Mdoe Paschal, Mduma Estomih, Rivenes Lafontan Sara, Ersdal Hege, Massay Catherine, Daudi Vickfarajaeli, Kayera Damas, Mwashemela Shally, Moshiro Robert, Kamala Benjamin
Haydom Lutheran Hospital, Haydom 9000, Tanzania.
Faculty of Health Sciences, Oslo Metropolitan University, 0167 Oslo, Norway.
Healthcare (Basel). 2023 May 29;11(11):1589. doi: 10.3390/healthcare11111589.
: SaferBirths Bundle of Care (SBBC) is a package of innovative clinical and training tools coupled with low-dose high-frequency simulation-based on-job training guided by local data. This bundle of care is a new initiative being implemented in 30 health facilities from five regions of Tanzania aiming at improving birth outcomes. : To assess the perception of healthcare workers and facility leaders on the "SaferBirths Bundle of Care" towards saving women's and newborns' lives at birth. : We used a qualitative approach using focused group discussion (FGD) and individual interviews. A total of 21 FGD and 43 individual interviews were conducted between August and November 2022. In total, 94 midwives and 12 doctors were involved, some of whom were in leadership roles. The framework method for the analysis of qualitative data was used for analysis. : Healthcare workers and facility leaders received the bundle well and regarded it as effective in saving lives and improving healthcare provision. Five themes emerged as facilitators to the acceptance of the bundle: (1) the bundle is appropriate to our needs, (2) the training modality and data use fit our context, (3) use of champions and periodic mentorship, (4) learning from our mistakes, and (5) clinical and training tools are of high quality but can be further improved. : The relevance of SaferBirths Bundle of Care in addressing maternal and perinatal deaths, the quality and modality of training, and the culture that enhances learning from mistakes were among the facilitators of the acceptability of the SBBC. A well-accepted intervention has huge potential for bringing the intended impact in health provision.
安全分娩护理包（SBBC）是一套创新的临床和培训工具，以及基于当地数据的低剂量高频模拟在职培训。这个护理包是一项新举措，正在坦桑尼亚五个地区的30个医疗机构实施，旨在改善分娩结局。
为了评估医护人员和医疗机构负责人对“安全分娩护理包”在挽救妇女和新生儿生命方面的看法。
我们采用了定性研究方法，运用焦点小组讨论（FGD）和个人访谈。2022年8月至11月期间共进行了21次焦点小组讨论和43次个人访谈。共有94名助产士和12名医生参与其中，有些人担任领导职务。采用定性数据分析的框架方法进行分析。
医护人员和医疗机构负责人对该护理包接受度良好，并认为其在挽救生命和改善医疗服务方面有效。出现了五个促进接受该护理包的主题：（1）该护理包符合我们的需求，（2）培训方式和数据使用适合我们的情况，（3）使用倡导者和定期指导，（4）从我们的错误中学习，（5）临床和培训工具质量高但可以进一步改进。
安全分娩护理包在解决孕产妇和围产期死亡方面的相关性、培训的质量和方式，以及促进从错误中学习的文化是安全分娩护理包可接受性的促进因素。一个被广泛接受的干预措施在提供医疗服务方面具有带来预期影响的巨大潜力。
