Evidence map›Paper›PMID 36832384›Full record

ArticleChildren (Basel, Switzerland)2023

"Safer Births Bundle of Care" Implementation and Perinatal Impact at 30 Hospitals in Tanzania-Halfway Evaluation.

Hege Ersdal, Paschal Mdoe, Estomih Mduma, Robert Moshiro, Godfrey Guga, Jan Terje Kvaløy, Felix Bundala, Boniphace Marwa, Benjamin Kamala

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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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

10 citing papers in PubMed.

  1. Healthcare simulation and contextually relevant primary care training curricula in Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
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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

9 authors.

Hege ErsdalDepartment of Anesthesia, Stavanger University Hospital, 4011 Stavanger, Norway.
Paschal MdoeHaydom Lutheran Hospital, Haydom 9000, Tanzania.
Estomih MdumaHaydom Lutheran Hospital, Haydom 9000, Tanzania.ORCID 0000-0002-9401-3982
Robert MoshiroSchool of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam 65001, Tanzania.
Godfrey GugaHaydom Lutheran Hospital, Haydom 9000, Tanzania.ORCID 0000-0002-6444-5311
Jan Terje KvaløyDepartment of Mathematics and Physics, University of Stavanger, 4021 Stavanger, Norway.ORCID 0000-0002-8829-6250
Felix BundalaReproductive and Child Health Section, Ministry of Health, Dodoma 743, Tanzania.
Boniphace MarwaDepartment of Health, President's Office Regional Authority and Local Government, Dodoma 1923, Tanzania.
Benjamin KamalaHaydom Lutheran Hospital, Haydom 9000, Tanzania.ORCID 0000-0002-8969-2685

Funding

World Bank, Global Financing Facility for Women, Children, and Adolescents TZA/PCA202066/HPD2020107
6 · The paper itself

Abstract

Safer Births Bundle of Care (SBBC) consists of innovative clinical and training tools for improved labour care and newborn resuscitation, integrated with new strategies for continuous quality improvement. After implementation, we hypothesised a reduction in 24-h newborn deaths, fresh stillbirths, and maternal deaths by 50%, 20%, and 10%, respectively. This is a 3-year stepped-wedged cluster randomised implementation study, including 30 facilities within five regions in Tanzania. Data collectors at each facility enter labour and newborn care indicators, patient characteristics and outcomes. This halfway evaluation reports data from March 2021 through July 2022. In total, 138,357 deliveries were recorded; 67,690 pre- and 70,667 post-implementations of SBBC. There were steady trends of increased 24-h newborn and maternal survival in four regions after SBBC initiation. In the first region, with 13 months of implementation (

Indexed as

fresh stillbirthshelping babies breathehelping mothers survivematernal mortalitynewborn mortalitynewborn resuscitationperinatal mortalityquality improvementsafer birthssimulation-based training

Identifiers

PMID36832384
PMCPMC9955319

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Registered trials

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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.