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

Overview

Journal Int J Qual Health Care

Publisher Oxford University Press

Specialty Health Services

Date 2018 May 3

PMID 29718354

Citations 6

Authors

Jenny J Maisonneuve

Katherine E A Semrau

Pinki Maji

Vinay Pratap Singh

Kate A Miller

Ian Solsky

Neeraj Dixit

Jigyasa Sharma

Janaka Lagoo

Natalie Panariello

Brandon J Neal

Tapan Kalita

Nabihah Kara

Vishwajeet Kumar

Lisa R Hirschhorn

Affiliations

Soon will be listed here.

Abstract

Objective: Evaluate the impact of a World Health Organization Safe Childbirth Checklist coaching-based intervention (BetterBirth Program) on availability and procurement of essential childbirth-related supplies.

Design: Matched pair, cluster-randomized controlled trial.

Setting: Uttar Pradesh, India.

Participants: 120 government-sector health facilities (60 interventions, 60 controls). Supply-availability surveys were conducted quarterly in all sites. Coaches collected supply procurement sources from intervention sites.

Interventions: Coaching targeting implementation of Checklist with data feedback and action planning.

Main Outcome Measures: Mean supply availability by study arm; change in procurement sources for intervention sites.

Results: At baseline, 6 and 12 months, the intervention sites had a mean of 20.9 (95% confidence interval (CI): 20.2-21.5); 22.4 (95% CI: 21.8-22.9) and 22.1 (95% CI:21.4-22.8) items, respectively. Control sites had 20.8 (95% CI: 20.3-21.3); 20.9 (95% CI: 20.3-21.5) and 21.7 (95% CI: 20.8-22.6) items at the same time-points. There was a small but statistically significant higher availability in intervention sites at 6 months (difference-in-difference (DID) = 1.43, P < 0.001), which was not seen by 12 months (DID = 0.37, P = 0.53). Greater difference between intervention and control sites starting in the bottom quartile of supply availability was seen at 6 months (DID = 4.0, P = 0.0002), with no significant difference by 12 months (DID = 1.5, P = 0.154). No change was seen in procurement sources with ~5% procured by patients with some rates as high as 29% (oxytocin).

Conclusions: Implementation of the BetterBirth Program, incorporating supply availability, resulted in modest improvements with catch-up by control facilities by 12 months. Supply-chain coaching may be most beneficial in sites starting with lower supply availability. Efforts are needed to reduce reliance on patient-funding for some critical medications.

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

Citing Articles

Effectiveness of the World Health Organization Safe Childbirth Checklist (WHO-SCC) in preventing poor childbirth outcomes: a study protocol for a matched-pair cluster randomized control trial.

Millogo T, Kourouma K, Diallo A, Agbre-Yace M, Balde M, Kouanda S BMC Public Health. 2021; 21(1):1652.

PMID: 34507557 PMC: 8430293. DOI: 10.1186/s12889-021-11673-0.

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

Abawollo H, Tsegaye Z, Desta B, Mamo T, Mamo H, Mehari Z BMC Pregnancy Childbirth. 2021; 21(1):77.

PMID: 33482762 PMC: 7821396. DOI: 10.1186/s12884-021-03565-3.

Does adherence to evidence-based practices during childbirth prevent perinatal mortality? A post-hoc analysis of 3,274 births in Uttar Pradesh, India.

Semrau K, Miller K, Lipsitz S, Fisher-Bowman J, Karlage A, Neville B BMJ Glob Health. 2020; 5(9).

PMID: 32928798 PMC: 7490951. DOI: 10.1136/bmjgh-2019-002268.

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

Barnhart D, Spiegelman D, Zigler C, Kara N, Marx Delaney M, Kalita T Glob Health Sci Pract. 2020; 8(1):38-54.

PMID: 32127359 PMC: 7108945. DOI: 10.9745/GHSP-D-19-00317.

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

Galvin G, Hirschhorn L, Shaikh M, Maji P, Marx Delaney M, Tuller D Matern Child Health J. 2018; 23(2):240-249.

PMID: 30430350 PMC: 6394529. DOI: 10.1007/s10995-018-2642-7.

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