scholarly journals Implementing the World Health Organization safe childbirth checklist in a district Hospital in Rwanda: a pre- and post-intervention study

Author(s):  
Eugene Tuyishime ◽  
Paul H. Park ◽  
Dominique Rouleau ◽  
Patricia Livingston ◽  
Paulin Ruhato Banguti ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
pp. 44-50
Author(s):  
Joycelyn Thomas ◽  
Joachim Voss ◽  
Edith Tarimo

Background: The World Health Organization (WHO) developed the Safe Birth Checklist (SCC) to facilitate best practices in safe birthing practices. The SCC is utilizing existing evidence-based WHO guidelines and recommendations which has combined those into a single and practical bedside tool. The SCC is the first checklist-based intervention to target the pre- vention of maternal and neonatal deaths. Objective: The objective of this project was to pilot-test the World Health Organization Safe Childbirth Checklist with Maternity Regional Hospital in, Tanzania. Study Design and Methods: Retrospective analysis on 35 charts were completed to identify presence or absence of docu- mentation aligned with evidenced based checklist items. Staff training, end user observations and focus group discussions were utilized to elicit feedback about the tool and the process. Descriptive statistics and manual content analysis were used to analyze the rate of uptake and ownership over the checklist. The Checklist is broken down into four sections or time points (that are considered natural pause points in the care of laboring women). The four different pause points are admission, delivery, post-partum, and discharge. Results: We trained 26 participants out of 32 staff how to use the SCC. Delivery time point had the lowest at SCC comple- tion rate at 39% compared to discharge having the highest completion rate at 93%. There was variation in completion rate of the checklist items at each time point. Checklist items at the beginning of each time point were completed between 94% and 100% of the time with the latter checklist list items completed between 29% and 57% of the time. Conclusion: This project was able to identify facilitators and potential barriers to the successful uptake of the Safe Child- birth Checklist in Shinyanga Regional Hospital. Based on these findings, the MOH have opportunities to utilize those find- ings in the scale-up of the implementation of the checklist and future evaluation activities. Keywords: Safe birth matters; WHO safe childbirth checklist tool; Tanzania Regional Hospital.


2021 ◽  
Vol 4 (12) ◽  
pp. e2137168
Author(s):  
Lennart Christian Kaplan ◽  
Ichsan Ichsan ◽  
Farah Diba ◽  
Marthoenis Marthoenis ◽  
Muhsin Muhsin ◽  
...  

2021 ◽  
Vol 21 ◽  
pp. 44-50
Author(s):  
Joycelyn Thomas ◽  
Joachim Voss ◽  
Edith Tarimo

Background: The World Health Organization (WHO) developed the Safe Birth Checklist (SCC) to facilitate best practices in safe birthing practices. The SCC is utilizing existing evidence-based WHO guidelines and recommendations which has combined those into a single and practical bedside tool. The SCC is the first checklist-based intervention to target the pre- vention of maternal and neonatal deaths. Objective: The objective of this project was to pilot-test the World Health Organization Safe Childbirth Checklist with Maternity Regional Hospital in, Tanzania. Study Design and Methods: Retrospective analysis on 35 charts were completed to identify presence or absence of docu- mentation aligned with evidenced based checklist items. Staff training, end user observations and focus group discussions were utilized to elicit feedback about the tool and the process. Descriptive statistics and manual content analysis were used to analyze the rate of uptake and ownership over the checklist. The Checklist is broken down into four sections or time points (that are considered natural pause points in the care of laboring women). The four different pause points are admission, delivery, post-partum, and discharge. Results: We trained 26 participants out of 32 staff how to use the SCC. Delivery time point had the lowest at SCC comple- tion rate at 39% compared to discharge having the highest completion rate at 93%. There was variation in completion rate of the checklist items at each time point. Checklist items at the beginning of each time point were completed between 94% and 100% of the time with the latter checklist list items completed between 29% and 57% of the time. Conclusion: This project was able to identify facilitators and potential barriers to the successful uptake of the Safe Child- birth Checklist in Shinyanga Regional Hospital. Based on these findings, the MOH have opportunities to utilize those find- ings in the scale-up of the implementation of the checklist and future evaluation activities. Keywords: Safe birth matters; WHO safe childbirth checklist tool; Tanzania Regional Hospital.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hailemariam Segni Abawollo ◽  
Zergu Tafesse Tsegaye ◽  
Binyam Fekadu Desta ◽  
Tsega Teferi Mamo ◽  
Haregewoin Getachew Mamo ◽  
...  

Abstract Background Childbirth is a complex process, and checklists are useful tools to remember steps of such complex processes. The World Health Organization safe childbirth checklist is a tool used to improve the quality of care provided to women giving birth. The checklist was modified by Ministry of Health and was introduced to health centers in Ethiopia by the USAID Transform: Primary Health Care Activity. Methods A pre and post intervention study design with prospective data collection was employed. The availability of essential childbirth supplies and adherence of health care providers to essential birth practices were compared for the pre and post intervention periods. Results The pre and post intervention assessments were conducted in 247 and 187 health centers respectively. A statistically significant improvement from 63.6% pre intervention to 83.5% post intervention was observed in the availability of essential childbirth supplies, t (389.7) = − 7.1, p = 0.000. Improvements in adherence of health care providers to essential birth practices were observed with the highest being at pause point three (26.2%, t (306.3) = − 10.6, p = 0.000) followed by pause point four (21.1%, t (282.5) = − 8.0, p = 0.000), and pause point two (18.2%, t (310.8) = − 9.7, p = 0.000). The least and statistically non-significant improvement was observed at pause point one (3.3%, t (432.0) = − 1.5, p = 0.131). Conclusion Improvement in availability of essential childbirth supplies and adherence of health care providers towards essential birth practices was observed after introduction of a modified World Health Organization safe childbirth checklist. Scale up of the use of the checklist is recommended.


2017 ◽  
Vol 79 (07) ◽  
pp. 526-527

Coenen M et al. [Recommendation for the collection and analysis of data on participation and disability from the perspective of the World Health Organization]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2016; 59: 1060–1067 Um eine gleichberechtigte Teilhabe an der Gesellschaft von Menschen mit Behinderung zu ermöglichen, werden zunächst Daten zu vorhandenen Einschränkungen gebraucht. Erst wenn diese detailliert erhoben wurden, können Konzepte zur Beseitigung von Problemen entwickelt werden. Ein standardisiertes Erhebungsinstrument für alle Aspekte der Funktionsfähigkeit fehlte jedoch bisher.


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