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Project leads from each collaboration site were asked to distribute two surveys. The first was given to end users, and the second to implementation teams to describe their respective experiences using the Checklist. A total of 134 end users and 38 implementation teams responded to the surveys, from 19 countries across all levels of income. End users were willing to adopt the SCC and found it easy to use. Training and the provision of supervision while using the Checklist, alongside leadership engagement and local ownership, were important factors which helped facilitate initial implementation and successful uptake of the Checklist. Teams identified several challenges, but more importantly successfully implemented the WHO SCC. A critical step in all settings was the adaptation of the Checklist to reflect local context and national protocols and standards. These findings were invaluable in developing the final version of the WHO SCC and its associated implementation guide. Our experience will provide useful insights for any institution wishing to implement the Checklist.<\/jats:p>","DOI":"10.1136\/bmjgh-2016-000241","type":"journal-article","created":{"date-parts":[[2017,8,19]],"date-time":"2017-08-19T20:10:29Z","timestamp":1503173429000},"page":"e000241","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":36,"title":["Implementing the WHO Safe Childbirth Checklist: lessons from a global collaboration"],"prefix":"10.1136","volume":"2","author":[{"given":"WRG","family":"Perry","sequence":"first","affiliation":[{"name":"Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Bagheri Nejad","sequence":"additional","affiliation":[{"name":"Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Tuomisto","sequence":"additional","affiliation":[{"name":"Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Kara","sequence":"additional","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Roos","sequence":"additional","affiliation":[{"name":"Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TR","family":"Dilip","sequence":"additional","affiliation":[{"name":"Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LR","family":"Hirschhorn","sequence":"additional","affiliation":[{"name":"Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Larizgoitia","sequence":"additional","affiliation":[{"name":"Evaluation Office, World Health Organization, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Semrau","sequence":"additional","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health, Boston, Massachusetts, USA"},{"name":"Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA"},{"name":"Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Mathai","sequence":"additional","affiliation":[{"name":"Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland"},{"name":"Centre for Maternal and Newborn Health, Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Dhingra-Kumar","sequence":"additional","affiliation":[{"name":"Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,19]]},"reference":[{"key":"2025072913382524000_2.3.e000241.1","unstructured":"UNICEF, World Health Organization. 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