Impact of the Safe Childbirth Checklist on Health Worker Childbirth Practices in Luapula Province of Zambia
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 159
- Locations
- 4
- Primary Endpoint
- Change in the average proportion of observed, SCC tasks completed per birth from selected task list
Study Overview
Brief Summary
This study would like to determine if the introduction of the Safe Childbirth Checklist and associated mentorship can improve the adherence of skilled birth attendants (SBAs) to the essential practices of childbirth delivery.
Detailed Description
This study will use a pre-post study design to measure health worker adherence to the essential practices for delivery care outlined in the Safe Childbirth Checklist (SCC). The intervention, including the introduction of the SCC and mentorship visits to support uptake, will be tested in four purposively selected health facilities in Nchelenge District, Luapula Province of Zambia. Since the essential delivery care practices outlined in the SCC are evidence-based practices broadly accepted to support positive clinical outcomes for mothers and infants, this evaluation will focus on adherence to the checklist rather than on patient outcomes. Data will be collected through observations of skilled birth attendants assisting with childbirth delivery before the start of the intervention and again at 3 months and 6 months post-intervention. A health worker questionnaire will be administered at the time that the SCC is introduced and six months later to gather their perspectives on incorporating the SCC into clinical practice in Zambia.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •For facility observations, all consecutive deliveries will be observed. If a pregnant woman or health worker declines to participate in the consent process, no observations will be recorded.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in the average proportion of observed, SCC tasks completed per birth from selected task list
Time Frame: Through study completion, an average of 6 months
Numerator: Count of SCC tasks observed and completed for each delivery, according to the specifications for data collection outlined in the data collection procedures Denominator: Count of potential SCC items observed
Secondary Outcomes
- Feedback of health workers in participating facilities on SCC implementation(6 months)
- Characteristics of health workers participating in facility-level SCC training(Baseline)
- Feedback of health workers participating in facility-level SCC training(Baseline)