ArticleImplementation science communications2021
Adaptation and implementation of the WHO Safe Childbirth Checklist around the world.
Article in Implementation science communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Exploring change mechanisms of implementation strategies for providing guideline-adherent care by interprofessional teams in inpatient settings: a realist synthesis.Implementation science : IS · 2026Article
- The World Health Organization Safe Childbirth Checklist on Essential Birth Practices and Perinatal Mortality: A Meta-Analysis.JAMA network open · 2026Article
- Construction and content validation of a checklist for effective communication of nursing care to newborns.Revista brasileira de enfermagem · 2026Article
- Article
- Design approaches for developing quality checklists in healthcare organizations: A scoping review.PLOS digital health · 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
- 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
- Article
- 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
- Impact of the WHO Safe Childbirth Checklist on safety culture among health workers: A randomized controlled trial in Aceh, Indonesia.PLOS global public health · 2023Article
- Examining the variations in the implementation of interventions to address stillbirth from the national to subnational levels: experiences from Uganda.Health research policy and systems · 2022Article
- The WHO safe childbirth checklist after 5 years: future directions for improving outcomes.The Lancet. Global health · 2022Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization (WHO) published the WHO Safe Childbirth Checklist in 2015, which included the key evidence-based practices to prevent the major causes of maternal and neonatal morbidity and mortality during childbirth. We assessed the current use of the WHO Safe Childbirth Checklist (SCC) and adaptations regarding the SCC tool and implementation strategies in different contexts from Africa, Southeast Asia, Europe, and North America.
methodsThis explanatory, sequential mixed methods study-including surveys followed by interviews-of global SCC implementers focused on adaptation and implementation strategies, data collection, and desired improvements to support ongoing SCC use. We analyzed the survey results using descriptive statistics. In a subset of respondents, follow-up virtual semi-structured interviews explored how they adapted, implemented, and evaluated the SCC in their context. We used rapid inductive and deductive thematic analysis for the interviews.
resultsOf the 483 total potential participants, 65 (13.5%) responded to the survey; 55 completed the survey (11.4%). We analyzed completed responses from those who identified as having SCC implementation experience (n = 29, 52.7%). Twelve interviews were conducted and analyzed. Ninety percent of respondents indicated that they adapted the SCC tool, including adding clinical and operational items. Adaptations to structure included translation into local language, incorporation into a mobile app, and integration into medical records. Respondents reported variation in implementation strategies and data collection. The most common implementation strategies were meeting with stakeholders to secure buy-in, incorporating technical training, and providing supportive supervision or coaching around SCC use. Desired improvements included clarifying the purpose of the SCC, adding guidance on relevant clinical topics, refining items addressing behaviors with low adherence, and integrating contextual factors into decision-making. To improve implementation, participants desired political support to embed SCC into existing policies and ongoing clinical training and coaching.
conclusionAdditional adaptation and implementation guidance for the SCC would be helpful for stakeholders to sustain effective implementation.
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