A Skills and Drills Intervention for Emergency Obstetrics and Neonatal Care at First Referral Units of North Karnataka
A Skills and Drills Intervention for Emergency Obstetrics and Neonatal Care at First Referral Units of North Karnataka
To evaluate the effectiveness of a First Referral Unit (FRU) Emergency Obstetric and Newborn
 Care (EmONC) skills and drills intervention, to estimate the appropriateness and
 effectiveness of referrals in intervention arm compared to control arm and to calculate the
 incremental cost and cost effectiveness of EmONC skills and drills intervention.
The aim of this intervention is to improve the quality of care for institutional births with
 a special focus on improving the quality of Emergency Obstetric and Newborn Care (EmONC).
 This intervention will focus on improving the skills and practices of providers and through
 the improvement of referral networks, ensure timely and appropriate management of
 complications.

 The specific objectives include:

 1. Evaluate the effectiveness of an FRU-level Basic and EmONC Skills and Drills
 intervention combined with the existing primary health centre (PHC) based nurse
 mentoring intervention in improving appropriate diagnosis and management of obstetric
 and perinatal complications.

 2. Assess the additional benefit of the EmONC Skills and drills intervention at FRUs in
 terms of improvement of obstetric and perinatal outcomes compared to the PHC-level
 intervention alone.

 3. Estimate the appropriateness and effectiveness of referrals in intervention facilities
 compared to controls.

 4. Calculate the incremental cost and cost-effectiveness of the EmONC skills and drills
 intervention
Inclusion Criteria:

 All women age who are referred or admitted directly to the first referral unit for a
 delivery or with a complication Staff working in the First Referral Units

 Exclusion Criteria:

 no specific exclusion criteria