Phase | Leadership engagement | Educational and motivational launch | Data feedback | Coaching visits |
---|---|---|---|---|
Pilot phase 1 | Non-standard initial engagement, with a focus on facility rather than district leadership | 3-day launch featuring 1 day of flipchart and video-based training, 1 day of checklist demonstrations and placement of checklist posters on walls, and 1 day of facilitated practice sessions on checklist use | None | 1 coaching visit every 2 weeks for the first 6 months, then 1 coaching visit per month |
Pilot phase 2 | Standardized initial engagement with district and facility leadership | Semi-standardized 2-day launch featuring flipchart, videos, checklist posters, roleplaying, and the identification of a childbirth quality coordinator | Ongoing feedback, using paper-based reports. Frequency of report generation and delivery to sites unspecified | 3 coaching visits per week for the first 4 weeks, then less frequently |
Cluster randomized trial (CRT) | Standardized initial engagement with district and facility leadership. Semi-regular meetings with district leadership | Standardized 2-day launch featuring flipchart, videos, checklist posters, roleplaying, the identification of a childbirth quality coordinator, and a safe-childbirth pledge | Ongoing feedback using app-based reports. Frequency of report generation and frequency of sites reviewing feedback in the app are unspecified | 2 coaching visits per week for months 1–4; 1 coaching visit per week for months 5–6; 1 coaching visit per fortnight in month 7; 1 coaching visit per month in month 8 |