A matched pair cluster randomized implementation trail to measure the effectiveness of an intervention package aiming to decrease perinatal mortality and increase institution-based obstetric care among indigenous women in Guatemala: study protocol

Table 1 Mechanisms of intervention package in reducing perinatal mortality

Problem	Contributing factors	Intervention	Objective	Result	Impact
Poor perinatal outcomes including high mortality	Insufficient capacity to deliver effective emergency perinatal care in clinics	PRONTO training	Better prepare professional health care providers for obstetric and neonatal emergencies	Improve emergency obstetric care	Reduce perinatal mortality
	Lack of coordination and interaction between TBAs and health system	Professional midwife liaison	Strengthen the relationship between communities/TBAs and formal health services	Increase the proportion of institution-based births
	Multidimensional factors preventing women from using the health system for obstetrical care	Social marketing campaign	Influence care-seeking behavior by promoting the advantages of institutional delivery	Increase the proportion of institution-based births

ISSN: 1471-2393