BetterBirth: A Trial of the WHO Safe Childbirth Checklist Program

Summary

The purpose of this study is to measure the impact of a checklist-based childbirth safety program (the WHO Safe Childbirth Checklist Program) on reduction of severe maternal, fetal, and newborn harm in institutional deliveries in north India.

Conditions

• Maternal Death
• Maternal Morbidity
• Stillbirth
• Neonatal Death

Interventions

BEHAVIORAL

WHO Safe Childbirth Checklist Program

The IHF group will receive the WHO Safe Childbirth Checklist Program designed to maximize likelihood of effective and sustained uptake of the program by birth attendants in the designated facilities. The program includes three key implementation steps that involve: engagement of leadership and clinicians at the state, district, and local levels, a formal launch to introduce the Checklist, and support through peer coaching and data feedback. The intervention facilities will also receive a standardized maternity register to ensure appropriate data collection.

Sponsors & Collaborators

• World Health Organization

  collaborator OTHER

• Population Services International

  collaborator OTHER

• Jawaharlal Nehru Medical College

  collaborator OTHER

• Community Empowerment Lab

  collaborator OTHER

• Brigham and Women's Hospital

  collaborator OTHER

• Bill and Melinda Gates Foundation

  collaborator OTHER

• MacArthur Foundation

  collaborator OTHER

• Harvard School of Public Health (HSPH)

  lead OTHER

Principal Investigators

• Atul Gawande, MD, MPH · Harvard School of Public Health (HSPH)

• Vishwajeet Kumar, MBBS, MPH · Community Empowerment Lab

• Bhala Kodkany, MBBS · Jawarhlal Nehru Medical College

• Katherine Semrau, PhD · Harvard Medical School/ Ariadne Labs

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2014-11-30

Primary Completion

2017-01-20

Completion

2017-07-18

Countries

• India

Study Locations