Perry Wrg, Bagheri Nejad S, Tuomisto K, Kara N, Roos N, Dilip T R, Hirschhorn L R, Larizgoitia I, Semrau K, Mathai M, Dhingra-Kumar N
Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland.
Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.
BMJ Glob Health. 2017 Aug 19;2(3):e000241. doi: 10.1136/bmjgh-2016-000241. eCollection 2017.
The WHO Safe Childbirth Checklist (SCC) was developed to ensure the delivery of essential maternal and perinatal care practices around the time of childbirth. A research collaboration was subsequently established to explore factors that influence use of the Checklist in a range of settings around the world. This analysis article presents an overview of the WHO SCC Collaboration and the lessons garnered from implementing the Checklist across a diverse range of settings. Project leads from each collaboration site were asked to distribute two surveys. The first was given to end users, and the second to implementation teams to describe their respective experiences using the Checklist. A total of 134 end users and 38 implementation teams responded to the surveys, from 19 countries across all levels of income. End users were willing to adopt the SCC and found it easy to use. Training and the provision of supervision while using the Checklist, alongside leadership engagement and local ownership, were important factors which helped facilitate initial implementation and successful uptake of the Checklist. Teams identified several challenges, but more importantly successfully implemented the WHO SCC. A critical step in all settings was the adaptation of the Checklist to reflect local context and national protocols and standards. These findings were invaluable in developing the final version of the WHO SCC and its associated implementation guide. Our experience will provide useful insights for any institution wishing to implement the Checklist.
世界卫生组织安全分娩检查表（SCC）的制定是为了确保在分娩前后提供基本的孕产妇和围产期护理措施。随后建立了一项研究合作，以探讨在世界各地一系列环境中影响检查表使用的因素。这篇分析文章概述了世界卫生组织SCC合作项目以及在各种不同环境中实施检查表所获得的经验教训。要求每个合作站点的项目负责人分发两份调查问卷。第一份问卷发给终端用户，第二份发给实施团队，以描述他们使用检查表的各自经历。共有来自19个不同收入水平国家的134名终端用户和38个实施团队回复了调查问卷。终端用户愿意采用SCC，并认为其易于使用。在使用检查表时提供培训和监督，以及领导层的参与和地方自主权，是有助于促进检查表初步实施和成功采用的重要因素。各团队确定了若干挑战，但更重要的是成功实施了世界卫生组织SCC。在所有环境中的一个关键步骤是调整检查表，以反映当地情况以及国家规程和标准。这些发现对于制定世界卫生组织SCC的最终版本及其相关实施指南非常宝贵。我们的经验将为任何希望实施检查表的机构提供有用的见解。
