Evidence map›Paper›PMID 29718354›Full record

Trial reportInternational journal for quality in health care : journal of the International Society for Quality in Health Care2018

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

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 and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02148952 (A Matched-pair, Cluster Randomized Trial to Measure the Efficacy of the WHO Safe Childbirth Checklist Program on Severe Maternal, Fetal and Newborn Harm), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02148952 nacompletednot on this map

A Matched-pair, Cluster Randomized Trial to Measure the Efficacy of the WHO Safe Childbirth Checklist Program on Severe Maternal, Fetal and Newborn Harm

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2014 to 2017Enrolled157,689ConditionsMaternal Death, Maternal Morbidity, Stillbirth, Neonatal DeathArmsWHO Safe Childbirth Checklist Program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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  8. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jenny J MaisonneuveAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Katherine E A SemrauAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Pinki MajiPopulation Services International, Lucknow, Uttar Pradesh, India.
Vinay Pratap SinghPopulation Services International, Lucknow, Uttar Pradesh, India.
Kate A MillerAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Ian SolskyAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Neeraj DixitPopulation Services International, Lucknow, Uttar Pradesh, India.
Jigyasa SharmaDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Janaka LagooAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Natalie PanarielloAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Brandon J NealAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Tapan KalitaPopulation Services International, Lucknow, Uttar Pradesh, India.
Nabihah KaraAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Vishwajeet KumarCommunity Empowerment Lab, Lucknow, Uttar Pradesh, India.
Lisa R HirschhornDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

designMatched pair, cluster-randomized controlled trial.

settingUttar Pradesh, India.

participants120 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.

interventionsCoaching targeting implementation of Checklist with data feedback and action planning.

main outcome measuresMean supply availability by study arm; change in procurement sources for intervention sites.

resultsAt 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).

conclusionsImplementation 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 registrationClinicalTrials.gov #NCT02148952; Universal Trial Number: U1111-1131-5647.

Indexed as

ChecklistDelivery, ObstetricEquipment and SuppliesFemaleHealth FacilitiesHumansIndiaInfant, NewbornMentoringPregnancyPublic SectorQuality ImprovementWorld Health Organization

Identifiers

PMID29718354
PMCPMC6340347

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.