Kourouma Kadidiatou R, Millogo Tieba, Diallo Aissatou, Yaméogo Wambi M E, Agbré-Yacé Marie L, Baldé Mamadou D, Tiembré Issaka, Delamou Alexandre, Kouanda Séni
National Public Health Institute of Côte d'Ivoire, Abidjan, Côte d'Ivoire.
Centre for Reproductive Health Research of Côte d'Ivoire, Abidjan, Côte d'Ivoire.
J Public Health Afr. 2025 Jan 31;16(1):630. doi: 10.4102/jphia.v16i1.630. eCollection 2025.
The World Health Organization Safe Childbirth Checklist (WHO SCC) was developed to increase the uptake of essential birth practices; however, only a few studies have adopted this process in French West African countries.
This study aimed to describe the WHO SCC adaptation process across Burkina Faso, Côte d'Ivoire, and Guinea, and the lessons learned.
Adaptation processes were conducted in the above-mentioned countries.
From May 2022 to November 2022, a cross-country adaptation of the WHO SCC was carried out using a co-creation approach following a modified Delphi process. This process included the contextual adaptation of the tool by local technical advisory groups in each country based on national guidelines, the harmonisation and production of a single modified SCC by the Cross-Country Technical Advisory Group, a pre-test of the modified SCC, and adoption.
Minor modifications were made on 27 items. No items were deleted. Two items related to hand hygiene and the use of protective equipment were added at the 'just before pushing' pause point. The modified SCC implemented in each country consisted of 31 items, with variations observed in the timing of the monitoring signs when plotting the partograph. The tool was introduced following the A3 and kakemono formats.
The study emphasised the importance of engaging all stakeholders and end users in the adaptation process for a sustainable use of the tool.
This collaborative effort between countries to develop a unified SCC highlights the importance of adaptation based on national guidelines and local contexts.
世界卫生组织安全分娩检查表（WHO SCC）旨在促进基本分娩措施的采用；然而，在法国西非国家只有少数研究采用了这一流程。
本研究旨在描述布基纳法索、科特迪瓦和几内亚对WHO SCC的改编过程以及所吸取的经验教训。
在上述国家开展了改编过程。
2022年5月至2022年11月，采用共同创造方法，遵循改良的德尔菲法对WHO SCC进行跨国改编。该过程包括每个国家的当地技术咨询小组根据国家指南对工具进行情境改编、跨国技术咨询小组对单一改良后的SCC进行协调和编制、对改良后的SCC进行预测试以及采用。
对27项内容进行了细微修改。没有删除任何项目。在“即将用力”的停顿点增加了两项与手部卫生和使用防护设备有关的内容。在每个国家实施的改良后的SCC由31项内容组成，绘制产程图时监测体征的时间存在差异。该工具采用A3和挂轴格式引入。
该研究强调了让所有利益相关者和最终用户参与改编过程以实现工具可持续使用的重要性。
各国之间为制定统一的SCC而开展的这项合作努力凸显了根据国家指南和当地情况进行改编的重要性。
