Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trial
Introduction The Pregnancy and Newborn Diagnostic Assessment (PANDA) system is a mobile application designed to facilitate diagnosis and decision-making by healthcare staff in antenatal care (ANC). This study aimed to evaluate its effectiveness in improving the quality of ANC. Methods This randomise...
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2024-12-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076241298499 |
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| author | Abou Coulibaly Armel Emmanuel Sogo Nutsa Chikvaidze Cecilia Capello Tsion Kefene Gerbaba Séni Kouanda |
| author_facet | Abou Coulibaly Armel Emmanuel Sogo Nutsa Chikvaidze Cecilia Capello Tsion Kefene Gerbaba Séni Kouanda |
| author_sort | Abou Coulibaly |
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| description | Introduction The Pregnancy and Newborn Diagnostic Assessment (PANDA) system is a mobile application designed to facilitate diagnosis and decision-making by healthcare staff in antenatal care (ANC). This study aimed to evaluate its effectiveness in improving the quality of ANC. Methods This randomised controlled trial implemented the PANDA system in two groups of health facilities (intervention and comparison groups) using a matched-pair method in the Koupéla health district, Burkina Faso. Six health centres were included in each group. We included pregnant women presenting with more than 20 weeks of amenorrhea during their first antenatal consultation, and we followed them up until their sixth week postpartum. The primary outcome was a binary variable derived from the ANC quality score, coded yes or no. Six components of ANC quality were identified: welcoming the woman, history taking and dietary habits, physical examination, obstetric examination, preventive care, and counselling and advice. We used Poisson regression with robust variance to compare the unadjusted and adjusted primary outcomes results between the two study arms. Results We included 319 and 272 women in the intervention and comparison groups, respectively. In the intervention group, 15.67% (50 out of 319) of the women had at least 75% of the total ANC quality score, compared to 6.25% (17 out of 272) in the comparison group. Adjusted results showed that women in the intervention group were 2.71 times more likely to have an excellent total ANC quality score than women in the comparison group (RR = 2.71; 95% CI [1.60–4.60]; p < .001). Conclusion Although the proportion of women with good ANC quality was low, this study showed that the PANDA system significantly improves the ANC quality. These results are vital because Burkina Faso has decided to use these computerised clinical decision support systems for maternal and child health. |
| format | Article |
| id | doaj-art-4bc8b9c883b14227ba0aba418a3bae68 |
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| issn | 2055-2076 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
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| series | Digital Health |
| spelling | doaj-art-4bc8b9c883b14227ba0aba418a3bae682025-08-20T01:58:55ZengSAGE PublishingDigital Health2055-20762024-12-011010.1177/20552076241298499Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trialAbou Coulibaly0Armel Emmanuel Sogo1Nutsa Chikvaidze2Cecilia Capello3Tsion Kefene Gerbaba4Séni Kouanda5 Département Biomédical et Santé Publique, Institut de Recherche en Science de la Santé (IRSS), Centre National de la Recherche Scientifique et Technologique (CNRST), Ouagadougou, Burkina Faso Département Biomédical et Santé Publique, Institut de Recherche en Science de la Santé (IRSS), Centre National de la Recherche Scientifique et Technologique (CNRST), Ouagadougou, Burkina Faso Enfants du Monde (EdM), Genève Suisse Enfants du Monde (EdM), Genève Suisse Enfants du Monde (EdM), Genève Suisse , Ouagadougou, Burkina FasoIntroduction The Pregnancy and Newborn Diagnostic Assessment (PANDA) system is a mobile application designed to facilitate diagnosis and decision-making by healthcare staff in antenatal care (ANC). This study aimed to evaluate its effectiveness in improving the quality of ANC. Methods This randomised controlled trial implemented the PANDA system in two groups of health facilities (intervention and comparison groups) using a matched-pair method in the Koupéla health district, Burkina Faso. Six health centres were included in each group. We included pregnant women presenting with more than 20 weeks of amenorrhea during their first antenatal consultation, and we followed them up until their sixth week postpartum. The primary outcome was a binary variable derived from the ANC quality score, coded yes or no. Six components of ANC quality were identified: welcoming the woman, history taking and dietary habits, physical examination, obstetric examination, preventive care, and counselling and advice. We used Poisson regression with robust variance to compare the unadjusted and adjusted primary outcomes results between the two study arms. Results We included 319 and 272 women in the intervention and comparison groups, respectively. In the intervention group, 15.67% (50 out of 319) of the women had at least 75% of the total ANC quality score, compared to 6.25% (17 out of 272) in the comparison group. Adjusted results showed that women in the intervention group were 2.71 times more likely to have an excellent total ANC quality score than women in the comparison group (RR = 2.71; 95% CI [1.60–4.60]; p < .001). Conclusion Although the proportion of women with good ANC quality was low, this study showed that the PANDA system significantly improves the ANC quality. These results are vital because Burkina Faso has decided to use these computerised clinical decision support systems for maternal and child health.https://doi.org/10.1177/20552076241298499 |
| spellingShingle | Abou Coulibaly Armel Emmanuel Sogo Nutsa Chikvaidze Cecilia Capello Tsion Kefene Gerbaba Séni Kouanda Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trial Digital Health |
| title | Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trial |
| title_full | Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trial |
| title_fullStr | Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trial |
| title_full_unstemmed | Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trial |
| title_short | Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trial |
| title_sort | assessing the effectiveness of the pregnancy and newborn diagnostic assessment system on the quality of antenatal care in burkina faso a cluster randomised controlled trial |
| url | https://doi.org/10.1177/20552076241298499 |
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