The BetterBirth Program: Pursuing Effective Adoption and Sustained Use of the WHO Safe Childbirth Checklist Through Coaching-Based Implementation in Uttar Pradesh, India

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FIGURE 1
Partial Facility-Level Heat Map of Adherence to Essential Birth Practices, Illustrative Example (Not Real Data)
Success rates calculated as follows: green=1, yellow=0.5, red=0, white=N/A.
Abbreviation: BA, birth attendant.
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FIGURE 2
BetterBirth Implementation Pathway, Uttar Pradesh, India

TABLE. Selection Criteria and Responsibilities of BetterBirth Program Team Members

Team Member	Qualifications/Selection Criteria	Responsibilities
Coach	Nurse qualification Trained in childbirth practices Recruited from same hub as facility assignments	Coach facility birth attendants (increase motivation, observe, and facilitate problem solving) Manage 2–4 facilities at any one time; conduct 43 visits per facility
Coach Team Leader	Physician or trained public health practitioner At least 4 years of experience Recruited from same hub as facility assignments	Provide supportive supervision to the coach Coach facility and district leaders to strengthen the health care system Manage 4–5 facilities at one time; conduct 23 visits per facility
Childbirth Quality Coordinator	Facility-based staff Motivated and interested in the BetterBirth Program Ability to influence and coach others Well respected among other facility- and district-level personnel	Orient new staff to the Safe Childbirth Checklist Coach facility birth attendants Coach facility and district leaders to strengthen the health care system Collect data on facility progress and areas for improvement