Table 1 Implementation approach by country
Stage | Uganda | Kenya |
|---|---|---|
Modification | •Added triage pause point •Adapted content for preterm birth focus | •Added triage pause point •Adapted content for preterm birth focus |
Piloting | •One-week pilot in two facilities | •One-week pilot with 6 providers in one facility |
Post-pilot Adjustments | •Shortened checklist •Appended in patient chart | •Shortened checklist •Appended in patient chart |
Launch | •Training of in-charges and facility-data staff •On-site training and direct coaching of providers in completion | •Training of in-charges and facility-data staff •On-site training and direct coaching of providers in completion |
Adjustments post-launch | •Distributed time points through different sections of the patient chart | •Added a USD$0.50 incentive per completed checklist, distributed to maternity in-charges |
Monitoring | •Monthly or bi-monthly convenience samples of charts checked for completion | •Census of charts reviewed for checklist completion among all charts •Individual-level data extraction for evidence-based practices among preterm eligible cases |
Reinforcement | •Data team provided feedback, weekly for first month then monthly for 6 months •Completion results displayed on Data Dashboard •QI teams used mSCC as a data source (intervention sites only) •PRONTO training reinforced checklist use (intervention sites only) •As needed refresher trainings of the facility staff by study team | •Data/clinical team provided feedback in quarterly meetings •Completion results conveyed to in-charges •QI teams used mSCC as a data source (intervention sites only) •QI collaborative tracked mSCC completion as an indicator (intervention sites only) •PRONTO training reinforced checklist use (intervention sites only) •As needed refresher trainings of the facility by study team |