Evidence map›Paper›PMID 30021547›Full record

Observational studyBMC public health2018

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

Sandra Mudhune, Sydney Chauwa Phiri, Marta R Prescott, Elizabeth A McCarthy, Aaron Banda, Prudence Haimbe, Francis Dien Mwansa, Angel Mwiche, Francis Bwalya, Micheck Kabamba and 2 more

Registry-linked trialAbstract readClinical Trial ProtocolObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03263182 (Impact of the Safe Childbirth Checklist on Health Worker Childbirth Practices in Luapula Province of Zambia), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03263182 completednot on this map

Impact of the Safe Childbirth Checklist on Health Worker Childbirth Practices in Luapula Province of Zambia

TypeobservationalSponsorClinton Health Access Initiative Inc.Ran2017 to 2018Enrolled159ConditionsMaternal Death, Newborn DeathArmsIntroduction of the Safe Childbirth Checklist
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
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

12 authors.

Sandra MudhuneClinton Health Access Initiative, PO Box 51071, Ridgeway, Lusaka, Zambia. smudhune@clintonhealthaccess.org.ORCID 0000-0001-9899-4821
Sydney Chauwa PhiriClinton Health Access Initiative, PO Box 51071, Ridgeway, Lusaka, Zambia.
Marta R PrescottClinton Health Access Initiative, Boston, USA.
Elizabeth A McCarthyClinton Health Access Initiative, Boston, USA.
Aaron BandaClinton Health Access Initiative, PO Box 51071, Ridgeway, Lusaka, Zambia.
Prudence HaimbeClinton Health Access Initiative, PO Box 51071, Ridgeway, Lusaka, Zambia.
Francis Dien MwansaMinistry of Health, Lusaka, Zambia.
Angel MwicheMinistry of Health, Lusaka, Zambia.
Francis BwalyaMinistry of Health, Lusaka, Zambia.
Micheck KabambaMinistry of Health, Lusaka, Zambia.
Hilda ShakweleleClinton Health Access Initiative, PO Box 51071, Ridgeway, Lusaka, Zambia.
Margaret L PrustClinton Health Access Initiative, Boston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA 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.

methodsThis 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 registrationClinical Trials.gov ( NCT03263182 ) Registered August 28, 2017.

Indexed as

ChecklistDelivery, ObstetricGuideline AdherenceHealth PersonnelFemaleHumansInfant HealthInfant, NewbornMaternal HealthMentoringPatient SafetyPregnancySurveys and QuestionnairesZambiaMaternal healthNewborn healthWHO Safe Childbirth Checklist

Identifiers

PMID30021547
PMCPMC6052582

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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.