{"database":"biostudies-literature","file_versions":[],"scores":{"citationCount":0,"reanalysisCount":0,"viewCount":40,"searchCount":0},"additional":{"omics_type":["Unknown"],"volume":["30(10)"],"submitter":["Maisonneuve JJ"],"funding":["Bill &amp; Melinda Gates Foundation"],"pubmed_abstract":["<h4>Objective</h4>Evaluate the impact of a World Health Organization Safe Childbirth Checklist coaching-based intervention (BetterBirth Program) on availability and procurement of essential childbirth-related supplies.<h4>Design</h4>Matched pair, cluster-randomized controlled trial.<h4>Setting</h4>Uttar Pradesh, India.<h4>Participants</h4>120 government-sector health facilities (60 interventions, 60 controls). Supply-availability surveys were conducted quarterly in all sites. Coaches collected supply procurement sources from intervention sites.<h4>Interventions</h4>Coaching targeting implementation of Checklist with data feedback and action planning.<h4>Main outcome measures</h4>Mean supply availability by study arm; change in procurement sources for intervention sites.<h4>Results</h4>At baseline, 6 and 12 months, the intervention sites had a mean of 20.9 (95% confidence interval (CI): 20.2-21.5); 22.4 (95% CI: 21.8-22.9) and 22.1 (95% CI:21.4-22.8) items, respectively. Control sites had 20.8 (95% CI: 20.3-21.3); 20.9 (95% CI: 20.3-21.5) and 21.7 (95% CI: 20.8-22.6) items at the same time-points. There was a small but statistically significant higher availability in intervention sites at 6 months (difference-in-difference (DID) = 1.43, P < 0.001), which was not seen by 12 months (DID = 0.37, P = 0.53). Greater difference between intervention and control sites starting in the bottom quartile of supply availability was seen at 6 months (DID = 4.0, P = 0.0002), with no significant difference by 12 months (DID = 1.5, P = 0.154). No change was seen in procurement sources with ~5% procured by patients with some rates as high as 29% (oxytocin).<h4>Conclusions</h4>Implementation of the BetterBirth Program, incorporating supply availability, resulted in modest improvements with catch-up by control facilities by 12 months. Supply-chain coaching may be most beneficial in sites starting with lower supply availability. Efforts are needed to reduce reliance on patient-funding for some critical medications.<h4>Trial registration</h4>ClinicalTrials.gov #NCT02148952; Universal Trial Number: U1111-1131-5647."],"journal":["International journal for quality in health care : journal of the International Society for Quality in Health Care"],"pagination":["769-777"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC6340347"],"repository":["biostudies-literature"],"pubmed_title":["Effectiveness of a WHO Safe Childbirth Checklist Coaching-based intervention on the availability of Essential Birth Supplies in Uttar Pradesh, India."],"pmcid":["PMC6340347"],"pubmed_authors":["Pratap Singh V","Kumar V","Lagoo J","Panariello N","Kalita T","Miller KA","Dixit N","Sharma J","Maisonneuve JJ","Semrau KEA","Maji P","Neal BJ","Kara N","Hirschhorn LR","Solsky I"],"view_count":["40"],"additional_accession":[]},"is_claimable":false,"name":"Effectiveness of a WHO Safe Childbirth Checklist Coaching-based intervention on the availability of Essential Birth Supplies in Uttar Pradesh, India.","description":"<h4>Objective</h4>Evaluate the impact of a World Health Organization Safe Childbirth Checklist coaching-based intervention (BetterBirth Program) on availability and procurement of essential childbirth-related supplies.<h4>Design</h4>Matched pair, cluster-randomized controlled trial.<h4>Setting</h4>Uttar Pradesh, India.<h4>Participants</h4>120 government-sector health facilities (60 interventions, 60 controls). Supply-availability surveys were conducted quarterly in all sites. Coaches collected supply procurement sources from intervention sites.<h4>Interventions</h4>Coaching targeting implementation of Checklist with data feedback and action planning.<h4>Main outcome measures</h4>Mean supply availability by study arm; change in procurement sources for intervention sites.<h4>Results</h4>At baseline, 6 and 12 months, the intervention sites had a mean of 20.9 (95% confidence interval (CI): 20.2-21.5); 22.4 (95% CI: 21.8-22.9) and 22.1 (95% CI:21.4-22.8) items, respectively. Control sites had 20.8 (95% CI: 20.3-21.3); 20.9 (95% CI: 20.3-21.5) and 21.7 (95% CI: 20.8-22.6) items at the same time-points. There was a small but statistically significant higher availability in intervention sites at 6 months (difference-in-difference (DID) = 1.43, P < 0.001), which was not seen by 12 months (DID = 0.37, P = 0.53). Greater difference between intervention and control sites starting in the bottom quartile of supply availability was seen at 6 months (DID = 4.0, P = 0.0002), with no significant difference by 12 months (DID = 1.5, P = 0.154). No change was seen in procurement sources with ~5% procured by patients with some rates as high as 29% (oxytocin).<h4>Conclusions</h4>Implementation of the BetterBirth Program, incorporating supply availability, resulted in modest improvements with catch-up by control facilities by 12 months. Supply-chain coaching may be most beneficial in sites starting with lower supply availability. Efforts are needed to reduce reliance on patient-funding for some critical medications.<h4>Trial registration</h4>ClinicalTrials.gov #NCT02148952; Universal Trial Number: U1111-1131-5647.","dates":{"release":"2018-01-01T00:00:00Z","publication":"2018 Dec","modification":"2024-11-09T01:22:47.051Z","creation":"2019-03-26T22:41:00Z"},"accession":"S-EPMC6340347","cross_references":{"pubmed":["29718354"],"doi":["10.1093/intqhc/mzy086"]}}