"Safer Births Bundle of Care" Implementation and Perinatal Impact at 30 Hospitals in Tanzania—Halfway Evaluation.
Safer Births Bundle of Care (SBBC) consists of innovative clinical and training tools for improved labour care and newborn resuscitation, integrated with new strategies for continuous quality improvement. After implementation, we hypothesised a reduction in 24-h newborn deaths, fresh stillbirths, an...
| Publicado en: | Children Vol. 10; no. 2; pp. 255 - 273 |
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| Autores principales: | , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
MDPI
Feb2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162116002&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162116002 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22279067 LW6K jtl: Children issn: 22279067 maglogo: N pubinfo: dt: Feb2023 vid: 10 iid: 2 pid: 97109 pub: MDPI artinfo: ui: 162116002 162116002 162116002 10.3390/children10020255 162116002 ppf: 255 ppct: 18 formats: tig: atl: "Safer Births Bundle of Care" Implementation and Perinatal Impact at 30 Hospitals in Tanzania—Halfway Evaluation. aug: au: Ersdal, Hege Mdoe, Paschal Mduma, Estomih Moshiro, Robert Guga, Godfrey Kvaløy, Jan Terje Bundala, Felix Marwa, Boniphace Kamala, Benjamin affil: Department of Anesthesia, Stavanger University Hospital, 4011 Stavanger, Norway sug: subj: Perinatal Care Tanzania Patient Safety Childbirth Program Implementation Human Funding Source Tanzania Quality Improvement Implementation Science Female Child Simulations Child Mortality Perinatal Death Prevention and Control Maternal Mortality Prevention and Control Maternal-Child Health Child: 6-12 years Female ab: Safer Births Bundle of Care (SBBC) consists of innovative clinical and training tools for improved labour care and newborn resuscitation, integrated with new strategies for continuous quality improvement. After implementation, we hypothesised a reduction in 24-h newborn deaths, fresh stillbirths, and maternal deaths by 50%, 20%, and 10%, respectively. This is a 3-year stepped-wedged cluster randomised implementation study, including 30 facilities within five regions in Tanzania. Data collectors at each facility enter labour and newborn care indicators, patient characteristics and outcomes. This halfway evaluation reports data from March 2021 through July 2022. In total, 138,357 deliveries were recorded; 67,690 pre- and 70,667 post-implementations of SBBC. There were steady trends of increased 24-h newborn and maternal survival in four regions after SBBC initiation. In the first region, with 13 months of implementation (n = 15,658 deliveries), an estimated additional 100 newborns and 20 women were saved. Reported fresh stillbirths seemed to fluctuate across time, and increased in three regions after the start of SBBC. Uptake of the bundle varied between regions. This SBBC halfway evaluation indicates steady reductions in 24-h newborn and maternal mortality, in line with our hypotheses, in four of five regions. Enhanced focus on uptake of the bundle and the quality improvement component is necessary to fully reach the SBBC impact potential as we move forward. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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