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Safe birth matters: facilitators and barriers to uptake of the WHO safe childbirth checklist tool in a Tanzania Regional Hospital.
Thomas, Joycelyn; Voss, Joachim; Tarimo, Edith.
Afiliação
  • Thomas J; Family Nurse Practitioner-Board Certified, United States Afya Bora Consortium Fellow 2014 - 2015 Franciscan Medical Clinic Federal Way, WA. 98003.
  • Voss J; Program Director, Doctor of Philosophy in Nursing Program, Frances Payne Bolten School of Nursing, Case Western Reserve University.
  • Tarimo E; Muhimbili University of Health and Allied Sciences Dar Es Salaam Afya Bora Working Group Member.
Afr Health Sci ; 21(Suppl): 44-50, 2021 May.
Article em En | MEDLINE | ID: mdl-34447423
BACKGROUND: The World Health Organization (WHO) developed the Safe Birth Checklist (SCC) to facilitate best practices in safe birthing practices. The SCC is utilizing existing evidence-based WHO guidelines and recommendations which has combined those into a single and practical bedside tool. The SCC is the first checklist-based intervention to target the prevention of maternal and neonatal deaths. OBJECTIVE: The objective of this project was to pilot-test the World Health Organization Safe Childbirth Checklist with Maternity Regional Hospital in, Tanzania. STUDY DESIGN AND METHODS: Retrospective analysis on 35 charts were completed to identify presence or absence of documentation aligned with evidenced based checklist items. Staff training, end user observations and focus group discussions were utilized to elicit feedback about the tool and the process. Descriptive statistics and manual content analysis were used to analyze the rate of uptake and ownership over the checklist. The Checklist is broken down into four sections or time points (that are considered natural pause points in the care of laboring women). The four different pause points are admission, delivery, post-partum, and discharge. RESULTS: We trained 26 participants out of 32 staff how to use the SCC. Delivery time point had the lowest at SCC completion rate at 39% compared to discharge having the highest completion rate at 93%. There was variation in completion rate of the checklist items at each time point. Checklist items at the beginning of each time point were completed between 94% and 100% of the time with the latter checklist list items completed between 29% and 57% of the time. CONCLUSION: This project was able to identify facilitators and potential barriers to the successful uptake of the Safe Childbirth Checklist in Shinyanga Regional Hospital. Based on these findings, the MOH have opportunities to utilize those findings in the scale-up of the implementation of the checklist and future evaluation activities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Guias como Assunto / Fidelidade a Diretrizes / Parto Obstétrico / Lista de Checagem Tipo de estudo: Guideline / Observational_studies / Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Newborn / Pregnancy País/Região como assunto: Africa Idioma: En Revista: Afr Health Sci Assunto da revista: MEDICINA / SERVICOS DE SAUDE Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Guias como Assunto / Fidelidade a Diretrizes / Parto Obstétrico / Lista de Checagem Tipo de estudo: Guideline / Observational_studies / Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Newborn / Pregnancy País/Região como assunto: Africa Idioma: En Revista: Afr Health Sci Assunto da revista: MEDICINA / SERVICOS DE SAUDE Ano de publicação: 2021 Tipo de documento: Article