The Rajarata Pregnancy Cohort (RaPCo): study protocol

摘要: Ending preventable maternal deaths remains a global priority and in the later stages of obstetric transition, identifying social determinants health outcomes is essential to address stagnating mortality rates. Countries would hardly achieve Sustainable Development Goal (SGD) targets on health, unless complex context-specific socio-economic aetiologies associated with mental suicide are identified. The Rajarata Pregnancy Cohort (RaPCo) prospective cohort study, designed explore interactions between determining pregnancy new-born outcomes. study will recruit all eligible pregnant women care programme Anuradhapura district, Sri Lanka from July September 2019. estimated sample size 2400. We assess socio-demographic economic status, capital, gender-based violence including clinical examination biochemical investigations during first trimester. Participants undergo four follow-ups at 2nd 3rd trimesters, delivery early postpartum. new-borns be followed up birth, neonatal period, 6 six months 1 year. child outcome data collected using direct contact. Qualitative studies carried out understand factors behavioural dimensions related abortion, antenatal depression, near misses. This reported focusing health. As country stage these findings provide generalizable evidence achieving SGD low- middle-income countries. conducted district multi-cultural, multi-ethnic diverse community characteristics; thus, enable generated applied many different contexts. also possesses strength participant contact, collection, measurement, testing minimise errors routinely data. RaPCo able generate strengthen policies further reduce local, regional contexts particularly which not optimally addressed agenda.