The effect of the WHO Safe Childbirth Checklist on essential delivery practices and birth outcomes: Evidence from a pair-wise matched randomized controlled trial in Pakistan

We study the effect of the Safe Childbirth Checklist (SCC) – a tool developed by the WHO to improve the quality of delivery care – on a range of provider- and patient-level outcomes. We conducted a clustered pair-wise matched randomized controlled trial among 166 health providers in two districts of...

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Main Authors: Jana Kuhnt, Ashfa Hashmi, Sebastian Vollmer
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235282732300160X
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author Jana Kuhnt
Ashfa Hashmi
Sebastian Vollmer
author_facet Jana Kuhnt
Ashfa Hashmi
Sebastian Vollmer
author_sort Jana Kuhnt
collection DOAJ
description We study the effect of the Safe Childbirth Checklist (SCC) – a tool developed by the WHO to improve the quality of delivery care – on a range of provider- and patient-level outcomes. We conducted a clustered pair-wise matched randomized controlled trial among 166 health providers in two districts of Pakistan. This included primary and secondary health facilities as well as non-facility based rural health workers. We do not find positive effects on health outcomes, but on the adherence to some essential delivery practices, mostly to those conducted during the patient's admission to the delivery ward. We also find increased rates of referrals to higher-level facilities.
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spelling doaj.art-4030e52027ba452391f11c1ddd1b51ea2023-12-02T07:00:35ZengElsevierSSM: Population Health2352-82732023-12-0124101495The effect of the WHO Safe Childbirth Checklist on essential delivery practices and birth outcomes: Evidence from a pair-wise matched randomized controlled trial in PakistanJana Kuhnt0Ashfa Hashmi1Sebastian Vollmer2German Institute of Development and Sustainability (IDOS), Tulpenfel 6, 53113, Bonn, GermanyGIZ (Deutsche Gesellschaft für Internationale Zusammenarbeit), University of Göttingen, GermanyUniversity of Goettingen, Center for Modern Indian Studies, Waldweg 26, 37073 Göttingen, Germany; Corresponding author.We study the effect of the Safe Childbirth Checklist (SCC) – a tool developed by the WHO to improve the quality of delivery care – on a range of provider- and patient-level outcomes. We conducted a clustered pair-wise matched randomized controlled trial among 166 health providers in two districts of Pakistan. This included primary and secondary health facilities as well as non-facility based rural health workers. We do not find positive effects on health outcomes, but on the adherence to some essential delivery practices, mostly to those conducted during the patient's admission to the delivery ward. We also find increased rates of referrals to higher-level facilities.http://www.sciencedirect.com/science/article/pii/S235282732300160XSafe Childbirth Checklist (SSC)Clustered pair-wise matched randomized controlled trialPakistanMaternal and newborn health
spellingShingle Jana Kuhnt
Ashfa Hashmi
Sebastian Vollmer
The effect of the WHO Safe Childbirth Checklist on essential delivery practices and birth outcomes: Evidence from a pair-wise matched randomized controlled trial in Pakistan
SSM: Population Health
Safe Childbirth Checklist (SSC)
Clustered pair-wise matched randomized controlled trial
Pakistan
Maternal and newborn health
title The effect of the WHO Safe Childbirth Checklist on essential delivery practices and birth outcomes: Evidence from a pair-wise matched randomized controlled trial in Pakistan
title_full The effect of the WHO Safe Childbirth Checklist on essential delivery practices and birth outcomes: Evidence from a pair-wise matched randomized controlled trial in Pakistan
title_fullStr The effect of the WHO Safe Childbirth Checklist on essential delivery practices and birth outcomes: Evidence from a pair-wise matched randomized controlled trial in Pakistan
title_full_unstemmed The effect of the WHO Safe Childbirth Checklist on essential delivery practices and birth outcomes: Evidence from a pair-wise matched randomized controlled trial in Pakistan
title_short The effect of the WHO Safe Childbirth Checklist on essential delivery practices and birth outcomes: Evidence from a pair-wise matched randomized controlled trial in Pakistan
title_sort effect of the who safe childbirth checklist on essential delivery practices and birth outcomes evidence from a pair wise matched randomized controlled trial in pakistan
topic Safe Childbirth Checklist (SSC)
Clustered pair-wise matched randomized controlled trial
Pakistan
Maternal and newborn health
url http://www.sciencedirect.com/science/article/pii/S235282732300160X
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