학술논문
Early evaluation of the ‘STOP SEPSIS!’ WHO Global Maternal Sepsis Awareness Campaign implemented for healthcare providers in 46 low, middle and high-income countries
Document Type
article
Author
Marian Knight; José Guilherme Cecatti; Thae Maung Maung; Mercedes Bonet; Fernando Althabe; Joao Paulo Souza; Bouchra Assarag; Richard Adanu; Kristien Roelens; Kitty Bloemenkamp; Shevin T Jacob; Vijay Kumar; Jens Langhoff-Roos; Vanessa Brizuela; Rizwana Chaudhri; Griet Vandenberghe; Carla Lionela Trigo Romero; Edgardo Abalos; Adama Baguiya; Bukola Fawole; Pisake Lumbiganon; Meilė Minkauskienė; Ashraf Nabhan; Nafissa Bique Osman; Zahida P Qureshi; Mohammad Iqbal Aman; Bashir Noormal; Virginia Díaz; Marisa Espinoza; Julia Pasquale; Charlotte Leroy; M. Christian Urlyss Agossou; Sourou Goufodji Keke; Christiane Tshabu Aguemon; Víctor Conde Altamirano; Rosalinda Hernández Muñoz; Vincent Batiene; Kadari Cisse; Henri Gautier Ouedraogo; Cheang Kannitha; Lam Phirun; Tung Rathavy; Elie Simo; Pierre-Marie Tebeu; Emah Irene Yakana; Javier Carvajal; María Fernanda Escobar; Paula Fernández; Lotte Berdiin Colmorn; Wilson Mereci; Paola Vélez; Yasser Salah Eldin; Alaa Sultan; Abdulfetah Abdulkadir Abdosh; Alula M. Teklu; Dawit Worku Kassa; Philip Govule; Charles Noora Lwanga; Rigoberto Castro Bustillo; Bredy Lara; Vanita Suri; Sonia Trikha; Irene Cetin; Serena Donati; Carlo Personeni; Guldana Baimussanova; Saule Kabylova; Balgyn Sagyndykova; George Gwako; Alfred Osoti; Zahida Qureshi; Raisa Asylbasheva; Aigul Boobekova; Damira Seksenbaeva; Faysal El Kak; Saad Eddine Itani; Sabina Abou Malham; Diana Ramašauskaitė; Owen Chikhwaza; Luis Gadama; Eddie Malunga; Haoua Dembele; Hamadoun Sangho; Fanta Eliane Zerbo; Filiberto Dávila Serapio; Nazarea Herrera Maldonado; Tatiana Cauaus; Ala Curteanu; Victor Petrov; Yadamsuren Buyanjargal; Seded Khishgee; Bat-Erdene Lkhagvasuren; Amina Essolbi; Rachid Moulki; Zara Jaze; Arlete Mariano; Hla Mya Thway Einda; Khaing Nwe Tin; Tara Gurung; Amir Babu Shrestha; Sangeeta Shrestha; Marcus J. Rijken; Thomas Van DenAkker; María Esther Estrada; Olubukola Adesina; Chris Aimakhu; Saima Hamid; M. Adnan Khan; María del Pilar Huatuco Hernández; Nelly M Zavaleta Pimentel; Maria Lu Andal; Carolina Paula Martin; Zenaida Dy Recidoro; Mihaela Budianu; Lucian Pușcașiu; Léopold Diouf; Dembo Guirassy; Philippe Marc Moreira; Miroslav Borovsky; Ladislav Kovac; Alexandra Kristufkova; Sylvia Cebekhulu; Laura Cornelissen; Priya Soma-Pillay; Vicenç Cararach; Marta López; María José Vidal Benedé; Hemali Jayakody; Kapila Jayaratne; Dhammica Rowel; Mohamed Elsheikh; Wisal Nabag; Sara Omer; Victoria Tsoy; Urunbish Uzakova; Dilrabo Yunusova; Catherine Dunlop; David Lissauer; Aquilino M Pérez; Jhon Roman; Gerardo Vitureira; Dinh Anh Tuan; Luong Ngoc Truong; Nghiem Thi Xuan Hanh; Mugove Madziyire; Thulani Magwali; Stephen Munjanja; Mónica Chamillard; Seni Kouanda; Ruta Nadisauskiene; Linda Bartlett; Fernando Bellissimo-Rodrigues; Sadia Shakoor; Khalid Yunis; Liana Campodónico; Cristina Cuesta; Hugo Gamerro; Daniel Giordano; A Metin Gülmezoglu; Patricia Soledad Apaza Peralta; Carolina C Ribeiro do Valle; William Enrique Arriaga Romero; María Guadalupe Flores Aceituno; Thumwadee Tangsiriwatthana; Thitiporn Siriwachirachai; Néstor J Pavón Gómez
Source
BMJ Open, Vol 10, Iss 5 (2020)
Subject
Language
English
ISSN
2044-6055
73850446
73850446
Abstract
Objective To evaluate changes in awareness of maternal sepsis among healthcare providers resulting from the WHO Global Maternal Sepsis Study (GLOSS) awareness campaign.Design Independent sample precampaign/postcampaign through online and paper-based surveys available for over 30 days before campaign roll-out (pre) and after study data collection (post). Descriptive statistics were used for campaign recognition and exposure, and odds ratio (OR) and percentage change were calculated for differences in awareness, adjusting for confounders using multivariate logistic regression.Setting and participants Healthcare providers from 398 participating facilities in 46 low, middle and high-income countries.Intervention An awareness campaign to accompany GLOSS launched 3 weeks prior to data collection and lasting the entire study period (28 November 2017 to 15 January 2018) and beyond.Main outcome measures Campaign recognition and exposure, and changes in awareness.Results A total of 2188 surveys were analysed: 1155 at baseline and 1033 at postcampaign. Most survey respondents found the campaign materials helpful (94%), that they helped increase awareness (90%) and that they helped motivate to act differently (88%). There were significant changes with regard to: not having heard of maternal sepsis (−63.4% change, pre-OR/post-OR 0.35, 95% CI 0.18 to 0.68) and perception of confidence in making the right decisions with regard to maternal sepsis identification and management (7.3% change, pre-OR/post-OR 1.44, 95% CI 1.01 to 2.06).Conclusions Awareness raising campaigns can contribute to an increase in having heard of maternal sepsis and an increase in provider perception of confidence in making correct decisions. Offering the information to make accurate and timely decisions while promoting environments that enable self-confidence and support could improve maternal sepsis identification and management.