ramallah, Palestine. 6. Health Information Systems Programme, Department of Informatics, University of Oslo, Oslo, Norway. 7. Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine. 8. Division for Health Services, Global Health Cluster, Norwegian Institute of Public Health, PB 222 Skøyen, 0213, Oslo, Norway. frederik.froen@fhi.no. 9. Centre for Intervention Science in Maternal and Child Health, University of Bergen, Bergen, Norway. frederik.froen@fhi.no.
Abstract
BACKGROUND: This trial evaluates interventions that utilize data entered at point-of-care in the Palestinian maternal and child eRegistry to generate Quality Improvement Dashboards (QID) for healthcare providers and Targeted Client Communication (TCC) via short message service (SMS) to clients. The aim is to assess the effectiveness of the automated communication strategies from the eRegistry on improving attendance and quality of care for pregnant women. METHODS: This four-arm cluster randomized controlled trial will be conducted in the West Bank and the Gaza Strip, Palestine, and includes 138 clusters (primary healthcare clinics) enrolling from 45 to 3000 pregnancies per year. The intervention tools are the QID and the TCC via SMS, automated from the eRegistry built on the District Health Information Software 2 (DHIS2) Tracker. The primary outcomes are appropriate screening and management of anemia, hypertension, and diabetes during pregnancy and timely attendance to antenatal care. Primary analysis, at the individual level taking the design effect of the clustering into account, will be done as intention-to-treat. DISCUSSION: This trial, embedded in the implementation of the eRegistry in Palestine, will inform the use of digital health interventions as a health systems strengthening approach. TRIAL REGISTRATION: ISRCTN Registry, ISRCTN10520687 . Registered on 18 October 2018.
RCT Entities:
BACKGROUND: This trial evaluates interventions that utilize data entered at point-of-care in the Palestinian maternal and child eRegistry to generate Quality Improvement Dashboards (QID) for healthcare providers and Targeted Client Communication (TCC) via short message service (SMS) to clients. The aim is to assess the effectiveness of the automated communication strategies from the eRegistry on improving attendance and quality of care for pregnant women. METHODS: This four-arm cluster randomized controlled trial will be conducted in the West Bank and the Gaza Strip, Palestine, and includes 138 clusters (primary healthcare clinics) enrolling from 45 to 3000 pregnancies per year. The intervention tools are the QID and the TCC via SMS, automated from the eRegistry built on the District Health Information Software 2 (DHIS2) Tracker. The primary outcomes are appropriate screening and management of anemia, hypertension, and diabetes during pregnancy and timely attendance to antenatal care. Primary analysis, at the individual level taking the design effect of the clustering into account, will be done as intention-to-treat. DISCUSSION: This trial, embedded in the implementation of the eRegistry in Palestine, will inform the use of digital health interventions as a health systems strengthening approach. TRIAL REGISTRATION: ISRCTN Registry, ISRCTN10520687 . Registered on 18 October 2018.
Entities:
Keywords:
Antenatal care; Attendance; Audit and feedback; DHIS2; Digital health; Effective coverage; Electronic registry; Health systems; Maternal and newborn health; Palestine; Quality of care; SMS; Targeted Client Communication; eHealth; eRegistries
Authors: Noah M Ivers; Jeremy M Grimshaw; Gro Jamtvedt; Signe Flottorp; Mary Ann O'Brien; Simon D French; Jane Young; Jan Odgaard-Jensen Journal: J Gen Intern Med Date: 2014-11 Impact factor: 5.128