ArticlePilot and feasibility studies2020
Feasibility study on the adoption of the WHO safe childbirth checklist by front-line healthcare providers and managers in Burkina Faso and Côte d'Ivoire.
Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Implementing the WHO Safe Childbirth Checklist modified for preterm birth: lessons learned and experiences from Kenya and Uganda.BMC health services research · 2022Trial
- Exploring change mechanisms of implementation strategies for providing guideline-adherent care by interprofessional teams in inpatient settings: a realist synthesis.Implementation science : IS · 2026Article
- Adapting the WHO Safe Childbirth Checklist: A collaborative study in West Africa.Journal of public health in Africa · 2025Article
- Barriers to implementing the WHO Safe Childbirth Checklist in maternity hospitals, Brazil.Revista de saude publica · 2025Article
- Exploring barriers and drivers to a modified WHO safe childbirth checklist implementation in three West African countries: a qualitative study using the updated consolidated framework for implementation research.Frontiers in health services · 2025Article
- Barriers and facilitators for implementing the WHO Safe Childbirth Checklist (SCC) in Mozambique: A qualitative study using the Consolidated Framework for Implementation Research (CFIR).PLOS global public health · 2024Article
- Factors Contributing to Rapidly Increasing Rates of Caesarean Section in Andhra Pradesh, India: A Case-Control Study.Cureus · 2023Article
- 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.BMC public health · 2021Article
- Adaptation and implementation of the WHO Safe Childbirth Checklist around the world.Implementation science communications · 2021Article
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Authors and funding
8 authors.
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Abstract
backgroundThe World Health Organization Safe Childbirth Checklist tool was specifically designed for developing countries such as sub-Saharan African countries, to ensure safety and security of the couple mother and newborn around the time of childbirth. However, the implementation of the Safe Childbirth Checklist tool requires a good knowledge of the context setting to face challenges. Our study objectives were (1) to assess the acceptability of the WHO SCC tool and (2) to identify conditions and strategies for a better introduction and use of the WHO SSC tool.
methodsThis was a pilot multi-country study conducted from January to March 2019 in Burkina Faso and Côte d'Ivoire, respectively, in the health regions of central-North and Agnéby-Tiassa-Mé. In each health region, 5 health facilities of different levels within the health system pyramid were selected through a purposive sampling. The study was conducted in 2 phases: 38 healthcare providers and 15 managers were first trained to use the Safe Childbirth Checklist tool; secondly, the trained providers were allowed to use the tool in real-life conditions for 2 weeks. Then, semi-structured interviews were conducted among healthcare providers and managers. The topics covered by the interview guides were acceptability of the tool, barriers and facilitators to its use, as well as strategies for better introduction and use within the healthcare system. Analysis was carried out using the Nvivo 12 software.
resultsRespondents reported an overall good acceptance of using the tool. However, they suggested minor content adaptation. The design of the tool and increased workload were the main barriers to its use. Potential facilitators to its introduction were managers' commitment, healthcare providers' motivation, and the availability of supplies. The best strategies for optimal use were its attachment to existing tool such as partograph or/and its display in the maternity ward.
conclusionsThe findings showed that the implementation of the Safe Childbirth Checklist tool is acceptable in Burkina Faso and Côte d'Ivoire. These findings are important and will help to design a trial aiming at assessing the effectiveness of the tool WHO SCC tool in these two countries.
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