"Safer Births Bundle of Care" Implementation and Perinatal Impact at 30 Hospitals in Tanzania-Halfway Evaluation.
fresh stillbirths
helping babies breathe
helping mothers survive
maternal mortality
newborn mortality
newborn resuscitation
perinatal mortality
quality improvement
safer births
simulation-based training
Journal
Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936
Informations de publication
Date de publication:
30 Jan 2023
30 Jan 2023
Historique:
received:
31
12
2022
revised:
26
01
2023
accepted:
28
01
2023
entrez:
25
2
2023
pubmed:
26
2
2023
medline:
26
2
2023
Statut:
epublish
Résumé
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 (
Identifiants
pubmed: 36832384
pii: children10020255
doi: 10.3390/children10020255
pmc: PMC9955319
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : World Bank, Global Financing Facility for Women, Children, and Adolescents
ID : TZA/PCA202066/HPD2020107
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