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
Tóm tắt
The 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. This 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. Respondents 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. The 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.
Tài liệu tham khảo
WHO checklist targets major causes of maternal and newborn deaths in health facilities . Available from: https://www.who.int/news-room/detail/04-12-2015-who-checklist-targets-major-causes-of-maternal-and-newborn-deaths-in-health-facilities. Accessed 25 Apr 2019.
World Health Organization, UNICEF, United Nations, Department of Economic and Social Affairs, Population Division, World Bank. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Available from: http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/. Accessed 10 Apr 2019.
Bullough C, Meda N, Makowiecka K, Ronsmans C, Achadi EL, Hussein J. REVIEW: current strategies for the reduction of maternal mortality. BJOG Int J Obstet Gynaecol. 2005;112(9):1180–8.
Ekirapa-Kiracho E, Waiswa P, Rahman MH, Makumbi F, Kiwanuka N, Okui O, et al. Increasing access to institutional deliveries using demand and supply side incentives: early results from a quasi-experimental study. BMC Int Health Hum Rights. 2011;11(Suppl 1):S11.
Spector JM, Lashoher A, Agrawal P, Lemer C, Dziekan G, Bahl R, et al. Designing the WHO safe childbirth checklist program to improve quality of care at childbirth. Int J Gynecol Obstet. 2013;122(2):164–8.
Praxedes AD, Arrais L, Araújo MA, Silva EM, Gama ZA, Freitas MR. Avaliação da adesão à Lista de Verificação de Segurança no Parto em uma maternidade pública no Nordeste do Brasil. Cad Saúde Pública. 2017;33(10):e00034516.
Patabendige M, Senanayake H. Implementation of the WHO safe childbirth checklist program at a tertiary care setting in Sri Lanka: a developing country experience. BMC Pregnancy Childbirth. 2015;15(1):12.
Perry W, Bagheri Nejad S, Tuomisto K, Kara N, Roos N, Dilip T, et al. Implementing the WHO safe childbirth checklist: lessons from a global collaboration. BMJ Glob Health. 2017;2(3):e000241.
Kabongo L, Gass J, Kivondo B, Kara N, Semrau K, Hirschhorn LR. Implementing the WHO safe childbirth checklist: lessons learnt on a quality improvement initiative to improve mother and newborn care at Gobabis District hospital, Namibia. BMJ Open Qual. 2017;6(2):e000145.
Spector JM, Agrawal P, Kodkany B, Lipsitz S, Lashoher A, Dziekan G, et al. Improving quality of care for maternal and newborn health: prospective pilot study of the WHO safe childbirth checklist program. PLoS One. 2012;7(5):e35151.
Tuyishime E, Park PH, Rouleau D, Livingston P, Banguti PR, Wong R. Implementing the World Health Organization safe childbirth checklist in a district Hospital in Rwanda: a pre- and post-intervention study. Matern Health Neonatol Perinatol. 2018;4.
Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, et al. How we design feasibility studies. Am J Prev Med mai. 2009;36(5):452–7.
Sidani S, Epstein DR, Bootzin RR, Moritz P, Miranda J. Assessment of preferences for treatment: validation of a measure. Res Nurs Health. 2009;32(4):419–31.
Arain M, Campbell MJ, Cooper CL, Lancaster GA. What is a pilot or feasibility study? A review of current practice and editorial policy. BMC Med Res Methodol. 2010;10(1):67.
Orsmond GI, Cohn ES. The distinctive features of a feasibility study: objectives and guiding questions. OTJR Occup Particip Health. 2015;35(3):169–77.
Sekhon M, Cartwright M, Francis JJ. Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res. 2017;17(1):88.
Chaillet N, Dubé E, Dugas M, Audibert F, Tourigny C, Fraser WD, et al. Evidence-based strategies for implementing guidelines in obstetrics: a systematic review. Obstet Gynecol. 2006;108(5):1234–45.
Fischer F, Lange K, Klose K, Greiner W, Kraemer A. Barriers and strategies in guideline implementation—a scoping review. Healthcare. 2016;4(3):36.
Delaney MM, Maji P, Kalita T, Kara N, Rana D, Kumar K, et al. Improving adherence to essential birth practices using the WHO safe childbirth checklist with peer coaching: experience from 60 public health facilities in Uttar Pradesh. India Glob Health Sci Pract. 2017;5(2):217–31.
Mondiale dela Santé O. Liste OMS de contrôle pour la sécurité de l’accouchement, guide de mise en oeuvre: améliorer la qualité de l’accouchement en établissement de soins pour les mères et les nouveau-nés. 2016. Available from https://apps.who.int/iris/bistream/handle/10665/206538/9789242549454_fre.pdf. Accessed 10 Apr 2019.
Kumar S, Yadav V, Balasubramaniam S, Jain Y, Joshi CS, Saran K, et al. Effectiveness of the WHO SCC on improving adherence to essential practices during childbirth, in resource constrained settings. BMC Pregnancy Childbirth. 2016;16(1):345.
Kumari S, Panicker R, Jayaram A, Dumka N, Sharma S, Singhal V, et al. Evaluation of the safe childbirth checklist program in Rajasthan, India: the how and what of the evaluation efforts. J Public Health Dev Ctries. 2016;2(2):212–22.
Mudhune S, Phiri SC, Prescott MR, McCarthy EA, Banda A, Haimbe P, et al. Impact of the safe childbirth checklist on health worker childbirth practices in Luapula province of Zambia: a pre-post study. BMC Public Health. 2018;18(1):892.
Nababan HY, Islam R, Mostari S, Tariqujjaman M, Sarker M, Islam MT, et al. Improving quality of care for maternal and newborn health: a pre-post evaluation of the safe childbirth checklist at a hospital in Bangladesh. BMC Pregnancy Childbirth. 2017;17(1):402.
Said Ali A, Faraag E, Mohammed M, Elmarghany Z, Helaly M, Gadallah A, et al. The safety and effectiveness of Bakri balloon in the management of postpartum hemorrhage: a systematic review. J Matern-Fetal Neonatal Med Off J Eur Assoc Perinat Med Fed Asia Ocean Perinat Soc Int Soc Perinat Obstet. 2019:1–8.
Bedwell C, Levin K, Pett C, Lavender DT. A realist review of the partograph: when and how does it work for labour monitoring? BMC Pregnancy Childbirth. 2017;17(1):31.