OTIP: An Innovative Obstetric Triage Implementation Package to Reduce Delay and Improve the Quality of Care at Referral Hospitals in Ghana

Institutional delivery reduces maternal and neonatal morbidity and mortality. However, hospitals in low-resource countries commonly operate on a first-come, first-served basis, resulting in laboring women waiting hours before assessment by providers. This waiting period - the "third delay" - escalates obstetric complications and contributes to mortality. Timely assessment and treatment improve outcomes, yet no documented obstetric triage system exists in low-resource countries.

Improving Maternal Health Outcomes by Enhancing Provider Performance through Innovative Technologies in Low-Resource Settings 

According to the World Health Organization (WHO), oxytocin is best given within one minute after birth, making timely administration of oxytocin the most important intervention to reduce postpartum hemorrhage. Despite these guidelines, health providers do not consistently adhere to this best practice. Psychological research supports that feedback can improve clinical performance. In low-resource settings, opportunities for regular supervision and mentoring may be limited, and alternative sources of feedback that are appropriate, cost-effective, and sustainable are critical.

Co-creation with Health Care Providers of Clinical Guidelines for Maternity Care in Dar es Salaam, Tanzania (The PartoMa Project) 

Universal clinical practice guidelines (CPGs) are often unachievable particular in low-resources settings. Despite this, CPGs are rarely adapted to local settings. We describe the process of co-adapting CPGs for health care providers of maternity care in five hospitals in Dar es Salaam, Tanzania.