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首页> 外文期刊>BMC Pregnancy and Childbirth >Implementation of the WHO safe childbirth checklist program at a tertiary care setting in Sri Lanka: a developing country experience
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Implementation of the WHO safe childbirth checklist program at a tertiary care setting in Sri Lanka: a developing country experience

机译：在斯里兰卡的三级医疗机构中实施世卫组织安全分娩检查表计划：发展中国家的经验

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To study institutionalization of the World Health Organization’s Safe Childbirth Checklist (SCC) in a tertiary care center in Sri Lanka. A hospital-based, prospective observational study was conducted in the De Soysa Hospital for Women, Colombo, Sri Lanka. Healthcare workers were educated regarding the SCC, which was to be used for each woman admitted to the labor room during the study period. A qualitatively pretested, self-administered questionnaire was given to all nursing and midwifery staff to assess knowledge and attitudes towards the checklist. Each item of the SCC was reviewed for adherence. A total of 824 births in which the checklist used were studied. There were a total of births 1800 during the period, giving an adoption rate of 45.8%. Out of the 170 health workers in the hospital (nurses, midwives and nurse midwives) 98 answered the questionnaire (response rate?=?57.6%). The average number of childbirth practices checked in the checklist was 21 out of 29 (95% CI 20.2, 21.3). Educating the mother to seek help during labor, after delivery and after discharge from hospital, seeking an assistant during labor, early breast-feeding, maternal HIV infection and discussing contraceptive options were checked least often. The mean level of knowledge on the checklist among health workers was 60.1% (95% CI 57.2, 63.1). Attitudes for acceptance of using the checklist were satisfactory. Average adherence to checklist practices was 71.3%. Sixty eight (69.4%) agreed that the Checklist stimulates inter-personal communication and teamwork. Increased workload, poor enthusiasm of health workers towards new additions to their routine schedule and level of user-friendliness of Checklist were limitations to its greater use. Amongst users, the attitude towards the checklist was satisfactory. Adoption rate amongst all workers was 45.8% and knowledge regarding the checklist was 60.1%. These two factors are probably linked. Therefore prior to introducing it to a facility awareness about the value and correct use of the SCC needs to be increased, while giving attention to satisfactory staffing levels.
机译：在斯里兰卡的三级护理中心研究世界卫生组织安全分娩检查表（SCC）的制度化。在斯里兰卡科伦坡的De Soysa妇女妇女医院进行了一项基于医院的前瞻性观察研究。对医护人员进行了有关SCC的教育，在研究期间，将为每位进入分娩室的妇女使用SCC。对所有护理和助产人员进行了预先定性，自我管理的问卷调查，以评估其对清单的知识和态度。对SCC的每个项目都进行了审查以确保遵守。研究了总共824个使用检查表的出生。在此期间，总共有1800人出生，收养率为45.8％。在医院的170名卫生工作者（护士，助产士和护士助产士）中，有98位回答了问卷（回复率=？57.6％）。在检查表中检查的平均分娩方式为29分中的21分（95％CI 20.2、21.3）。对母亲进行分娩，分娩后和出院后寻求帮助的教育，在分娩，早期母乳喂养，母亲艾滋病毒感染以及讨论避孕方法的过程中，对母亲的检查最少。卫生工作人员清单上的平均知识水平为60.1％（95％CI 57.2，63.1）。接受使用清单的态度令人满意。平均遵守清单做法的比例为71.3％。六十八（69.4％）同意清单可促进人际沟通和团队合作。工作量的增加，卫生工作者对新增加的例行时间表以及对清单的用户友好程度的热情低下，这限制了其更多使用。在用户中，对清单的态度令人满意。所有工人中的领养率为45.8％，有关清单的知识为60.1％。这两个因素可能是相关的。因此，在将其引入设施之前，需要提高对SCC的价值和正确使用的认识，同时注意令人满意的人员配备水平。

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