Table 5 Desired improvements to SCC structure, content, and implementation
From: Adaptation and implementation of the WHO Safe Childbirth Checklist around the world
Desired improvements to SCC content | Examples |
Clarify purpose of SCC for users | - Decision support tool - Data collection tool - Accountability tool - Quality improvement tool |
Add relevant clinical topics and patient informationa | - Management of preterm birth - Newborn care - Patient demographics |
Iterate on items for essential practices with low adherence or inappropriate practices | - Vital signs measurement - Hand hygiene - Augmentation of labor without medical indication - Inappropriate fundal pressure |
Integrate contextual factors into SCC decision-making | - Patient/family preferences regarding referral - Managing multiple concurrent deliveries - Incorporate feedback from frontline clinicians |
Update SCC items to reflect current WHO initiatives | - Sustainable Development Goals - Universal Health Coverage - Quality of Care Network |
Desired Improvements to SCC Structure | Examples |
Ease of use | Digital version of SCC Integration into medical record Translation into local languages Redesigned format (not a checklist) |
Emphasis on quality of care | Separation of SCC from medical record to emphasize ongoing supportive processes to enable behavior change |
Desired improvements to SCC Implementation | Examples |
Initial implementation support | Political support to embed SCC into existing policies Guidance for considering contextual factors in decision-making Guidance on how to select ideal SCC pilot sites |
Continuous implementation support | Additional clinical training in management of complications Patient-centered care and experience of care Collaboration between public and private sector facilities using the SCC Continuous coaching, supportive supervision over long term |