Scaling up safer births bundle of care - keeping more mothers and babies safe during and after birth

Safer Births Bundle of Care (SBBC Phase II)- A quality improvement implementation project in all health facilities with comprehensive emergency obstetrics and newborn care services in five regions in Tanzania

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN92381311

Enrollment

600000

Registered

2025-09-25

Start date

2023-01-01

Completion date

Unknown

Last updated

2025-11-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Intrapartum management of labor and childbirth Pregnancy and Childbirth

Interventions

This is a before-and-after quality improvement project that will be implemented simultaneously across all 142 Comprehensive Emergency Obstetric and Newborn Care health facilities (sites) in the five r

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Pregnant women and their fetuses in labor at gestation age of 28 weeks and above

Exclusion criteria

Exclusion criteria: Births below 28 weeks

Design outcomes

Primary

Measure	Time frame
Measured using patient records: 1. Perinatal deaths, defined as intrapartum stillbirth (ISB) or newborn death within the first 24 hours of life 2. Maternal deaths within 7 days postpartum	—

Secondary

Measure	Time frame
Current secondary outcome measures as of 31/10/2025: Measured using patient records: Secondary outcomes: 1. 24-hour newborn deaths. 2. Intrapartum stillbirths (ISB) 3. 7-days perinatal deaths (including ISB) Other process and output indicators: 1. Antepartum stillbirths (ASB) 2. 2-7 days newborn deaths 3. Proportion of deliveries followed by neonatal resuscitation (stimulation, suction, and bag-mask ventilation) 4. The attitudes, perceptions, and acceptability of SBBC among HCWs and health managers, as well as patient satisfaction, will be assessed 5. Frequency of skills- and team-scenario trainings conducted in each facility, per number of relevant HCWs 6. Frequency of mentorship/supportive supervision at each facility Previous secondary outcome measures: Measured using patient records: 1. 24-hour newborn deaths 2. 7-day perinatal deaths 3. 2-7-day newborn deaths 4. Intrapartum stillbirths 5. Antepartum stillbirths 6. Proportion of deliveries followed by neonatal resuscitation (stimulation, suction, and Bag Mask Ventilation) 7. Proportion of deliveries resulting in emergency cesarean sections and vacuum delivery 8. The attitudes, perceptions, and acceptability of the Safer Births Bundle among Health Care Workers and health managers, as well as patient satisfaction, will be assessed 9. Frequency of skills- and team scenario trainings conducted in each facility/number of relevant healthcare workers 10. Frequency of mentorship/supportive supervision visits to each facility	—

Measure

Time frame

Current secondary outcome measures as of 31/10/2025: Measured using patient records: Secondary outcomes: 1. 24-hour newborn deaths. 2. Intrapartum stillbirths (ISB) 3. 7-days perinatal deaths (including ISB) Other process and output indicators: 1. Antepartum stillbirths (ASB) 2. 2-7 days newborn deaths 3. Proportion of deliveries followed by neonatal resuscitation (stimulation, suction, and bag-mask ventilation) 4. The attitudes, perceptions, and acceptability of SBBC among HCWs and health managers, as well as patient satisfaction, will be assessed 5. Frequency of skills- and team-scenario trainings conducted in each facility, per number of relevant HCWs 6. Frequency of mentorship/supportive supervision at each facility Previous secondary outcome measures: Measured using patient records: 1. 24-hour newborn deaths 2. 7-day perinatal deaths 3. 2-7-day newborn deaths 4. Intrapartum stillbirths 5. Antepartum stillbirths 6. Proportion of deliveries followed by neonatal resuscitation (stimulation, suction, and Bag Mask Ventilation) 7. Proportion of deliveries resulting in emergency cesarean sections and vacuum delivery 8. The attitudes, perceptions, and acceptability of the Safer Births Bundle among Health Care Workers and health managers, as well as patient satisfaction, will be assessed 9. Frequency of skills- and team scenario trainings conducted in each facility/number of relevant healthcare workers 10. Frequency of mentorship/supportive supervision visits to each facility

—

Countries

Tanzania

Contacts

Public ContactEstomih Mduma

kamala8086@gmail.com+255 755876879

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026