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The Effects Of Prenatal Health Education On Birth Preparedness And Complication Readiness Among Pregnant Women

19. juni 2026 opdateret af: Belete Feyera, Bule Hora University

The Effects Of Prenatal Health Education On Birthpreparedness And Complication Readiness Among Pregnant Women In Districts Of West Shewa Zone: A Step-Wedged Randomized Controlled Trial

Study setting: The study will be conducted from May 1 to November 2026 in the West Shewa Zone.

Objectives: To measure the effect of health education on birth preparedness and complication readiness practice among pregnant women in the districts of the West Shewa Zone in 2026 (Stepped Wedge Randomized Controlled Trial) Null hypothesis (H₀): There will be no difference in the proportion of birth preparedness and complication readiness among pregnant women between intervention and control periods.

Alternative Hypothesis (Ha): Health education intervention on BPCR will result in a significant increase in the proportion of well-prepared pregnant women in the intervention periods across all study sites.

The study population will consist of randomly selected pregnant women in selected public health centers in Districts of west shewa zone.

The west shewa zone districts were selected by simple random sampling methods .Ejere, Ejersa Lefo and Holota districts were selected using simple random sampling .Then Five health centers namely Yaya , Olankomi, Gorba ,Ejere and Gilgel kuyu health centers from three districts of west shewa zone were selected.

Will be then randomized to time of crossover (step) using computer-generated sequences. Because of this, the study design involves a sequential rollout where all groups eventually receive the health education intervention aimed at evaluating birth preparedness and complication readiness changes. At the beginning, the five clusters were identified by simple random sampling. Sequential allocation or randomly assigning each cluster to a specific wedge or starting point will be conducted. At the baseline all clusters begin in the control phase. During the steps (every month to six months) one or more clusters cross over to the intervention phase (implementing BPCR education). During the end phases, all clusters are in the intervention group. The study involves cohort sampling; the same pregnant women are followed through the entire study for six months. All eligible pregnant women attending antenatal care during defined periods in each cluster will eventually receive health education.

Studieoversigt

Detaljeret beskrivelse

Individual participants will serve as the measurement and analysis units, while clusters will serve as the randomization units. Randomization will be done after written informed consent is taken. Clusters will be randomly assigned after confirmation of eligible pregnant women from the clusters. The random allocation will be generated by computer.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

576

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Oromiya
      • Hāgere Hiywet, Oromiya, Etiopien, 119
        • Rekruttering
        • Selected Public Health Centers in the West Shewa Zone

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Pregnant women who are in the first trimester of their pregnancy (up to 16 weeks' gestation) and
  • Pregnant women who have lived in the study area for more than six months will be included.

Exclusion criteria

  • Pregnant women with serious illnesses or those who intend to move during the intervention's execution
  • Severe conditions requiring intensive hospital follow-up.
  • Pregnant women who have previously taken part in a similar study elsewhere will not be allowed to join.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Crossover opgave
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: pregnant women who will take educational intervention
An intervention is rolled out sequentially to the trial participants' clusters of individuals over a number of time periods. The order in which the different clusters of pregnant women receive the intervention is determined at random, and, by the end of the random allocation, all clusters of pregnant women will have received the intervention. Stepped wedge designs incorporate data collection at each point where a new cluster of pregnant women receives the intervention. Each participant will be assigned an identity number throughout the recruitment process. To remind each participant of the date of the intervention and/or follow-up interview, their phone numbers will be recorded. Leaflets will be distributed at each of the contact points as teaching aids. The health education content or the module will be adopted from JHPIEGO and the Ethio Ministry of Health ANC education guidelines. The adopted module will be evaluated by experts in the area of reproductive health
both arms eventually will take educational interventions
Ingen indgriben: pregnant women who will receive routine health care
continue routine health care

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
birth preparedness and complication readiness
Tidsramme: 6months

If a woman reported that she willprearranges at least two of the five components of birth preparedness and complicationreadiness (willl be assessed by standard pretestedquestionnaires), she will be considered "well prepared forbirth."; But if a pregnant woman reports that she prearranges fewer than two components of birth preparedness and complication readiness, she will be considered "poorly prepared."

These five components of birth preparedness and complication readiness are:

  • Identification of the place of delivery,
  • saving money,
  • arranging transport,
  • identifying a birth companion, and
  • prearranging a potential blood donor, These are measured by pretested questionnaires.
6months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Belete Feyera Teso, MPH, Bule Hora University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. maj 2026

Primær færdiggørelse (Anslået)

30. oktober 2026

Studieafslutning (Anslået)

30. oktober 2026

Datoer for studieregistrering

Først indsendt

4. juni 2026

Først indsendt, der opfyldte QC-kriterier

19. juni 2026

Først opslået (Faktiske)

24. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

19. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

I will publish the findings on reputable journal

IPD-delingstidsramme

6 months

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL

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Kliniske forsøg med health education intervention on birth preparedness and complication readiness

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