[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100602632":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":28,"locations":38,"responsibleParty":71,"collaborators":74,"id":77,"slug":18,"hasResults":78,"nctId":79,"briefTitle":80,"officialTitle":81,"acronym":82,"eligibilityCriteria":83,"healthyVolunteers":84,"sex":85,"minAge":18,"maxAge":18,"enrollmentInfo":86,"targetDuration":18,"studyType":89,"phases":90,"briefSummary":92,"conditions":93,"keywords":100,"overallStatus":112,"whyStopped":18,"lastUpdateSubmitDate":113,"lastUpdatePostDateStruct":114,"startDateStruct":117,"completionDateStruct":119,"leadSponsor":121,"locationsCount":122},{"fullName":5,"class":6},"Oxford University Clinical Research Unit Indonesia","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"SPHERES Intervention Arm","EXPERIMENTAL","Participants (district populations) receive services improved by the SPHERES model, which includes structured prescription-for-action protocols targeting three priority domains (infectious disease, maternal \\& child health, and non-communicable diseases).",[13],"Other: Prescription for Action (SPHERES Model)",{"label":15,"type":16,"description":17,"interventionNames":18},"Control","NO_INTERVENTION","Standard of care are expected at primary health centers before the SPHERES intervention is deployed",null,[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":18},"Prescription for Action (SPHERES Model)","A system-level intervention consisting of:\n\n* a digital dashboard displaying local health services, outcome indicators, and operational data in a secure Public Health Data Theater;\n* structured monthly prescription guides targeting service improvements across three priority program areas;\n* monthly performance monitoring with district health leaders. The intervention is applied at the PHC level, all supported by digital capacity building, district-level deployment of implementation teams, and intersectoral secure health data exchange.",[9],[25],{"name":26,"affiliation":5,"role":27},"Anuraj H Shankar, D. Sc.","PRINCIPAL_INVESTIGATOR",[29,34],{"name":30,"role":31,"phone":32,"phoneExt":18,"email":33},"Zamzam Noerzen Djaelani, MD, MBA","CONTACT","+6281385680388","zdjaelani@oucru.org",{"name":35,"role":31,"phone":36,"phoneExt":18,"email":37},"Rina Agustina, Prof.","+6281297484775","ragustina@oucru.org",[39,56],{"facility":40,"status":18,"city":41,"state":42,"zip":18,"country":43,"cosmosGeoPoint":44,"geoPoint":49,"contacts":50},"Purbalingga District Health Office","Purbalingga","Central Java","Indonesia",{"type":45,"coordinates":46},"Point",[47,48],109.36389,-7.38806,{"lat":48,"lon":47},[51,55],{"name":52,"role":31,"phone":53,"phoneExt":18,"email":54},"Jusi Febrianto, MD, MPH","+628156704738","rbdpn2001@yahoo.co.id",{"name":52,"role":27,"phone":18,"phoneExt":18,"email":18},{"facility":57,"status":18,"city":58,"state":59,"zip":18,"country":43,"cosmosGeoPoint":60,"geoPoint":64,"contacts":65},"West Lombok District Health Office","Gerung","West Nusa Tenggara",{"type":45,"coordinates":61},[62,63],116.4332,-8.6864,{"lat":63,"lon":62},[66,70],{"name":67,"role":31,"phone":68,"phoneExt":18,"email":69},"Zulkipli Zulkipli, Ns, MM","+6287865857791","zulkifligunungsari.1@gmail.com",{"name":67,"role":27,"phone":18,"phoneExt":18,"email":18},{"type":27,"investigatorFullName":72,"investigatorTitle":73,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Anuraj Shankar","D. Sc.",[75],{"name":76,"class":6},"Summit Institute for Development, Indonesia","100602632",false,"NCT07126041","Scalable Public Health Empowerment, Research, and Education Sites (SPHERES)","End-to-end Digital Transformation for Primary Health Care Performance Management Via Scalable Public Health Empowerment, Research, and Education Sites: A Stepped-Wedge Cluster Randomized Trial","SPHERES","Inclusion Criteria:\n\n* Residing in or participating in the district catchment areas\n* Receiving services from participating health care facilities\n* Health providers and district health officials consent to participate in data collection\n\nExclusion Criteria:\n\n* Individuals (health workers or patients) who decline to provide informed consent.\n* Individuals who are not directly involved in or accessing services from health care facilities or district health offices.\n* Inability to provide consent due to cognitive impairment or acute illness for health workers or district health officials involved in data collection",true,"ALL",{"count":87,"type":88},1750000,"ESTIMATED","INTERVENTIONAL",[91],"NA","SPHERES is a health service research trial in the Indonesian primary care system designed to improve health system performance using a structured data-driven action model. The intervention empowers district health leaders to make data-informed decisions that will enhance outcomes across maternal, child, infectious, and non-communicable disease programs.",[94,95,96,97,98,99],"Pregnancy","Neonatal Mortality","Tuberculosis","Hepatitis B","Hypertension","Diabetes Mellitus",[101,102,103,104,105,106,96,97,107,98,108,43,109,110,111],"Primary health care performance","Digital health transformation","Maternal health","Child health","Immunization","Stunting","Diabetes mellitus","Health system strengthening","Health governance","Human resource management","Work culture","NOT_YET_RECRUITING","2025-08-09",{"date":115,"type":116},"2025-08-15","ACTUAL",{"date":118,"type":88},"2025-08-14",{"date":120,"type":88},"2027-03-31",{"name":5,"class":6},2]