Adapted Safe Childbirth Checklist in Chiapas, Mexico

NCT02886364 | Completed

• 1 other identifier: 2015P000000
• Study Type: interventional
• Target: 575
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this mixed methods study is to evaluate the implementation of an adapted Safe Childbirth Checklist in a rural hospital in Chiapas, Mexico. The study aims are:

1. 1.To evaluate the implementation of the adapted Safe Childbirth Checklist using quality of care indicators and the perspectives of providers and patients;
2. 2.To examine changes in the perceptions of disrespectful and respectful practices around childbirth among providers before and after a quality improvement program.
3. 3.To understand how postpartum women and their male partners perceive the care they received at the hospitals in Ángel Albino Corzo and Revolución with regard to disrespectful and respectful practices, and how, if at all, these experiences compare with prior birth experiences in other settings.
4. 4.To examine trends in proportion of facility-based births in the catchment area of the hospital after the implementation of the adapted Safe Childbirth Checklist

Conditions

Pregnancy; Childbirth; Quality of Care; Puerperium

Outcome Measures

Primary Outcomes (3)

• Perceptions of patient safety and quality of care from providers and patients

  Qualitative data will be collected through interviews of providers, postpartum women and their partners regarding their childbirth experiences in the district hospital where the adapted Safe Childbirth Checklist was implemented.

  10 months

• Adherence with evidence-based practices in the checklist

  Quantitative data will be collected through key indicators in the checklist to capture uptake of best practices over time.

  10 months

• Number of facility-based childbirths within Partners In Health-affiliated communities in the catchment area of hospital

  The proportions of facility-based births vs. home births will be compared pre- and post-implementation of the adapted Safe Childbirth Checklist.

  10 months

Study Arms (1)

Women delivered at AAC Hospital

OTHER

The intervention is only being implemented at the Ángel Albino Corzo Hospital due to limited funding. The site was selected by the Ministry of Health in Chiapas as a hospital that would benefit from improved quality of care around childbirth. There are no other arms in this study.

Behavioral: Adapted Safe Childbirth Checklist

Interventions

Adapted Safe Childbirth Checklist BEHAVIORAL

The World Health Organization has created and endorsed the WHO Safe Childbirth Checklist as a tool for improving quality of care around childbirth. This tool has been modified to the context in Mexico by another group of investigators at the National Institute of Public Health. Our team expanded the Mexican version of the WHO Safe Childbirth Checklist to include indicators around respectful maternity care.

Women delivered at AAC Hospital

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Women who delivered at Ángel Albino Corzo Hospital between September 2016 and June 2017
• Women who live in Partners In Health-affiliated communities

You may not qualify if:

• Index pregnancy that ended in miscarriage or stillbirth
• Non-Spanish speaking

Sponsors & Collaborators

• Brigham and Women's Hospital: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Physician

Study Record Dates

• First Submitted: August 28, 2016
• First Posted: September 1, 2016
• Study Start: September 1, 2016
• Primary Completion: June 30, 2017
• Study Completion: May 1, 2018
• Last Updated: November 4, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share