Effectiveness of a WHO Safe Childbirth Checklist Coaching-based intervention on the availability of Essential Birth Supplies in Uttar Pradesh, India

Maisonneuve, Jenny; Semrau, Katherine; Maji, Pinki; Singh, Vinay Pratap; Miller, Kate; Solsky, Ian; Dixit, Neeraj S; Sharma, Jigyasa; Lagoo, Janaka; Panariello, Natalie; Neal, Brandon J.; Kalita, Tapan; Kara, Nabihah; Kumar, Vishwajeet; Hirschhorn, Lisa R.

doi:10.1093/intqhc/mzy086

Cited by 9 publications

(9 citation statements)

References 23 publications

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“…Statistically significant changes were observed in the availability of essential childbirth supplies in labor, delivery and postnatal care units a year after the introduction of the modified WHO SCC. The changes in the availability of essential childbirth supplies observed in this study are similar with the findings of another study conducted in Uttar Pradesh, India which is a comparable setup with where this study was conducted [ 14 , 15 ].…”

Section: Discussionsupporting

confidence: 88%

Implementing a modified World Health Organization safe childbirth checklist in health centers of Ethiopia: a pre and post intervention study

Abawollo¹,

Tsegaye²,

Desta³

et al. 2021

BMC Pregnancy Childbirth

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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.

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Section: Discussionsupporting

confidence: 88%

Implementing a modified World Health Organization safe childbirth checklist in health centers of Ethiopia: a pre and post intervention study

Abawollo¹,

Tsegaye²,

Desta³

et al. 2021

BMC Pregnancy Childbirth

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“…Key for this group will be the ability to connect policy with supply availability at the point of care. For example, efforts during the BetterBirth trial to improve supply availability though coaching made modest improvements (Maisonneuve et al 2018). Yet, more is required to create a procurement system that is reliable and sustainable.…”

Section: Discussionmentioning

confidence: 99%

“…During coaching sessions, nurse-coaches identified and worked with frontline staff to overcome barriers to behavior change and utilization of the SCC. One pervasive barrier was a lack of supplies (Hirschhorn et al 2015; Maisonneuve et al 2018). Of the 28 practices on the SCC, 22 require supplies, including essential drugs (e.g.…”

Section: Introductionmentioning

confidence: 99%

Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India

Galvin

Hirschhorn

Shaikh³

et al. 2018

Matern Child Health J

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Objectives Vital to implementation of the World Health Organization (WHO) Safe Childbirth Checklist (SCC), designed to improve delivery of 28 essential birth practices (EBPs), is the availability of safe birth supplies: 22 EBPs on the SCC require one or more supplies. Mapping availability of these supplies can determine the scope of shortages and need for supply chain strengthening. Methods A cross-sectional survey on the availability of functional and/or unexpired supplies was assessed in 284 public-sector facilities in 38 districts in Uttar Pradesh, India. The twenty-three supplies were categorized into three non-mutually exclusive groups: maternal (8), newborn (9), and infection control (6). Proportions and mean number of supplies available were calculated; means were compared across facility types using t-tests and across districts using a one-way ANOVA. Log-linear regression was used to evaluate facility characteristics associated with supply availability. Results Across 284 sites, an average of 16.9 (73.5%) of 23 basic childbirth supplies were available: 63.4% of maternal supplies, 79.1% of newborn supplies, and 78.7% of infection control supplies. No facility had all 23 supplies available and only 8.5% had all four medicines assessed. Significant variability was observed by facility type and district. In the linear model, facility type and distance from district hospital were significant predictors of higher supply availability. Conclusions for Practice In Uttar Pradesh, more remote sites, and primary and community health centers, were at higher risk of supply shortages. Supply chain management must be improved for facility-based delivery and quality of care initiatives to reduce maternal and neonatal harm.

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“…Other examples of how coaches addressed specific barriers can be found elsewhere. 33,38 As part of the study design, coaches did not directly provide additional technical training or coach on clinical quality but did advocate with facility leaders (lady medical officers or medical officers incharge) for additional training opportunities or engage in role playing to address ability-related barriers.…”

Section: Box Coaching Intensity Domainsmentioning

confidence: 99%

Coaching Intensity, Adherence to Essential Birth Practices, and Health Outcomes in the BetterBirth Trial in Uttar Pradesh, India

Barnhart

Spiegelman

Zigler³

et al. 2020

Glob Health Sci Pract

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Frequent coaching was associated with increased adherence to evidence-based essential birth practices among birth attendants but not with improved maternal and perinatal health outcomes in the BetterBirth Trial, which assessed the impact of a complex intervention to implement the World Health Organization's Safe Childbirth Checklist. To promote sustainable behavior change, future coaching-based interventions may need to explore cost-effective, feasible mechanisms for providing more frequent coaching delivered with high coverage among health care workers for longer durations.

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Effectiveness of a WHO Safe Childbirth Checklist Coaching-based intervention on the availability of Essential Birth Supplies in Uttar Pradesh, India

Abstract: ClinicalTrials.gov #NCT02148952; Universal Trial Number: U1111-1131-5647.

Cited by 9 publications

References 23 publications

Implementing a modified World Health Organization safe childbirth checklist in health centers of Ethiopia: a pre and post intervention study

Implementing a modified World Health Organization safe childbirth checklist in health centers of Ethiopia: a pre and post intervention study

Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India

Coaching Intensity, Adherence to Essential Birth Practices, and Health Outcomes in the BetterBirth Trial in Uttar Pradesh, India

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