Implementing a Modified World Health Organization Safe Childbirth Checklist in Health Centers of Ethiopia: a Pre and Post Intervention Study

Overview

Journal BMC Pregnancy Childbirth

Publisher Biomed Central

Specialty Gynecology & Obstetrics

Date 2021 Jan 23

PMID 33482762

Citations 4

Authors

Hailemariam Segni Abawollo

Zergu Tafesse Tsegaye

Binyam Fekadu Desta

Tsega Teferi Mamo

Haregewoin Getachew Mamo

Zebyderu Tesfay Mehari

Zenawork Kassa Gebremedhin

Ismael Ali Beshir

Affiliations

Soon will be listed here.

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.

Citing Articles

Barriers and facilitators for implementing the WHO Safe Childbirth Checklist (SCC) in Mozambique: A qualitative study using the Consolidated Framework for Implementation Research (CFIR).

He A, Kanduma E, Perez-Escamilla R, Buckshee D, Chaquisse E, Cuco R PLOS Glob Public Health. 2024; 4(9):e0003174.

PMID: 39236014 PMC: 11376584. DOI: 10.1371/journal.pgph.0003174.

Impact of the WHO Safe Childbirth Checklist on safety culture among health workers: A randomized controlled trial in Aceh, Indonesia.

Kaplan L, Richert K, Hulsen V, Diba F, Marthoenis M, Muhsin M PLOS Glob Public Health. 2023; 3(6):e0001801.

PMID: 37327202 PMC: 10275423. DOI: 10.1371/journal.pgph.0001801.

Impact of the implementation of the WHO Safe Childbirth Checklist on essential birth practices and adverse events in two Brazilian hospitals: a before and after study.

Sousa K, Saturno-Hernandez P, Rosendo T, Freitas M, Molina R, Medeiros W BMJ Open. 2022; 12(3):e056908.

PMID: 35288391 PMC: 8921924. DOI: 10.1136/bmjopen-2021-056908.

The WHO safe childbirth checklist after 5 years: future directions for improving outcomes.

Molina R, Bobanski L, Dhingra-Kumar N, Moran A, Taha A, Kumar S Lancet Glob Health. 2022; 10(3):e324-e325.

PMID: 35180407 PMC: 8864300. DOI: 10.1016/S2214-109X(21)00556-8.

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