[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100602632":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":28,"locations":38,"responsibleParty":72,"collaborators":75,"id":78,"slug":79,"hasResults":80,"nctId":81,"briefTitle":82,"officialTitle":83,"acronym":84,"eligibilityCriteria":85,"healthyVolunteers":86,"sex":87,"minAge":18,"maxAge":18,"enrollmentInfo":88,"targetDuration":18,"studyType":91,"phases":92,"briefSummary":94,"conditions":95,"keywords":102,"overallStatus":114,"whyStopped":18,"lastUpdateSubmitDate":115,"lastUpdatePostDateStruct":116,"startDateStruct":119,"completionDateStruct":121,"leadSponsor":123,"locationsCount":124},{"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",[39,57],{"facility":40,"status":18,"city":41,"state":42,"zip":18,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":51},"Purbalingga District Health Office","Purbalingga","Central Java","Indonesia","ID",{"type":46,"coordinates":47},"Point",[48,49],109.36389,-7.38806,{"lat":49,"lon":48},[52,56],{"name":53,"role":31,"phone":54,"phoneExt":18,"email":55},"Jusi Febrianto, MD, MPH","+628156704738","rbdpn2001@yahoo.co.id",{"name":53,"role":27,"phone":18,"phoneExt":18,"email":18},{"facility":58,"status":18,"city":59,"state":60,"zip":18,"country":43,"countryCode":44,"cosmosGeoPoint":61,"geoPoint":65,"contacts":66},"West Lombok District Health Office","Gerung","West Nusa Tenggara",{"type":46,"coordinates":62},[63,64],116.4332,-8.6864,{"lat":64,"lon":63},[67,71],{"name":68,"role":31,"phone":69,"phoneExt":18,"email":70},"Zulkipli Zulkipli, Ns, MM","+6287865857791","zulkifligunungsari.1@gmail.com",{"name":68,"role":27,"phone":18,"phoneExt":18,"email":18},{"type":27,"investigatorFullName":73,"investigatorTitle":74,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Anuraj Shankar","D. Sc.",[76],{"name":77,"class":6},"Summit Institute for Development, Indonesia","100602632","scalable-public-health-empowerment-research-and-education-sites-spheres-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":89,"type":90},1750000,"ESTIMATED","INTERVENTIONAL",[93],"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.",[96,97,98,99,100,101],"Pregnancy","Neonatal Mortality","Tuberculosis","Hepatitis B","Hypertension","Diabetes Mellitus",[103,104,105,106,107,108,98,99,109,100,110,43,111,112,113],"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":117,"type":118},"2025-08-15","ACTUAL",{"date":120,"type":90},"2025-08-14",{"date":122,"type":90},"2027-03-31",{"name":5,"class":6},2]