Effects of the World Health Organization Safe Childbirth Checklist on Quality of Care and Birth Outcomes in Aceh, Indonesia

Kaplan, Lennart; Ichsan, Ichsan; Diba, Farah; Marthoenis, Marthoenis; Muhsin, Muhsin; Samadi, Samadi; Richert, Katharina; Susanti, Suryane Sulistiana; Sofyan, Hizir; Vollmer, Sebastián

doi:10.1001/jamanetworkopen.2021.37168

Cited by 8 publications

(12 citation statements)

References 35 publications

(96 reference statements)

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“…Perry [ 1 ] adopted the method of adjusting, training, and supervising before the use of the list, which improved the SCC usage rate. Kaplan [ 17 ] increased the SCC utilization rates from 29 to 88% through coaching. Our team is always looking for ways to increase SCC utilization rates.…”

Section: Discussionmentioning

confidence: 99%

Application of the PDCA cycle for implementing the WHO Safe Childbirth Checklist in women with vaginal deliveries

Zhou

Mao

et al. 2023

Medicine

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The World Health Organization Safe Childbirth Checklist (SCC) has been recommended globally. However, the results are inconsistent. The aim of this study was to investigate the effectiveness of implementing the SCC based on plan-do-check-act (PDCA) cycle management. From November 2019 to October 2020, women who were hospitalized and had vaginal deliveries were enrolled in this study. Before October 2020, the PDCA cycle was not applied for the SCC, and women who had vaginal deliveries were included in the pre-intervention group. From January 2021 to December 2021, the PDCA cycle was applied for the SCC, and women who had vaginal deliveries were included in the post-intervention group. The SCC utilization rate and the incidence of maternal and neonatal complications were compared between the 2 groups. The SCC utilization rate in the post-intervention group was higher than that in the pre-intervention group (P < .01). The postpartum infection rate in the post-intervention group was lower than that in the pre-intervention group, and the difference was statistically significant (P < .05). After the intervention, postpartum hemorrhage, neonatal mortality, and neonatal asphyxia rates were also reduced, although no significant differences were observed between the 2 groups. There was no significant difference in the third-degree perineal laceration or neonatal intensive care unit hospitalization rate between the 2 groups (P > .05). Application of the PDCA cycle can improve the SCC utilization rate, and the SCC combined with the PDCA cycle can effectively reduce the postpartum infection rate.

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Section: Discussionmentioning

confidence: 99%

Application of the PDCA cycle for implementing the WHO Safe Childbirth Checklist in women with vaginal deliveries

Zhou

Mao

et al. 2023

Medicine

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“…We add to this literature and deepen it by linking the implementers' identity to beneficiaries' actual work experience with those actors. For this, we make use of the introduction of the World Health Organization (WHO)'s Safe Childbirth Checklist (SCC) in Indonesia's Aceh province (Kaplan et al, 2021). Two‐thirds of maternal and newborn deaths globally occur due to causes, which could largely be prevented if well‐established essential practices were followed (WHO, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…The general checklist was adapted to the country context and is available via the WHO Webpage, last accessed January 26, 2019. 2 For a detailed description of the intervention, see the evaluation article of the main evaluation study(Kaplan et al, 2021).3 The framing effect became popular through its essential role inKahneman & Tversky's, 1979 prospect theory in which they describe gambles either by their loss or gain probability. We consider an attribute framing, in distinction to risk or goal framings.4 Focusing on control facilities ensured that these midwives neither had yet received the SCC nor were in contact with the implementation team up to this point.5 We did purposefully not include a neutrally framed group in the framing experiment as development programs are always either conducted exclusively locally or have an international component.…”

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confidence: 99%

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International or national implementers—Who is better? Evidence from a framing experiment

Kaplan

Kuhnt

Richert

2023

Review Development Economics

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Behavioral economics has shown that changing small features in framing a context or action may drastically change behavior. A key factor characterizing most development interventions is the salience of either a local or an international implementer. Using the setup of an intervention conducted in Indonesia, we show that the study population in the Acehnese context exhibits higher levels of support for the project if the participation of international actors is highlighted. We find that previous experience with the respective actor is pivotal. Qualitative evidence suggests that internationals' perceived skills drive results, highlighting the importance of strengthened local capacities for positive experiences with local implementers. Overall, the study underlines the benefits of linking framing experiments to the actual experiences of respondents to generate insights into the real world.

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“…The performance checklists have been used for over a century in reputable organizations as a safety management tool (Saxena et al, 2020). In some medical disciplines, the checklists are a valuable tool for promoting and improving care and reducing the rate of disease and death, and even as an instrumental and efficient measure for information exchange and team cohesion (Burian et al, 2018; Kaplan et al, 2021; Weiser & Haynes, 2018). In general, since the safety of patients and the improvement of quality of care are considered the main goals of medical sciences, applying the performance checklists can be related to outcomes improvement, errors reduction and budget and resources optimization (Hardy et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Performance checklist and its influence on knowledge and satisfaction of intensive care nurses: A quasi‐experimental study

et al. 2022

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Aim The purpose of this study was to evaluate the impact of using a performance checklist on knowledge and satisfaction of intensive care nurses. Method This study was a quasi‐experimental study and performed on 70 intensive care nurses in two groups. Performance checklists had to be filled by the nurses in experiment group during central venous pressure (CVP) measurement procedure. Knowledge and the nurses about standards of CVP measurement and their satisfaction were evaluated in both groups by a researcher‐made questionnaire. The data were analysed using the SPSS software. Results In the experiment group, the level of knowledge significantly increased after the intervention ( p = .001) and the majority of nurses (85.7%) had a high level of satisfaction. Also, there was a significant difference between mean knowledge scores of the two groups after the intervention ( p = .006). Conclusion This showed that applying performance checklists can influence nurses' knowledge and should consider a simple indirect educational method.

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Effects of the World Health Organization Safe Childbirth Checklist on Quality of Care and Birth Outcomes in Aceh, Indonesia

Abstract: This cluster randomized clinical trial examines the effect of implementing the Safe Childbirth Checklist with medium-intensity coaching on the performance of essential birth practices in health care facilities in Aceh, Indonesia.

Cited by 8 publications

References 35 publications

Application of the PDCA cycle for implementing the WHO Safe Childbirth Checklist in women with vaginal deliveries

Application of the PDCA cycle for implementing the WHO Safe Childbirth Checklist in women with vaginal deliveries

International or national implementers—Who is better? Evidence from a framing experiment

Performance checklist and its influence on knowledge and satisfaction of intensive care nurses: A quasi‐experimental study

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