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Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
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Developing a Co-Designed Strategy to Improve Labor Monitoring and Management in India Using the World Health

Elizabeth Armari1, Sunil S Vernekar2, Yeshita Pujar2

  • 1Women's, Children's and Adolescents' Health Program, Burnet Institute, Melbourne, Victoria, Australia.

Birth (Berkeley, Calif.)
|August 13, 2025
PubMed
Summary
This summary is machine-generated.

Developing an effective implementation strategy is crucial for the successful adoption of the World Health Organization

Keywords:
implementation strategylabor monitoringlabour care guide

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Area of Science:

  • Maternal Health
  • Healthcare Implementation Science
  • Obstetrics

Background:

  • Intrapartum complications contribute significantly to perinatal mortality.
  • The Labour Care Guide (LCG) is a WHO-endorsed tool for labor monitoring.
  • Optimizing LCG implementation requires context-specific strategies.

Purpose of the Study:

  • To develop a co-designed implementation strategy for the Labour Care Guide (LCG) in Karnataka, India.
  • To identify and address barriers and facilitators to LCG use.
  • To support the dissemination and uptake of the LCG.

Main Methods:

  • Literature review and primary research in four public maternity hospitals.
  • Stakeholder co-design workshop and consultations.
  • Application of the Theoretical Domains Framework (TDF) and COM-B model.

Main Results:

  • An evidence-based provider training program using "low dose, high frequency" principles.
  • Monthly audit and feedback cycles integrated into practice.
  • Emphasis on an enabling practice environment including policy, guidelines, and resources.

Conclusions:

  • Effective LCG utilization necessitates a robust and context-sensitive implementation strategy.
  • The presented strategy is the first evidence-based, co-designed approach for LCG implementation.
  • This strategy can guide LCG dissemination and improve intrapartum care.