Show simple item record

dc.contributor.authorTuyishime, Eugeneen_US
dc.contributor.authorPark, Paul H.en_US
dc.contributor.authorRouleau, Dominiqueen_US
dc.contributor.authorLivingston, Patriciaen_US
dc.contributor.authorBanguti, Paulin Ruhatoen_US
dc.contributor.authorWong, Rexen_US
dc.date.accessioned2018-05-30T17:01:44Z
dc.date.issued2018en_US
dc.identifier.citationTuyishime, Eugene, Paul H. Park, Dominique Rouleau, Patricia Livingston, Paulin Ruhato Banguti, and Rex Wong. 2018. “Implementing the World Health Organization safe childbirth checklist in a district Hospital in Rwanda: a pre- and post-intervention study.” Maternal Health, Neonatology and Perinatology 4 (1): 7. doi:10.1186/s40748-018-0075-3. http://dx.doi.org/10.1186/s40748-018-0075-3.en
dc.identifier.issnen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:37067710
dc.description.abstractBackground: Worldwide maternal mortality remains high, with approximately 830 maternal deaths occurring each day. About 90% of these deaths occur in low-income countries. Evidenced-based essential birth practices administered during routine obstetrical care and childbirth are key to reducing maternal and neonatal deaths. The WHO Safe Childbirth Checklist (SCC) is a low-cost tool designed to ensure birth attendants perform 29 essential birth practices (EBP) at four critical periods in the birth continuum. This study aimed to evaluate compliance with EBP in Masaka District Hospital both before and after the implementation of the WHO-SCC. Methods: This quality improvement project took place in the Masaka District Hospital in Rwanda. Observations of the 29 EBPs were done before and after WHO SCC implementation. The implementation process consisted of providing training in the use of the checklist to all clinical staff and posting SCC posters at different locations in the maternity unit. Results: A total 391 birth events were observed pre-intervention and 389 post-intervention. The overall EBP compliance rate increased from 46% pre-intervention to 56% post-intervention (P = 0.005). Significant improvements were seen in 11 out of 29 EBPs. Conclusion: The implementation of the WHO SCC improved the overall EBP compliance rate in Masaka District Hospital. Determining the root cause of low compliance rate of some EBP may allow for more successful implementation of EBP interventions in the future. After further study, the SCC should be considered for scale up.en
dc.language.isoen_USen
dc.publisherBioMed Centralen
dc.relation.isversionofdoi:10.1186/s40748-018-0075-3en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883338/pdf/en
dash.licenseLAAen_US
dc.subjectQuality improvementen
dc.subjectEssential birth practiceen
dc.subjectWHO safe childbirth checklisten
dc.subjectEvidence-baseden
dc.subjectMaternal mortalityen
dc.subjectChild mortalityen
dc.subjectRwandaen
dc.titleImplementing the World Health Organization safe childbirth checklist in a district Hospital in Rwanda: a pre- and post-intervention studyen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalMaternal Health, Neonatology and Perinatologyen
dash.depositing.authorPark, Paul H.en_US
dc.date.available2018-05-30T17:01:44Z
dc.identifier.doi10.1186/s40748-018-0075-3*
dash.contributor.affiliatedPark, Paul


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record