TABLE 8.

Illustrative Contributions of MOMENTUM Safe Surgery in Family Planning and Obstetrics Project Activities to Advancing Priority Learning Agenda Topics

Learning Agenda TopicProject Learning Activity
Use of tools, such as clinical checklists and audits for cesarean delivery and peripartum hysterectomy, to enhance decision-making as part of quality improvement

  • Safe cesarean checklist: review of the literature, co-design, and pilot testing

  • Cesarean delivery audit tool development: review of literature for existing tools, provider survey on audit practices and procedures, and design/piloting of consolidated audit tool

  • Cross-sectional study measuring cesarean delivery complications before and after the implementation of a peripartum surgery diploma program in Mali

  • Descriptive study on sociodemographic and clinical factors of patient populations undergoing cesarean delivery in Senegal (Robson classification)

  • Analysis of data captured from the piloting of a cesarean delivery audit mobile application in India

Task sharing for LARC removal procedures: feasibility, effectiveness, and recommended setting

  • Review of training guidelines, regulatory frameworks, and scopes of work to assess the extent to which WHO task sharing guidelines on LARCs and PMs are being implemented in 7 countries42

  • Survey on provider perspectives on implant and IUD removal

Use of post-discharge/postoperative visits (in-person or telehealth) to monitor postoperative morbidity and neonatal outcomes

  • Prospective cohort study testing the feasibility of post-discharge phone interviews as a method of monitoring post-discharge outcomes in DRC

Effective strategies to strengthen key aspects of the safe surgery ecosystem (e.g., anesthesia supplies, blood, and oxygen)

  • Qualitative study assessing extent to which safe surgery core teams are perceived as effective in driving quality improvement in surgical care in Rwanda

  • Contribution/influence of anesthesia clinical mentorship on mitigating anesthesia complications in Mali and Rwanda

  • Abbreviations: DRC, Democratic Republic of the Congo; IUD, intrauterine device; LARCs, long-acting reversible contraceptives; PMs, permanent methods.