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Type: Journal article
Title: Optimising reproductive and child health outcomes by building evidence-based research and practice in South East Asia (SEA-ORCHID): study protocol
Author: Henderson-Smart, D.
Lumbiganon, P.
Festin, M.
Ho, J.
Mohammad, H.
McDonald, S.
Green, S.
Crowther, C.
Citation: BMC Medical Research Methodology, 2007; 7(1):WWW 1-WWW 9
Publisher: BioMed Central Ltd.
Issue Date: 2007
ISSN: 1471-2288
Organisation: SEA-ORCHID Study Group
Statement of
David J Henderson-Smart, Pisake Lumbiganon, Mario R Festin, Jacqueline J Ho, Hakimi Mohammad, Steve J McDonald, Sally Green and Caroline A Crowther for the SEA-ORCHID Study Group
Abstract: Background Disorders related to pregnancy and childbirth are a major health issue in South East Asia. They represent one of the biggest health risk differentials between the developed and developing world. Our broad research question is: Can the health of mothers and babies in Thailand, Indonesia, the Philippines and Malaysia be improved by increasing the local capacity for the synthesis of research, implementation of effective interventions, and identification of gaps in knowledge needing further research? Methods/Design The project is a before-after study which planned to benefit from and extend existing regional and international networks. Over five years the project was designed to comprise five phases; pre-study, pre-intervention, intervention, outcome assessment and reporting/dissemination. The study was proposed to be conducted across seven project nodes: four in South East Asia and three in Australia. Each South East Asian study node was planned to be established within an existing department of obstetrics and gynaecology or neonatology and was intended to form the project coordinating centre and focus for evidence-based practice activities within that region. Nine hospitals in South East Asia planned to participate, representing a range of clinical settings. The three project nodes in Australia were intended to provide project support. The intervention was planned to consist of capacity-strengthening activities targeted at three groups: generators of evidence, users of evidence and teachers of evidence. The primary outcome was established as changes in adherence to recommended clinical practices from baseline to completion of the project and impact on health outcomes. Discussion The SEA-ORCHID project was intended to improve care during pregnancy and the perinatal period of mothers and their babies in South East Asia. The possible benefits extend beyond this however, as at the end of this project there is hoped to be an existing network of South East Asian researchers and health care providers with the capacity to generalise this model to other health priority areas. It is anticipated that this project facilitate ongoing development of evidence-based practice and policy in South East Asia through attracting long-term funding, expansion into other hospitals and community-based care and the establishment of nodes in other countries.
Keywords: SEA-ORCHID Study Group
Prenatal Care
Pilot Projects
Program Evaluation
Cooperative Behavior
Evidence-Based Medicine
Infant, Newborn
Obstetrics and Gynecology Department, Hospital
Child Health Services
Maternal Health Services
Regional Health Planning
Program Development
Primary Health Care
Guideline Adherence
Quality Assurance, Health Care
Asia, Southeastern
Rights: © 2007 Henderson-Smart et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1186/1471-2288-7-43
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Obstetrics and Gynaecology publications

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