Please select the eligibility criteria that correspond to the clinical trial below.
Title: Health Care Intervention Research-Quality of Prenatal and Maternal Care: Bridging the Know-do Gap (QUALMAT)
Brief Summary: Besides a dramatic lack of financial and human resources in developing countries, health care is additionally endangered by quality deficiencies caused by low staff motivation. This lack of motivation leads to an insufficient translation of knowledge into optimal utilization of resources. The "know-do" gap represents a challenge that must be addressed to strengthen health services performance towards achieving the Millennium Development Goals (MDGs). This is in particular true for some sensitive sectors like pre-natal and maternal health care. General objective of this research is to improve maternal health through better pre-natal and maternal care services offered by better motivated health workers. A computer-assisted clinical decision support system (CDSS) will be developed, implemented and tested aiming at (I) quality improvement of maternal and newborn care and (II) assessment of provider's performance. Based on this tool a commonly agreed incentive scheme to increase motivation will be shaped and tested in three SSA - countries, namely Burkina, Ghana, and Tanzania.

The incentive scheme might contain both non-monetary and monetary incentives and will be designed according to the human resource policy in the three countries. The planned approach is an implementation study with control arms containing one hospital and 6 first line health facilities in each of the study districts and an equal number of facilities in the control arm. A set of indicators for measurement of changes in quality of delivered services will be identified in order to follow up the sustainability and effectiveness of the strategies after their implementation. The study findings will allow understanding the important factors of staff motivation and facilitate adequate management for improvement of maternal and neonatal health care. "Knowing is not enough, we must apply; Wanting to do, is not enough, we must do it1"

- J.W. v. Goethe


Options:
A: Inclusion Criteria for Midwives:

* Wuqu' Kawoq's catchment area
* Bilingual speakers of Spanish and Kaqchikel Maya
* Willing to give consent and be trained on the mHealth technology
* Must be under the age of 65
* Must be 18 years-old or older

Exclusion Criteria for Midwives:

* Outside Wuqu' Kawoq's catchment area
* Not a bilingual speaker of Spanish and Kaqchikel Maya
* Over the age of 65
* Under the age of 18
* Unable to give consent and be trained on the mHealth technology

Inclusion Criteria for Pregnant Women:

* Must be 18 years-old or older
* Must be pregnant
* Must have a midwife that has been recruited for the study
* Bilingual speakers of Spanish and Kaqchikel Maya
* Willing to give consent

Exclusion criteria for pregnant women

* Under 18 years of age
* Not pregnant
* Does not have a midwife in the study
* Is not bilingual in Spanish and Kaqchikel Maya
* Unable to consent
B: Inclusion Criteria:

* Acute uncomplicated diarrhea (less than 7 days with at least 3 loose stools in the last 24 hours)
* Age greater than or equal to two months.

Exclusion Criteria:

* No diarrhea
* Complicated diarrheal disease (e.g. e.g. sepsis, meningitis, convulsions, electrolyte imbalance, myocardial infarction, respiratory failure, chronic kidney disease, severe malnutrition by clinical measures and mid-upper arm circumference (\<11.5cm for \>= 6 mo to less than 5 years; \<11.0 cm for \>= 2mo to \<6 mo))
C: Inclusion Criteria:

* the patient in the primary health care center

Exclusion Criteria:

* patients outside the research regions
D: Inclusion Criteria:

* prescriber at the study facility

Exclusion Criteria:

* not a prescriber at the study facility

Answer: C