Adapting the WHO Safe Childbirth Checklist: A collaborative study in West Africa

Background: The World Health Organization Safe Childbirth Checklist (WHO SCC) was developed to increase the uptake of essential birth practices; however, only a few studies have adopted this process in French West African countries. Aim: This study aimed to describe the WHO SCC adaptation process a...

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Main Authors: Kadidiatou R. Kourouma, Tieba Millogo, Aissatou Diallo, Wambi M.E. Yaméogo, Marie L. Agbré-Yacé, Mamadou D. Baldé, Issaka Tiembré, Alexandre Delamou, Séni Kouanda
Format: Article
Language:English
Published: AOSIS 2025-01-01
Series:Journal of Public Health in Africa
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Online Access:https://publichealthinafrica.org/index.php/jphia/article/view/630
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author Kadidiatou R. Kourouma
Tieba Millogo
Aissatou Diallo
Wambi M.E. Yaméogo
Marie L. Agbré-Yacé
Mamadou D. Baldé
Issaka Tiembré
Alexandre Delamou
Séni Kouanda
author_facet Kadidiatou R. Kourouma
Tieba Millogo
Aissatou Diallo
Wambi M.E. Yaméogo
Marie L. Agbré-Yacé
Mamadou D. Baldé
Issaka Tiembré
Alexandre Delamou
Séni Kouanda
author_sort Kadidiatou R. Kourouma
collection DOAJ
description Background: The World Health Organization Safe Childbirth Checklist (WHO SCC) was developed to increase the uptake of essential birth practices; however, only a few studies have adopted this process in French West African countries. Aim: This study aimed to describe the WHO SCC adaptation process across Burkina Faso, Côte d’Ivoire, and Guinea, and the lessons learned. Setting: Adaptation processes were conducted in the above-mentioned countries. Methods: From May 2022 to November 2022, a cross-country adaptation of the WHO SCC was carried out using a co-creation approach following a modified Delphi process. This process included the contextual adaptation of the tool by local technical advisory groups in each country based on national guidelines, the harmonisation and production of a single modified SCC by the Cross-Country Technical Advisory Group, a pre-test of the modified SCC, and adoption. Results: Minor modifications were made on 27 items. No items were deleted. Two items related to hand hygiene and the use of protective equipment were added at the ‘just before pushing’ pause point. The modified SCC implemented in each country consisted of 31 items, with variations observed in the timing of the monitoring signs when plotting the partograph. The tool was introduced following the A3 and kakemono formats. Conclusion: The study emphasised the importance of engaging all stakeholders and end users in the adaptation process for a sustainable use of the tool. Contribution: This collaborative effort between countries to develop a unified SCC highlights the importance of adaptation based on national guidelines and local contexts.
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2038-9930
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spelling doaj-art-f361a9b8dc7a4155b297d4604485738b2025-02-11T13:24:50ZengAOSISJournal of Public Health in Africa2038-99222038-99302025-01-01161e1e710.4102/jphia.v16i1.630790Adapting the WHO Safe Childbirth Checklist: A collaborative study in West AfricaKadidiatou R. Kourouma0Tieba Millogo1Aissatou Diallo2Wambi M.E. Yaméogo3Marie L. Agbré-Yacé4Mamadou D. Baldé5Issaka Tiembré6Alexandre Delamou7Séni Kouanda8National Public Health Institute of Côte d’Ivoire, Abidjan, Côte d’Ivoire; and, Centre for Reproductive Health Research of Côte d’Ivoire, AbidjanDepartment of Biomedical and Public Health, Institute for Research in Health Sciences (IRSS), Ouagadougou, Burkina Faso; and, African Institute of Public Health (IASP), OuagadougouCentre for Reproductive Health Research of Guinea, ConakryDepartment of Biomedical and Public Health, Institute for Research in Health Sciences (IRSS), Ouagadougou, Burkina Faso; and, African Institute of Public Health (IASP), OuagadougouNational Public Health Institute of Côte d’Ivoire, Abidjan, Côte d’Ivoire; and, Centre for Reproductive Health Research of Côte d’Ivoire, AbidjanCentre for Reproductive Health Research of Guinea, ConakryDepartment of Biomedical and Public Health, Faculty of Medicine, University Félix Houphouët-Boigny, AbidjanDepartment of Public Health, African Center of Excellence for the Prevention and Control of Communicable Diseases, Gamal Abdel Nasser University, ConakryDepartment of Biomedical and Public Health, Institute for Research in Health Sciences (IRSS), Ouagadougou, Burkina Faso; and, African Institute of Public Health (IASP), OuagadougouBackground: The World Health Organization Safe Childbirth Checklist (WHO SCC) was developed to increase the uptake of essential birth practices; however, only a few studies have adopted this process in French West African countries. Aim: This study aimed to describe the WHO SCC adaptation process across Burkina Faso, Côte d’Ivoire, and Guinea, and the lessons learned. Setting: Adaptation processes were conducted in the above-mentioned countries. Methods: From May 2022 to November 2022, a cross-country adaptation of the WHO SCC was carried out using a co-creation approach following a modified Delphi process. This process included the contextual adaptation of the tool by local technical advisory groups in each country based on national guidelines, the harmonisation and production of a single modified SCC by the Cross-Country Technical Advisory Group, a pre-test of the modified SCC, and adoption. Results: Minor modifications were made on 27 items. No items were deleted. Two items related to hand hygiene and the use of protective equipment were added at the ‘just before pushing’ pause point. The modified SCC implemented in each country consisted of 31 items, with variations observed in the timing of the monitoring signs when plotting the partograph. The tool was introduced following the A3 and kakemono formats. Conclusion: The study emphasised the importance of engaging all stakeholders and end users in the adaptation process for a sustainable use of the tool. Contribution: This collaborative effort between countries to develop a unified SCC highlights the importance of adaptation based on national guidelines and local contexts.https://publichealthinafrica.org/index.php/jphia/article/view/630adaptationsafe childbirth checklistmaternal healthneonatal healthimplementationwest africa.
spellingShingle Kadidiatou R. Kourouma
Tieba Millogo
Aissatou Diallo
Wambi M.E. Yaméogo
Marie L. Agbré-Yacé
Mamadou D. Baldé
Issaka Tiembré
Alexandre Delamou
Séni Kouanda
Adapting the WHO Safe Childbirth Checklist: A collaborative study in West Africa
Journal of Public Health in Africa
adaptation
safe childbirth checklist
maternal health
neonatal health
implementation
west africa.
title Adapting the WHO Safe Childbirth Checklist: A collaborative study in West Africa
title_full Adapting the WHO Safe Childbirth Checklist: A collaborative study in West Africa
title_fullStr Adapting the WHO Safe Childbirth Checklist: A collaborative study in West Africa
title_full_unstemmed Adapting the WHO Safe Childbirth Checklist: A collaborative study in West Africa
title_short Adapting the WHO Safe Childbirth Checklist: A collaborative study in West Africa
title_sort adapting the who safe childbirth checklist a collaborative study in west africa
topic adaptation
safe childbirth checklist
maternal health
neonatal health
implementation
west africa.
url https://publichealthinafrica.org/index.php/jphia/article/view/630
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