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Impact of the Safe Childbirth Checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study

BACKGROUND: A strong evidence base exists regarding routine and emergency services that can effectively prevent or reduce maternal and new-born mortality. However, even when skilled providers care for women in labour, many of the recommended services are not provided, despite being available. Barrie...

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Autores principales: Mudhune, Sandra, Phiri, Sydney Chauwa, Prescott, Marta R., McCarthy, Elizabeth A., Banda, Aaron, Haimbe, Prudence, Mwansa, Francis Dien, Mwiche, Angel, Bwalya, Francis, Kabamba, Micheck, Shakwelele, Hilda, Prust, Margaret L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052582/
https://www.ncbi.nlm.nih.gov/pubmed/30021547
http://dx.doi.org/10.1186/s12889-018-5813-y
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author Mudhune, Sandra
Phiri, Sydney Chauwa
Prescott, Marta R.
McCarthy, Elizabeth A.
Banda, Aaron
Haimbe, Prudence
Mwansa, Francis Dien
Mwiche, Angel
Bwalya, Francis
Kabamba, Micheck
Shakwelele, Hilda
Prust, Margaret L.
author_facet Mudhune, Sandra
Phiri, Sydney Chauwa
Prescott, Marta R.
McCarthy, Elizabeth A.
Banda, Aaron
Haimbe, Prudence
Mwansa, Francis Dien
Mwiche, Angel
Bwalya, Francis
Kabamba, Micheck
Shakwelele, Hilda
Prust, Margaret L.
author_sort Mudhune, Sandra
collection PubMed
description BACKGROUND: A strong evidence base exists regarding routine and emergency services that can effectively prevent or reduce maternal and new-born mortality. However, even when skilled providers care for women in labour, many of the recommended services are not provided, despite being available. Barriers to the provision of appropriate childbirth services may include lack of availability of supplies, limited health worker knowledge and confidence, or inadequate time. The WHO Safe Childbirth Checklist (SCC) includes reminders for evidenced-based practices at specific points in the childbirth process. Zambia is currently considering nation-wide adoption of the SCC, but there is a need for context-specific evidence. Beginning in September 2017, a program is being implemented in Nchelenge District to pilot use of the SCC, along with coaching that focuses on strengthening the systems that allow the essential practices in childbirth to be performed. METHODS: This study will use a pre-post study design to measure health worker adherence to the essential practices for delivery care outlined in the SCC. Data will be collected through observations of health workers as they care for mothers during childbirth at four facilities. Data collection will take place before the start of the intervention, at 3 months, and at 6 months post-intervention. The primary outcome interest is the change in the average proportion of essential childbirth practices completed. A health worker questionnaire will be administered at the time that the SCC is introduced and 6 months later to gather their perspectives on incorporating the SCC into clinical practice in Zambia. DISCUSSION: Findings are expected to inform plans for introducing the SCC in Zambia. This evaluation will aim to understand uptake and impact of the SCC and associated coaching in the context of a basic level of mentorship that the government could feasibly provide at a national scale. TRIAL REGISTRATION: Clinical Trials.gov (NCT03263182) Registered August 28, 2017.
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spelling pubmed-60525822018-07-20 Impact of the Safe Childbirth Checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study Mudhune, Sandra Phiri, Sydney Chauwa Prescott, Marta R. McCarthy, Elizabeth A. Banda, Aaron Haimbe, Prudence Mwansa, Francis Dien Mwiche, Angel Bwalya, Francis Kabamba, Micheck Shakwelele, Hilda Prust, Margaret L. BMC Public Health Study Protocol BACKGROUND: A strong evidence base exists regarding routine and emergency services that can effectively prevent or reduce maternal and new-born mortality. However, even when skilled providers care for women in labour, many of the recommended services are not provided, despite being available. Barriers to the provision of appropriate childbirth services may include lack of availability of supplies, limited health worker knowledge and confidence, or inadequate time. The WHO Safe Childbirth Checklist (SCC) includes reminders for evidenced-based practices at specific points in the childbirth process. Zambia is currently considering nation-wide adoption of the SCC, but there is a need for context-specific evidence. Beginning in September 2017, a program is being implemented in Nchelenge District to pilot use of the SCC, along with coaching that focuses on strengthening the systems that allow the essential practices in childbirth to be performed. METHODS: This study will use a pre-post study design to measure health worker adherence to the essential practices for delivery care outlined in the SCC. Data will be collected through observations of health workers as they care for mothers during childbirth at four facilities. Data collection will take place before the start of the intervention, at 3 months, and at 6 months post-intervention. The primary outcome interest is the change in the average proportion of essential childbirth practices completed. A health worker questionnaire will be administered at the time that the SCC is introduced and 6 months later to gather their perspectives on incorporating the SCC into clinical practice in Zambia. DISCUSSION: Findings are expected to inform plans for introducing the SCC in Zambia. This evaluation will aim to understand uptake and impact of the SCC and associated coaching in the context of a basic level of mentorship that the government could feasibly provide at a national scale. TRIAL REGISTRATION: Clinical Trials.gov (NCT03263182) Registered August 28, 2017. BioMed Central 2018-07-18 /pmc/articles/PMC6052582/ /pubmed/30021547 http://dx.doi.org/10.1186/s12889-018-5813-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Mudhune, Sandra
Phiri, Sydney Chauwa
Prescott, Marta R.
McCarthy, Elizabeth A.
Banda, Aaron
Haimbe, Prudence
Mwansa, Francis Dien
Mwiche, Angel
Bwalya, Francis
Kabamba, Micheck
Shakwelele, Hilda
Prust, Margaret L.
Impact of the Safe Childbirth Checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study
title Impact of the Safe Childbirth Checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study
title_full Impact of the Safe Childbirth Checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study
title_fullStr Impact of the Safe Childbirth Checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study
title_full_unstemmed Impact of the Safe Childbirth Checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study
title_short Impact of the Safe Childbirth Checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study
title_sort impact of the safe childbirth checklist on health worker childbirth practices in luapula province of zambia: a pre-post study
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052582/
https://www.ncbi.nlm.nih.gov/pubmed/30021547
http://dx.doi.org/10.1186/s12889-018-5813-y
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