Skip to main content

Table 1 The BetterBirth implementation package by phase

From: Optimizing the development and evaluation of complex interventions: lessons learned from the BetterBirth Program and associated trial

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