STRUCTURED SCREENING FOR RISK STRATIFICATION AND EARLY TARGETED INTERVENTION FOR PREVENTION OF THE MAIN OBSTETRICS SYNDROMES TO IMPROVE MATERNAL AND PERINATAL HEALTH OUTCOMES

Organization: 
FUNDARED-MATERNA
Organization Location: 
Bogota, Colombia

Use of risk stratification with accessible and cost effective technology and interventions will reduce the rates of the major obstetric complications globally.We will address the problem in all three categories, science and technology, service delivery and demand creation. Using a cluster randomization design in urban and rural areas of Colombia, 1st and 3rd trimester screening and early intervention for prevention of preeclampsia and prematurity will be used in one study arm of 5,000 pregnant women; innovative counseling about contraception upon entry into prenatal care will be introduced; 5,000 pregnancies followed up using the national guideline for prenatal care will be compared. Screening for syphilis with point-of-care rapid tests and treatment on site will be used in both groups. Objective: Reduce perinatal mortality by 30%, including stillbirth;  early onset preeclampsia by 20%, prematurity by 25%, low birthweight by 30%, major maternal morbidity by 25%. Increase uptake of long acting reversible contraceptives prior to discharge from the hospital, by 50%. Cost-effectiveness of the intervention will be analyzed. Expected impact and innovation: Demonstrate the health and economic benefits of implementing in the public health sector a sustainable, structured screening and risk stratification strategy for the prevention of the main obstetric syndromes. Our program, will change current practice and be generalizable to all regions of the world.

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