scholarly journals The increasing use of the WHO Safe Childbirth Checklist: lessons learned at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Cameroon

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julius Sama Dohbit ◽  
Namanou Ines Emma Woks ◽  
Carlin Héméry Koudjine ◽  
Willy Tafen ◽  
Pascal Foumane ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Neonatal Death ◽  
Lessons Learned ◽  
Adoption Rate ◽  
Paediatric Hospital ◽  
Neonatal Asphyxia ◽  
Safe Childbirth Checklist ◽  
Low Middle Income Countries ◽  
Safe Childbirth

Abstract Background Safe childbirth remains a daunting challenge, particularly in low-middle income countries, where most pregnancy-related deaths occur. Cameroon’s maternal mortality rate, estimated at 529 per 100,000 live births in 2017, is significantly high. The WHO Safe Childbirth Checklist (SCC) was designed to improve the quality of care provided to pregnant women during childbirth. The SCC was implemented at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital to improve the quality of care during childbirth. Methods This study was a retrospective study to determine the adoption rate of the SCC and its association with maternal (eclampsia, perineal tears, and postpartum haemorrhage) and neonatal (stillbirth, neonatal asphyxia and neonatal death) complications. Data were collected 6 months after the introduction of the SCC. Multivariate binary logistic regression was used to analyse the association between the use of the SCC and maternofoetal complications. Results Out of 1611 deliveries conducted, 1001 records were found, giving a retrieval rate of 62%. Twenty-five records were excluded. During the study period, the checklists were used in 828 of 976 clinical notes, with an adoption rate of 84.8% and a utilization rate of 93.9% at 6 months. Severe preeclampsia/eclampsia was associated with the non-use of the SCC (2.1 vs 5.4%, p = 0.041). Stillbirth, neonatal asphyxia, and neonatal death rates were not significantly different between the checklist and non-checklist groups. However, for all neonatal outcomes, the proportion of complications was lower when the checklist was used. Conclusion The use of the SCC was associated with significantly reduced pregnancy complications, especially for reducing the rates of severe pre-eclampsia/eclampsia. The use of the SCC increased to 93.9% of all deliveries within 6 months. We advocate for the use of the WHO Safe Childbirth Checklist in maternity units.

scholarly journals The growing use of the WHO Safe Childbirth Checklist: Lessons learned at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Cameroon

2020 ◽  
Author(s):  
Julius Sama DOHBIT ◽  
Namanou Ines Emma WOKS ◽  
Carlin Héméry KOUDJINE ◽  
Willy TAFEN ◽  
Pascal FOUMANE ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Neonatal Death ◽  
Categorical Variables ◽  
Adoption Rate ◽  
Paediatric Hospital ◽  
Neonatal Asphyxia ◽  
Safe Childbirth Checklist ◽  
Low Middle Income Countries ◽  
Safe Childbirth

Abstract Background: Safe childbirth remains a daunting challenge, particularly in low middle-income countries, where most pregnancy-related deaths occur. Cameroon's maternal mortality rate, estimated at 529 per 100,000 live births in 2017 is significantly high. The WHO Safe Childbirth Checklist (SCC) was designed to improve the quality of care provided to pregnant women during childbirth. It was implemented at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital to improve the quality of care during childbirth. Methods: A retrospective study to determine the adoption rate of the SCC and its association with maternal (eclampsia, perineal tears, post-partum haemorrhage) and neonatal (foetal death, neonatal asphyxia and neonatal death) complications. Data was collected six months after the introduction of the SCC at the maternity. The Chi-square test was used to compare categorical variables, while the student's T-test was used to compare continuous variables. Results: Out of 1611 deliveries conducted, 1001 records were found, giving a retrieval rate of 62%. Twenty-five records were excluded. During the study period, checklists were used in 828 of 976 clinical notes, giving a mean adoption rate of 84.8% and utilization rate of 93.9% at six months. Severe pre-eclampsia/eclampsia were associated with the non-use of SCC (2.1% Vs 5.4%, p = 0.017). Stillbirth, neonatal asphyxia, and neonatal death rates were not statistically different between checklist and non-checklist groups. However, in all neonatal outcomes, the proportion of complications was less when the checklist was used.Conclusion: The use of the safe childbirth checklist was associated with significantly reduced pregnancy complications, especially reducing severe pre-eclampsia/ and eclampsia. The use of the safe childbirth checklist increased to 93.9% of all deliveries within six months. We advocate for the use of the WHO Safe Childbirth Checklist in maternity units.

scholarly journals The growing use of the WHO Safe Childbirth Checklist: Lessons learned at the Yaounde Gyneco-Obstetric and Pediatric Hospital, Cameroon

2020 ◽  
Author(s):  
Julius Sama DOHBIT ◽  
Namanou Ines Emma WOKS ◽  
Carlin Héméry KOUDJINE ◽  
Willy TAFEN ◽  
Pascal FOUMANE ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Post Partum ◽  
Middle Income ◽  
Middle Income Countries ◽  
Perineal Tears ◽  
Safe Childbirth Checklist ◽  
Low Middle Income Countries ◽  
Post Partum Haemorrhage ◽  
Safe Childbirth

Abstract Background: Safe childbirth remains a daunting challenge, particularly in low middle income countries, where most pregnancy-related deaths occur. Cameroon’s maternal mortality rate, estimated at 529 per 100,000 live births in 2017 is significantly high. Adherence to essential birth practices by birth attendants is key to improving pregnancy outcomes. The WHO Safe Childbirth Checklist (SCC) was designed as a tool to improve the quality of care provided to women giving birth. It was implemented at the Yaounde Gynaeco-Obsteric and Paediatric Hospital in order to improve quality of care. The purpose of this study was to determine the adoption rate of the SCC and its association with maternal (eclampsia, perineal tears, post-partum haemorrhage) and neonatal (foetal death, neonatal asphyxia and neonatal death) complications, six months after introduction at the maternity. Methods: A retrospective study was conducted from January – June 2018. Six months was chosen because research conducted on the SCC in India showed that adherence to essential birth practices was optimal within this period. Data collection sheets were used to document information from delivery records. The Chi square test was used to compare categorical variables, while the student’s T test was used to compare continuous variables. Results: Out of 1611 deliveries conducted, only 1001 records could be traced, giving 38% of missing data. Twenty-five records were excluded. During the study period, checklists were used in 828 clinical notes, giving an adoption rate of 84.8%. Fewer cases of severe pre-ecclampsia/eclampsia were associated with the use of SCC (2·1% Vs 5·4%, p = 0·017). The difference in the proportion of perineal tears, post-partum haemorrhage, stillbirths, neonatal asphyxia and neonatal deaths observed between the checklist and non-checklist groups was not statistically significant. Conclusion: Our results suggest that the SCC program is a cost effective intervention that could potentially reduce maternal mortality and morbidity, most of reduction coming from prevention of severe pre-eclampsia, eclampsia in low-middle income countries.

Designing the WHO Safe Childbirth Checklist program to improve quality of care at childbirth

2013 ◽  
Vol 122 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Jonathan M. Spector ◽  
Angela Lashoher ◽  
Priya Agrawal ◽  
Claire Lemer ◽  
Gerald Dziekan ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Improve Quality ◽  
Safe Childbirth Checklist ◽  
Safe Childbirth

scholarly journals Effects of the World Health Organization Safe Childbirth Checklist on Quality of Care and Birth Outcomes in Aceh, Indonesia

2021 ◽  
Vol 4 (12) ◽  
pp. e2137168
Author(s):  
Lennart Christian Kaplan ◽  
Ichsan Ichsan ◽  
Farah Diba ◽  
Marthoenis Marthoenis ◽  
Muhsin Muhsin ◽  
...  
Keyword(s):  
Quality Of Care ◽  
World Health Organization ◽  
Birth Outcomes ◽  
World Health ◽  
Safe Childbirth Checklist ◽  
The World ◽  
Health Organization ◽  
Safe Childbirth

scholarly journals Mothers’ experiences of quality of care and potential benefits of implementing the WHO safe childbirth checklist: a case study of Aceh Indonesia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Siobhan Doria ◽  
Farah Diba ◽  
Suryane S. Susanti ◽  
Sebastian Vollmer ◽  
Ida G. Monfared
Keyword(s):  
Quality Of Care ◽  
Qualitative Study ◽  
Health Facilities ◽  
World Health ◽  
Care Providers ◽  
Safe Childbirth Checklist ◽  
Holistic Understanding ◽  
Experiences Of Women ◽  
Safe Childbirth

Abstract Background In an effort to mitigate missed opportunities to provide high-quality care, the World Health Organization (WHO) has developed the Safe Childbirth Checklist (SCC) to support health providers perform essential tasks. Our qualitative study is a baseline assessment of quality of care (QoC) perceived by mothers who gave birth at health facilities aiming to highlight areas where implementing the SCC can potentially improve the QoC as well as areas that are not part of the SCC yet require improvement. Methods Assessing the overall experience of care, our qualitative study focuses on 8 out of 29 items in the checklist that are related to the personal interactions between healthcare provider and mothers. Using a set of semi-structured questions, we interviewed 26 new mothers who gave institutional births in Aceh province in Indonesia. Results Our findings revealed some gaps where implementing the SCC can potentially improve safety and QoC. They include communicating danger signs at critical points during birth and after discharge, encouraging breastfeeding, and providing mothers with information on family planning. Moreover, taking a qualitative approach allowed us to identify additional aspects such as need for clarity at the point of admission, maintaining dignity, and protecting mothers’ rights in the decision-making process to be also essential for better QoC. Conclusions Our study highlights the need to actively listen to and engage with the experiences of women in the adaptation and implementation of the checklist. While our findings indicate that implementing the SCC has the potential to improve the quality of maternal care and overall birth experience, a more holistic understanding of the lived experiences of women and the dynamics of their interactions with health facilities, care providers, and their birth companions can complement the implementation of the checklist.

scholarly journals Improving Quality of Care for Maternal and Newborn Health: Prospective Pilot Study of the WHO Safe Childbirth Checklist Program

PLoS ONE ◽  
2012 ◽  
Vol 7 (5) ◽  
pp. e35151 ◽  
Author(s):  
Jonathan M. Spector ◽  
Priya Agrawal ◽  
Bhala Kodkany ◽  
Stuart Lipsitz ◽  
Angela Lashoher ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Pilot Study ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Prospective Pilot Study ◽  
Safe Childbirth Checklist ◽  
Safe Childbirth ◽  
Maternal And Newborn

scholarly journals Effective coverage and budget implications of skill-mix change to improve neonatal nursing care: an explorative simulation study in Kenya

2019 ◽  
Vol 4 (6) ◽  
pp. e001817 ◽  
Author(s):  
Apostolos Tsiachristas ◽  
David Gathara ◽  
Jalemba Aluvaala ◽  
Timothy Chege ◽  
Edwine Barasa ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Neonatal Mortality ◽  
Nursing Care ◽  
Public Hospitals ◽  
Sensitivity Analyses ◽  
Full Time ◽  
Skill Mix ◽  
Neonatal Nursing ◽  
Low Middle Income Countries

IntroductionNeonatal mortality is an urgent policy priority to improve global population health and reduce health inequality. As health systems in Kenya and elsewhere seek to tackle increased neonatal mortality by improving the quality of care, one option is to train and employ neonatal healthcare assistants (NHCAs) to support professional nurses by taking up low-skill tasks.MethodsMonte-Carlo simulation was performed to estimate the potential impact of introducing NHCAs in neonatal nursing care in four public hospitals in Nairobi on effectively treated newborns and staff costs over a period of 10 years. The simulation was informed by data from 3 workshops with >10 stakeholders each, hospital records and scientific literature. Two univariate sensitivity analyses were performed to further address uncertainty.ResultsStakeholders perceived that 49% of a nurse full-time equivalent could be safely delegated to NHCAs in standard care, 31% in intermediate care and 20% in intensive care. A skill-mix with nurses and NHCAs would require ~2.6 billionKenyan Shillings (KES) (US$26 million) to provide quality care to 58% of all newborns in need (ie, current level of coverage in Nairobi) over a period of 10 years. This skill-mix configuration would require ~6 billion KES (US$61 million) to provide quality of care to almost all newborns in need over 10 years.ConclusionChanging skill-mix in hospital care by introducing NHCAs may be an affordable way to reduce neonatal mortality in low/middle-income countries. This option should be considered in ongoing policy discussions and supported by further evidence.

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