Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed-methods, multicountry evaluation.

Vogel, JP; Comrie-Thomson, L; Pingray, V; Gadama, L; Galadanci, H; Goudar, S; Laisser, R; Lavender, T; Lissauer, D; Misra, S; Pujar, Y; Qureshi, ZP; Amole, T; Berrueta, M; Dankishiya, F; Gwako, G; Homer, CSE; Jobanputra, J; Meja, S; Nigri, C; Mohaptra, V; Osoti, A; Roberti, J; Solomon, D; Suleiman, M; Robbers, G; Sutherland, S; Vernekar, S; Althabe, F; Bonet, M; Oladapo, OT

Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed-methods, multicountry evaluation.

Vogel, JP Comrie-Thomson, L Pingray, V Gadama, L Galadanci, H Goudar, S Laisser, R Lavender, T Lissauer, D Misra, S Pujar, Y Qureshi, ZP Amole, T Berrueta, M Dankishiya, F Gwako, G Homer, CSE Jobanputra, J Meja, S Nigri, C Mohaptra, V Osoti, A Roberti, J Solomon, D Suleiman, M Robbers, G Sutherland, S Vernekar, S Althabe, F Bonet, M Oladapo, OT

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Birth: Issues in Perinatal Care, 2021, 48, (1), pp. 66-75
Issue Date:: 2021-03-01

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Field	Value	Language
dc.contributor.author	Vogel, JP
dc.contributor.author	Comrie-Thomson, L
dc.contributor.author	Pingray, V
dc.contributor.author	Gadama, L
dc.contributor.author	Galadanci, H
dc.contributor.author	Goudar, S
dc.contributor.author	Laisser, R
dc.contributor.author	Lavender, T
dc.contributor.author	Lissauer, D
dc.contributor.author	Misra, S
dc.contributor.author	Pujar, Y
dc.contributor.author	Qureshi, ZP
dc.contributor.author	Amole, T
dc.contributor.author	Berrueta, M
dc.contributor.author	Dankishiya, F
dc.contributor.author	Gwako, G
dc.contributor.author	Homer, CSE
dc.contributor.author	Jobanputra, J
dc.contributor.author	Meja, S
dc.contributor.author	Nigri, C
dc.contributor.author	Mohaptra, V
dc.contributor.author	Osoti, A
dc.contributor.author	Roberti, J
dc.contributor.author	Solomon, D
dc.contributor.author	Suleiman, M
dc.contributor.author	Robbers, G
dc.contributor.author	Sutherland, S
dc.contributor.author	Vernekar, S
dc.contributor.author	Althabe, F
dc.contributor.author	Bonet, M
dc.contributor.author	Oladapo, OT
dc.date.accessioned	2021-11-08T05:13:30Z
dc.date.available	2020-10-23
dc.date.available	2021-11-08T05:13:30Z
dc.date.issued	2021-03-01
dc.identifier.citation	Birth: Issues in Perinatal Care, 2021, 48, (1), pp. 66-75
dc.identifier.issn	0730-7659
dc.identifier.issn	1523-536X
dc.identifier.uri	http://hdl.handle.net/10453/151387
dc.description.abstract	Introduction The World Health Organization’s (WHO) Labour Care Guide (LCG) is a “next-generation” partograph based on WHO’s latest intrapartum care recommendations. It aims to optimize clinical care provided to women and their experience of care. We evaluated the LCG’s usability, feasibility, and acceptability among maternity care practitioners in clinical settings. Methods Mixed-methods evaluation with doctors, midwives, and nurses in 12 health facilities across Argentina, India, Kenya, Malawi, Nigeria, and Tanzania. Purposively sampled and trained practitioners applied the LCG in low-risk women during labor and rated experiences, satisfaction, and usability. Practitioners were invited to focus group discussions (FGDs) to share experiences and perceptions of the LCG, which were subjected to framework analysis. Results One hundred and thirty-six practitioners applied the LCG in managing labor and birth of 1,226 low-risk women. The majority of women had a spontaneous vaginal birth (91.6%); two cases of intrapartum stillbirths (1.63 per 1000 births) occurred. Practitioner satisfaction with the LCG was high, and median usability score was 67.5%. Practitioners described the LCG as supporting precise and meticulous monitoring during labor, encouraging critical thinking in labor management, and improving the provision of woman-centered care. Conclusions The LCG is feasible and acceptable to use across different clinical settings and can promote woman-centered care, though some design improvements would benefit usability. Implementing the LCG needs to be accompanied by training and supportive supervision, and strategies to promote an enabling environment (including updated policies on supportive care interventions, and ensuring essential equipment is available).
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Birth: Issues in Perinatal Care
dc.relation.isbasedon	10.1111/birt.12511
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Delivery, Obstetric
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Labor, Obstetric
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Pregnancy
dc.subject.mesh	World Health Organization
dc.title	Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed-methods, multicountry evaluation.
dc.type	Journal Article
utslib.citation.volume	48
utslib.location.activity	United States
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-11-08T05:13:28Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	48
utslib.citation.issue	1

Abstract:

Introduction The World Health Organization’s (WHO) Labour Care Guide (LCG) is a “next-generation” partograph based on WHO’s latest intrapartum care recommendations. It aims to optimize clinical care provided to women and their experience of care. We evaluated the LCG’s usability, feasibility, and acceptability among maternity care practitioners in clinical settings. Methods Mixed-methods evaluation with doctors, midwives, and nurses in 12 health facilities across Argentina, India, Kenya, Malawi, Nigeria, and Tanzania. Purposively sampled and trained practitioners applied the LCG in low-risk women during labor and rated experiences, satisfaction, and usability. Practitioners were invited to focus group discussions (FGDs) to share experiences and perceptions of the LCG, which were subjected to framework analysis. Results One hundred and thirty-six practitioners applied the LCG in managing labor and birth of 1,226 low-risk women. The majority of women had a spontaneous vaginal birth (91.6%); two cases of intrapartum stillbirths (1.63 per 1000 births) occurred. Practitioner satisfaction with the LCG was high, and median usability score was 67.5%. Practitioners described the LCG as supporting precise and meticulous monitoring during labor, encouraging critical thinking in labor management, and improving the provision of woman-centered care. Conclusions The LCG is feasible and acceptable to use across different clinical settings and can promote woman-centered care, though some design improvements would benefit usability. Implementing the LCG needs to be accompanied by training and supportive supervision, and strategies to promote an enabling environment (including updated policies on supportive care interventions, and ensuring essential equipment is available).

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/151387