Table 3 Barriers and facilitators of SCC implementation
From: Adaptation and implementation of the WHO Safe Childbirth Checklist around the world
N = 28 n (%) | |
|---|---|
Barriers | |
Skepticism about importance or value among staff | 18 (64.3) |
Checklist use not integrated into routine workflow | 14 (50.0) |
Checklist perceived as burdensome | 14 (50.0) |
Lack of enabling environment (lack of resources, medications, equipment) | 13 (46.4) |
Lack of training, coaching, or supportive supervision | 12 (42.9) |
Lack of leadership support for Checklist | 7 (25.0) |
Lack of staff | 1 (0.04) |
Facilitators | |
Leadership commitment | 16 (57.1) |
Capacity for quality improvement (identifying a local champion, ability to collect and share data) | 12 (42.9) |
Organizational culture including accountability, staff appreciation, openness to change | 12 (42.9) |
Adequate skills and training of staff | 9 (32.1) |
Sufficient staffing | 8 (28.6) |
Supply availability | 8 (28.6) |
Facility commitment to respectful patient care | 7 (25.0) |
Physical condition of facility | 2 (7.1) |
Effective communication within a facility and across prenatal/ postnatal services | 2 (7.1) |
Patient and community empowerment | 1 (3.6) |
Community practices, beliefs and knowledge | 1 (3.6) |