Evidence map›Paper›PMID 30849300›Full record

ArticleGlobal health action2019

Evaluation of the Safe Care, Saving Lives (SCSL) quality improvement collaborative for neonatal health in Telangana and Andhra Pradesh, India: a study protocol.

Claudia Hanson, Karen Zamboni, Vikrant Prabhakar, Ajitkumar Sudke, Rajan Shukla, Mukta Tyagi, Samiksha Singh, Joanna Schellenberg

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global health action, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  7. 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

8 authors at 3 institutions in 3 countries.

Claudia Hansona Department of Disease Control , London School of Hygiene and Tropical Medicine , London , UK.
Karen Zambonia Department of Disease Control , London School of Hygiene and Tropical Medicine , London , UK.
Vikrant Prabhakarc Department of Community Medicine , Adesh Medical College and Hospital , Kurukshetra , India.
Ajitkumar Sudked ACCESS Health International , Hyderabad , India.
Rajan Shuklae Public Health Foundation of India , Kavuri Hills, Madhapur , Hyderabad , India.ORCID 0000-0002-1958-7396
Mukta Tyagie Public Health Foundation of India , Kavuri Hills, Madhapur , Hyderabad , India.ORCID 0000-0001-9821-934X
Samiksha Singhe Public Health Foundation of India , Kavuri Hills, Madhapur , Hyderabad , India.
Joanna Schellenberga Department of Disease Control , London School of Hygiene and Tropical Medicine , London , UK.
Public Health Foundation of India · INLondon School of Hygiene & Tropical Medicine · GBKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe collaborative quality improvement approach proposed by the Institute for Healthcare Improvement has the potential to improve coverage of evidence-based maternal and newborn health practices. The Safe Care, Saving Lives initiative supported the implementation of 20 evidence-based maternal and newborn care practices, targeting labour wards and neonatal care units in 85 public and private hospitals in Telangana and Andhra Pradesh, India.

objectiveWe present a protocol for the evaluation of this programme which aims to (a) estimate the effect of the initiative on evidence-based care practices and mortality; (b) evaluate the mechanisms leading to changes in adherence to evidence-based practices, and their relationship with contextual factors; (c) explore the feasibility of scaling-up the approach.

methodsThe mixed-method evaluation is based on a plausibility design nested within a phased implementation. The 29 non-randomly selected hospitals comprising wave II of the programme were compared to the 31 remaining hospitals where the quality improvement approach started later. We assessed mortality and adherence to evidence-based practices at baseline and endline using abstraction of registers, checklists, observations and interviews in intervention and comparison hospitals. We also explored the mechanisms and drivers of change in adherence to evidence-based practices. Qualitative methods investigated the mechanisms of change in purposefully selected case study hospitals. A readiness assessment complemented the analysis of what works and why. We used a difference-in-difference approach to estimate the effects of the intervention on mortality and coverage. Thematic analysis was used for the qualitative data. DISCUSSION: This is the first quality improvement collaborative targeting neonatal health in secondary and tertiary hospitals in a middle-income country linked to a government health insurance scheme. Our process evaluation is theory driven and will refine hypotheses about how this quality improvement approach contributes to institutionalization of evidence-based practices.

Indexed as

Cooperative BehaviorEvidence-Based PracticeFemaleHumansIndiaInfant, NewbornInterinstitutional RelationsMaternal Health ServicesMaternal MortalityPerinatal MortalityPregnancyQuality ImprovementCollaborative quality improvementevidence-based practicesimplementation scienceIndianeonatal mortalityperinatal healthstillbirth

Identifiers

PMID30849300
PMCPMC6419630
OpenAlexW2922420476

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.