Evaluation of an adaptive, multimodal intervention to reduce postoperative infections following cesarean delivery in Ethiopia: study protocol of the CLEAN-CS cluster-randomized stepped wedge interventional trial

This protocol describes the CheckList Expansion for Antisepsis and iNfection Control in Cesarean Section (CLEAN-CS) trial evaluating our program's ability to reduce infections following CS and other obstetric and gynecological operations in Ethiopia.

We previously developed and pilot tested Clean Cut, a program to prevent postoperative infections by improving compliance with the WHO Surgical Safety Checklist (SSC) and strengthening adherence to infection control practices. This protocol describes the CheckList Expansion for Antisepsis and iNfection Control in Cesarean Section (CLEAN-CS) trial evaluating our program’s ability to reduce infections following CS and other obstetric and gynecological operations in Ethiopia.

Authors: Tihitena Negussie Mammo, Mekdes Daba Feyssa, Sara Taye Haile, Tesfaneh Fikre, Matiyas Asrat Shiferaw, Habtamu Woldeamanuel, Fikremelekot Temesgen, Natnael Gebeyehu, Nichole Starr, Katie Fernandez, Natalie Henrich, Senait Bitew Alemu, Kate Miller, Thomas G Weiser