Enhancing maternal and newborn outcomes in Ghana: a comprehensive randomized controlled trial evaluation of obstetric triage effectiveness and midwives training.

ABSTRACT:

Background

Ghana has made progress in maternal and newborn health, but significant challenges remain, with maternal mortality at 263 per 100,000 live births and neonatal mortality at 22.8 per 1,000 live births. The Obstetric Triage Implementation Package (OTIP), which includes rapid triage protocols and midwife-led peer training, aims to improve the quality of care in a context of scarce resources. This study evaluates the effectiveness of OTIP in improving maternal and neonatal outcomes and assesses the mechanisms behind the observed effects.

Methods

A cluster randomized controlled trial will assess the impact of OTIP in 25 high-volume hospitals across Ghana during the final phase of its national roll-out. Hospitals will be randomized into early and late intervention groups

SUBMITTER: Bancalari A 

PROVIDER: S-EPMC12542103 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature