Division for Health Services, Global Health Cluster, Norwegian Institute of Public Health, PB 222 Skøyen, 0213, Oslo, Norway.
Centre for Intervention Science in Maternal and Child Health, University of Bergen, Bergen, Norway.
Trials. 2021 Jan 11;22(1):47. doi: 10.1186/s13063-020-04980-1.
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.
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.
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.
ISRCTN Registry, ISRCTN10520687 . Registered on 18 October 2018.
本试验评估了利用巴勒斯坦母婴电子注册处（Palestinian maternal and child eRegistry）在护理点输入的数据来生成针对医疗保健提供者的质量改进仪表板（Quality Improvement Dashboards，QID），并通过短信服务（short message service，SMS）向客户提供定向客户沟通（Targeted Client Communication，TCC）的干预措施。其目的是评估电子注册处自动通信策略在提高孕妇就诊率和改善护理质量方面的有效性。
本四项臂集群随机对照试验将在巴勒斯坦的西岸和加沙地带进行，包括 138 个集群（初级保健诊所），每年招募 45 至 3000 例妊娠。干预工具是 QID 和通过 SMS 的 TCC，通过基于 District Health Information Software 2（DHIS2）Tracker 的电子注册处自动生成。主要结局是在妊娠期间适当筛查和管理贫血、高血压和糖尿病，以及及时参加产前保健。主要分析将在个体水平上进行，考虑到聚类的设计效果，将采用意向治疗进行分析。
这项试验是在巴勒斯坦电子注册处实施的背景下进行的，将为数字健康干预措施作为一种加强卫生系统的方法提供信息。
ISRCTN 注册表，ISRCTN10520687。于 2018 年 10 月 18 日注册。
