定时定向咨询模式对乌干达北部孕产妇保健连续护理结果的影响：一项准实验研究方案
Impact of the Timed and Targeted Counselling Model on Maternal Health Continuum of Care Outcomes in Northern Uganda: Protocol of a Quasi-Experimental Study.
作者信息
Zibugu Douglas, Gubbels Jessica S, Namugenyi Christabellah, Asiimwe John Bosco, Gerards Sanne
机构信息
Department of Health Promotion, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University, 6211 LK Maastricht, The Netherlands.
School of Statistics and Planning, Makerere University, Kampala 7062, Uganda.
出版信息
Methods Protoc. 2024 Dec 10;7(6):98. doi: 10.3390/mps7060098.
BACKGROUND
About 287,000 women died globally during their pregnancy journey in 2020, yet most of these deaths could have been prevented. In Uganda, studies show that using Community Health Worker (CHW) visits to households with a pregnant woman can support the prevention of adverse maternal and neonatal outcomes. One such intervention is through the timed and targeted counselling (ttC) approach, where CHWs deliver tailored messages to mothers and their male caregivers at key stages of pregnancy. This study aims to evaluate the impact of the ttC approach on maternal health in Northern Uganda. The main outcomes include antenatal care attendance, advised place of delivery, and postnatal care visit.
METHODS
We will employ a cross-sectional quasi-experimental design, with retrospective data to compare an intervention group (where ttC is implemented) to a control group (without intervention) using the propensity score matching (PSM) technique applying a 1:1 ratio with a caliper width of 20% of the standard deviation to estimate the average treatment effects. Adjusted odds ratios after generating matched pairs will be reported with 95% confidence intervals with Rosenbaum sensitivity analysis carried out for robustness.
DISCUSSION
These findings can be used to modify the implementation of the ttC approach, thereby enhancing its efficiency and effectiveness.
背景
2020年，全球约有28.7万名女性在孕期死亡，然而其中大多数死亡本可避免。在乌干达，研究表明，让社区卫生工作者（CHW）走访有孕妇的家庭有助于预防不良孕产妇和新生儿结局。一种这样的干预措施是通过定时定向咨询（ttC）方法，即社区卫生工作者在孕期关键阶段向母亲及其男性照料者传递量身定制的信息。本研究旨在评估ttC方法对乌干达北部孕产妇健康的影响。主要结局包括产前检查出勤率、建议的分娩地点和产后检查就诊情况。
方法
我们将采用横断面准实验设计，利用回顾性数据，通过倾向得分匹配（PSM）技术，以1:1的比例、卡尺宽度为标准差的20%，将干预组（实施ttC的组）与对照组（未实施干预的组）进行比较，以估计平均治疗效果。生成匹配对后，将报告调整后的比值比及95%置信区间，并进行Rosenbaum敏感性分析以确保稳健性。
讨论
这些研究结果可用于调整ttC方法的实施，从而提高其效率和效果。
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