Healthcare providers factors influencing the uptake of WHO modified safe child birth checklist in management of pre-term births among healthcare workers in Migori County, Kenya

Authors

  • Priscah Lihanda Department of Epidemiology and Biostatistics, Mount Kenya University (MKU), Thika, Kenya
  • Esther Muitta School of Public Health, Murang’a University of Technology (MUT), Murang'a, Kenya
  • Faith Muhonja Department of Epidemiology and Biostatistics, Amref International University- Nairobi. Kenya

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240253

Keywords:

Safe child birth, Public health facilities, Pregnancy-related deaths, Preterm births, Modified safe child birth checklist

Abstract

Background: The World Health Organization introduced the safe childbirth checklist in 2015 to address high rates of maternal mortality and preterm deliveries. The checklist varies based on geography and socioeconomic position. Healthcare professionals in developing nations lag behind those in developed nations, with less than sixty percent using the checklist routinely in African nations.

Methods: Analytical cross-sectional study design was used and 140 participants in the selected public health facilities in Migori County, Kenya. Data was collected using administered structured questionnaire, and Key Informant Interview. Quantitative data analysis was conducted using SPSS version 26.0 and involved univariate and bivariate analysis. Bivariate analysis was done through logistic regression was used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis.

Results: Almost three-quarter of respondents 100 (71.4%) use the WHO safe childbirth checklist, with 80 (78.4%) of nursing officers and 22 (75.9%) of respondents aged between 40-49 years had higher uptake of WHO modified safe childbirth checklist. Cadre (ꭓ2=9.030; df 1; p=0.003), understanding what mSCCL is all about (p=0.0001), aware mSCCL is available in maternity unit (p=0.0001), and understanding the pause points in the mSCCL (p=0.006) were significantly associated with uptake of WHO modified safe childbirth checklist.

Conclusions: Healthcare institutions should prioritize comprehensive training programs on the mSCCL, incorporating peer-led initiatives and experienced healthcare workers for practical insights and shared experiences.

References

World Health Organization. WHO safe childbirth checklist collaboration: Evaluation report. World Heal Organ Libr. 2018;36(24):611-786.

Jhpiego. Saving babies’ lives: a simple checklist is making a remarkable difference in the labour rooms of Rajasthan. Public Heal Found India. 2016;82(27):600-608.

Nghifikwa J. Assessment of quality of midwifery care during labour at maternity departments of intermediate and referral hospital in Namibia. Reprod Health. 2021;131(42):992-8.

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 Heal Sci Pract. 2018;5(2):217-231.

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.

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 Preg Childb. 2017;17(1):1-10.

Perry WR, Nejad SB, Tuomisto K, Kara N, Roos N, Dilip TR, et al. Implementing the WHO safe childbirth checklist: lessons from a global collaboration. BMJ Glob Heal. 2017;2(3):1-7.

Maisonneuve JJ, Semrau KE, Maji P, Pratap Singh V, Miller KA, Solsky I, et al. Effectiveness of a WHO safe childbirth checklist coaching-based intervention on the availability of essential birth supplies in Uttar Pradesh, India. Int J Qual Heal Care. 2018;30(10):769-77.

Semrau KE, Hirschhorn LR, Marx Delaney M, Singh VP, Saurastri R, Sharma N, et al. Outcomes of a coaching-based WHO safe childbirth checklist program in India. N Engl J Med. 2017;377(24):2313-24.

Molina RL, Benski A-C, Bobanski L, Tuller DE, Semrau KEA. Adaptation and implementation of the WHO safe childbirth checklist around the world. Implement Sci Commun. 2021;2(1):1-10.

Mathai M, Oyieyo DM. Implementing the WHO Safe Childbirth Checklist: Lessons from a global collaboration. BMJ Glob Heal. 2017;2(3):1-7.

Odundo DA, Murila F, Wamalwa D. Efficacy of a discharge checklist for neonates in reducing neonatal morbidity and mortality. Afr J Online. 2021;98(1):579-584.

Semrau KE, Miller KA, Lipsitz S, Fisher-Bowman J, Karlage A, Neville BA, et al. Does adherence to evidence-based practices during childbirth prevent perinatal mortality? A post-hoc analysis of 3,274 births in Uttar Pradesh, India. BMJ Glob Heal. 2020;5(9):e002268.

Singh V, Saurastri R, Sharma N, Semrau K, Hirschhorn LR, Megan MD. Outcomes of a coaching-based WHO safe childbirth checklist program in India. N Engl J Med. 2017;377(24):2313-24.

Roberts JP, Fisher TR, Trowbridge MJ, Bent C. A design thinking framework for healthcare management and innovation. Heal. 2016;4(1):11-4.

Semrau KE, Hirschhorn LR, Marx Delaney M, Singh VP, Saurastri R, Sharma N, et al. Outcomes of a coaching-based WHO safe childbirth checklist program in India. N Engl J Med. 2017;377(24):2313-24.

Dearing JW, Cox JG. Diffusion of innovations theory, principles, and practice. Health Aff. 2018;37(2):183-190.

Keith RE, Crosson JC, O’Malley AS, Cromp DA, Taylor EF. Using the Consolidated Framework for Implementation Research (CFIR) to produce actionable findings: A rapid-cycle evaluation approach to improving implementation. Implement Sci. 2017;12(1):1-12.

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Published

2024-01-31

How to Cite

Lihanda, P., Muitta, E., & Muhonja, F. (2024). Healthcare providers factors influencing the uptake of WHO modified safe child birth checklist in management of pre-term births among healthcare workers in Migori County, Kenya. International Journal Of Community Medicine And Public Health, 11(2), 671–677. https://doi.org/10.18203/2394-6040.ijcmph20240253

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Original Research Articles