Scaling Up Safer Birth Bundle Through Quality Improvement in Nepal (SUSTAIN)—a stepped wedge cluster randomized controlled trial in public hospitals

Table 3 Intensity of each QI item in the SUSTAIN project

Quality improvement package items	Details	Number
Facilitators training on HBS	Training on continuous quality improvement package. Checklist use HBS package	6 days
Continuous quality improvement	An orientation with hospital leadership on the improvement of care process for mothers and newborn	2 h
	Orientation to facilitators on the tools for bottleneck analysis	2–4 h
	Assessment of maternal and newborn services in the hospital	2 days
	Bottleneck analysis of maternal and newborn services	Half day
	Development of problem-solving process using the PDSA approach	2 h
Training	Training health workers on the HBS package and continuous quality improvement (CQI)	3 days
Mentoring	Monthly visit by clinical mentors to guide the implementation of the standards	1 day each month
Audit and feedback	Use of progress board Daily drills	Daily

ISSN: 1748-5908