Scale-up of a novel vital signs alert device to improve maternity care in Sierra Leone: a mixed methods evaluation of adoption
Plain language summary Many women die during pregnancy and childbirth from causes that could be prevented, and the vast majority of these deaths occur in low-resource settings. The ‘CRADLE Vital Signs Alert’ is a medical device that helps identify problems during pregnancy—designed specifically for...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-01-01
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| Series: | Reproductive Health |
| Online Access: | https://doi.org/10.1186/s12978-022-01551-2 |
| _version_ | 1828069588470857728 |
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| author | Sophie Bright Francis Moses Alex Ridout Betty Sam Mariama Momoh Venetia Goodhart Francis Smart Margaret Mannah Sattu Issa Simren Herm-Singh Fiona Reid Paul T. Seed James Bunn Andrew Shennan Katrin Augustin Jane Sandall |
| author_facet | Sophie Bright Francis Moses Alex Ridout Betty Sam Mariama Momoh Venetia Goodhart Francis Smart Margaret Mannah Sattu Issa Simren Herm-Singh Fiona Reid Paul T. Seed James Bunn Andrew Shennan Katrin Augustin Jane Sandall |
| author_sort | Sophie Bright |
| collection | DOAJ |
| description | Plain language summary Many women die during pregnancy and childbirth from causes that could be prevented, and the vast majority of these deaths occur in low-resource settings. The ‘CRADLE Vital Signs Alert’ is a medical device that helps identify problems during pregnancy—designed specifically for healthcare professionals in low-resource settings. However, for unknown reasons, the device appears to have varying impact according to the country or setting in which it is used. This study aimed to explore in depth whether, and why, healthcare professionals in Sierra Leone adopted the device and engaged in training (or not). Between March 2020 and January 2021, the CRADLE device and training package was disseminated across 8 districts in Sierra Leone. This relied on a few healthcare workers (nominated ‘CRADLE Champions’) to voluntarily distribute the devices and training in their local areas. Group discussions were held with CRADLE Champions in each district after the rollout to gather their feedback. In addition, the proportion of facilities trained in each district was recorded. The study found differences in how well the device and training was adopted in each district. Common challenges reported across districts related to technological difficulties (such as issues charging the devices) and organisational barriers (such as high levels of staff turnover at facilities). These findings will help to inform future rollout of the CRADLE device and training in Sierra Leone and highlight factors that may need to be considered by those implementing other health technologies in similar settings. |
| first_indexed | 2024-04-11T00:22:14Z |
| format | Article |
| id | doaj.art-b76102b89d414e6d99427cde147c4b58 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-04-11T00:22:14Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-b76102b89d414e6d99427cde147c4b582023-01-08T12:13:35ZengBMCReproductive Health1742-47552023-01-0120111110.1186/s12978-022-01551-2Scale-up of a novel vital signs alert device to improve maternity care in Sierra Leone: a mixed methods evaluation of adoptionSophie Bright0Francis Moses1Alex Ridout2Betty Sam3Mariama Momoh4Venetia Goodhart5Francis Smart6Margaret Mannah7Sattu Issa8Simren Herm-Singh9Fiona Reid10Paul T. Seed11James Bunn12Andrew Shennan13Katrin Augustin14Jane Sandall15School of Health and Related Research, University of SheffieldReproductive Health and Family Planning, MoHSKing’s College London (KCL)Welbodi PartnershipMinistry of Health and Sanitation (MoHS)Welbodi PartnershipPlanning and Information, MoHSQuality Management Programme, MoHSReproductive Health and Family Planning, MoHSWelbodi PartnershipDepartment of Population Health Sciences, KCLDepartment of Women and Children’s Health, KCLWorld Health OrganizationDepartment of Women and Children’s Health, KCLSchool of Population Health and Environmental Sciences, KCLWomen’s Health Academic Centre, KCLPlain language summary Many women die during pregnancy and childbirth from causes that could be prevented, and the vast majority of these deaths occur in low-resource settings. The ‘CRADLE Vital Signs Alert’ is a medical device that helps identify problems during pregnancy—designed specifically for healthcare professionals in low-resource settings. However, for unknown reasons, the device appears to have varying impact according to the country or setting in which it is used. This study aimed to explore in depth whether, and why, healthcare professionals in Sierra Leone adopted the device and engaged in training (or not). Between March 2020 and January 2021, the CRADLE device and training package was disseminated across 8 districts in Sierra Leone. This relied on a few healthcare workers (nominated ‘CRADLE Champions’) to voluntarily distribute the devices and training in their local areas. Group discussions were held with CRADLE Champions in each district after the rollout to gather their feedback. In addition, the proportion of facilities trained in each district was recorded. The study found differences in how well the device and training was adopted in each district. Common challenges reported across districts related to technological difficulties (such as issues charging the devices) and organisational barriers (such as high levels of staff turnover at facilities). These findings will help to inform future rollout of the CRADLE device and training in Sierra Leone and highlight factors that may need to be considered by those implementing other health technologies in similar settings.https://doi.org/10.1186/s12978-022-01551-2 |
| spellingShingle | Sophie Bright Francis Moses Alex Ridout Betty Sam Mariama Momoh Venetia Goodhart Francis Smart Margaret Mannah Sattu Issa Simren Herm-Singh Fiona Reid Paul T. Seed James Bunn Andrew Shennan Katrin Augustin Jane Sandall Scale-up of a novel vital signs alert device to improve maternity care in Sierra Leone: a mixed methods evaluation of adoption Reproductive Health |
| title | Scale-up of a novel vital signs alert device to improve maternity care in Sierra Leone: a mixed methods evaluation of adoption |
| title_full | Scale-up of a novel vital signs alert device to improve maternity care in Sierra Leone: a mixed methods evaluation of adoption |
| title_fullStr | Scale-up of a novel vital signs alert device to improve maternity care in Sierra Leone: a mixed methods evaluation of adoption |
| title_full_unstemmed | Scale-up of a novel vital signs alert device to improve maternity care in Sierra Leone: a mixed methods evaluation of adoption |
| title_short | Scale-up of a novel vital signs alert device to improve maternity care in Sierra Leone: a mixed methods evaluation of adoption |
| title_sort | scale up of a novel vital signs alert device to improve maternity care in sierra leone a mixed methods evaluation of adoption |
| url | https://doi.org/10.1186/s12978-022-01551-2 |
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