Early evaluation of the 'STOP SEPSIS!' WHO Global Maternal Sepsis Awareness Campaign implemented for healthcare providers in 46 low, middle and high-income countries

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.

Keywords: maternal medicine; perinatology; public health.

Figure 1

Countries eligible for the Global Maternal Sepsis Study (GLOSS) ‘STOP SEPSIS!’ awareness campaign evaluation (n=46). Color key: teal: countries included in the GLOSS STOP SEPSIS! awareness campaign evaluation (N=37); green: countries eligible for the evaluation but excluded from this analysis because less than 2 responses received (N=9)The boundaries shown on this map do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, or concerning the delimitation of its frontiers or boundaries

Figure 2

Measures of campaign exposure in percentages (n=1033).

Figure 3

Responses when answering Yes to the question ‘Did the information provided in the materials motivate you to do something differently than before?’ (n=658).(Respondents were able to check as many response options as needed.)