Alba Campillejo, Ileana Gefaell-Larrondo, Vanesa Ramos-García, Débora Koatz, Anthea Santos-Álvarez, Jaime Barrio-Cortes, Sara Gómez-Rueda, Amaia Calderón-Larrañaga, Patricia Cifuentes, Consuelo Company-Sancho, Santiago Domínguez-Coello, Francisco Javier García-García, Sofía Garrido-Elustondo, Beatriz González de León, José Ramón-Vazquez, Candelaria Martín, Carmen Suárez-Fernández, Pedro Parra-Caballero, Esther F Vicente-Rabaneda, Patricia Quiroga-Colina, Ana Belén Ramírez-Puerta, Marta Ruíz-López, María-Eugenia Tello-Bernabé, Estrella Sanchez-Gamborino, Beatriz Ugalde-Abiega, Helena Vall-Roqué, Andrea Duarte-Díaz, Analía Abt-Sacks, Aránzazu Hernández-Yumar, Alezandra Torres-Castaño, Yolanda Álvarez-Pérez, Christiane Muth, Marjan van den Akker, Victor M Montori, Carola Orrego, Lilisbeth Perestelo-Pérez, Ana Isabel González-González
Implementation of a virtual community of practice to promote the empowerment of middle-aged people with multimorbidity: study protocol of a randomised controlled trial
BMJ open
subsaharan african settings like democratic republic congo highquality care childbirth immediate postpartum period lacking public facilities necessitating multipronged interventions improve care used prepost design examine effectiveness lowdose highfrequency capacitybuilding quality improvement qi intervention improve care women newborns around day birth 16 health facilities kinshasa democratic republic congo effectiveness assessed based changes provider skills key health indicators beneficiary satisfaction assess changes competency 188 providers participating intervention conducted objective structured clinical examinations care mothers newborns day birth immediate postpartum family planning ppfp counseling method provision postabortion care implementation training 6 12 months training interrupted time series analysis techniques used analyze routine health service data changes select maternal newborn postpartum outcomes intervention assess changes clients perceptions care 2 rounds telephone surveys administered intervention less 2 participating providers demonstrated competency skills immediately training 80 demonstrated competency 70 retained competency 12 months analyses show risk early neonatal death declined significantly 9 95 confidence interval ci4 13 p001 likelihood immediate ppfp uptake increased significantly 72 95 ci53 92 p001 client satisfaction improved 58 life project findings build previous studies documenting effectiveness clinical capacitybuilding qi approaches implemented scale approach potential substantively contribute improving maternal perinatal health similar settings