Meeting the Progress Markers for Each Stage of Implementation of the Perinatal Problem Identification Program in Western Cape, South Africa
PhaseImplementation Stage | Progress Marker | Score for Progress Marker | ||||
|---|---|---|---|---|---|---|
| Subdistrict | ||||||
| A | B | C | D | E | ||
| Pre-implementation | ||||||
|
1. Creating awareness (2 points) |
Awareness by management (1 point) | 1 | 1 | 1 | 1 | 1 |
|
Committed leader(s) (1 point) | 1 | 1 | 1 | 1 | 1 | |
|
2. Adopting the concept (2 points) |
Conscious decision to implement (1 point) | 1 | 1 | 1 | 1 | 1 |
|
Committee formed (1 point) | 1 | 1 | 1 | 1 | 1 | |
| Implementation | ||||||
|
3. Taking ownership (6 points) |
Tools available (1 point) | 1 | 1 | 1 | 1 | 1 |
|
Tools include cause of death (1 point) | 1 | 1 | 1 | 1 | 1 | |
|
Tools include modifiable factors (1 point) | 1 | 1 | 1 | 1 | 1 | |
|
Tools include place to follow up on actions taken (1 point) | 1 | 1 | 1 | 1 | 1 | |
|
Understanding of process for conducting meetings (0.5 point) | 0.5 | 0.5 | 0.5 | 0.5 | 0.5 | |
|
Staff meeting conduct agreement available (0.5 point) | 0 | 0 | 0.5 | 0.5 | 0.5 | |
|
Budget or support to conduct death reviews (1 point) | 0 | 0 | 0 | 0 | 0 | |
|
4. Evidence of practice (7 points) |
Meeting minutes available (1 point) | 1 | 1 | 1 | 1 | 1 |
|
Meeting minutes include action items (1 point) | 1 | 1 | 1 | 1 | 1 | |
|
Meeting minutes include follow-up from previous meetings (1 point) | 0 | 1 | 1 | 0 | 0 | |
|
Meeting notes respect confidentiality of staff and patients (1 point) | 1 | 1 | 1 | 1 | 1 | |
|
Face-to-face or written orientation to death reviews (1 point) | 1 | 0 | 0.5 | 0.5 | 0 | |
|
Data trends displayed or shared (2 points) | 2 | 1 | 2 | 2 | 0 | |
| Institutionalization | ||||||
|
5. Evidence of routine integration (7 points) |
Evidence of change based on recommendation (3 points) | 3 | 3 | 3 | 3 | 2 |
|
Death review meetings are held at stated interval (e.g., weekly, monthly) (1 point) | 1 | 1 | 1 | 1 | 1 | |
|
Multidisciplinary engagement (2 points) | 2 | 2 | 2 | 2 | 2 | |
|
Evidence of reporting findings and progress to community (1 point) | 0 | 0 | 0 | 0 | 0 | |
|
6. Evidence of sustainable practice (6 points) |
Over 1–2 years of ongoing practice (2 points) | 2 | 2 | 2 | 2 | 2 |
|
Plan in place to ensure all staff receive MPDSR training (1 point) | 1 | 0 | 0 | 0 | 0 | |
|
Evidence that staff have received MPDSR training in the past year (1 point) | 0 | 0 | 0 | 0 | 0 | |
| Score on the first 5 constructs (divided by 12) | 1.71 | 1.63 | 1.79 | 1.71 | 1.42 | |
| Total (30 points) | 25.21 | 23.13 | 25.29 | 24.21 | 20.42 | |
Abbreviation: MPDSR, maternal and perinatal death surveillance and response.